Journal of general internal medicine
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Randomized Controlled Trial
Electronic physician notifications to improve guideline-based anticoagulation in atrial fibrillation: a randomized controlled trial.
Oral anticoagulants reduce the risk of stroke in patients with atrial fibrillation. However, many patients with atrial fibrillation at elevated stroke risk are not treated with oral anticoagulants. ⋯ Electronic physician notification did not increase anticoagulation in patients with atrial fibrillation at elevated stroke risk. Primary care physicians did not prescribe anticoagulants because they perceived the bleeding risk was too high or stroke risk was too low.
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Randomized Controlled Trial
Quality Improvement and Personalization for Statins: the QUIPS Quality Improvement Randomized Trial of Veterans' Primary Care Statin Use.
Implementation of new practice guidelines for statin use was very poor. ⋯ NCT02820870.