Agency for Healthcare Research and Quality
Although not specific to patients with atrial fibrillation (AF), the AHRQ developed a toolkit to help minimize medication errors that are likely to occur during transitions between ambulatory care settings in high-risk patients. The toolkit includes a detailed implementation guide, a pre-intervention assessment, patient appointment aide, checklist for clinicians, and an educational video.
Online Resources
A Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings (AHRQ Transitions of Care [ToC] Toolkit 2017)
Heart Rhythm Society/American College of Cardiology (HRS/ACC): Atrial Fibrillation Transitions of Care Program
The HRS and the ACC codeveloped a transition of care program to help maximize efficacy and safety in patients with AF. The program identifies 7 building blocks necessary for effective transition of care, specific elements of an effective program, and best practices.
The Joint Commission: Transitions of Care (ToC) Portal
The Joint Commission’s Transition of Care portal provides resources on various aspects of transitions of care, including information of certification programs, quality performance measurement, articles, tools, and webinars.
Society of Hospital Medicine (SHM): Hospital-Based Quality Improvement in Stroke Prevention for Patients with Non-Valvular Atrial Fibrillation: A Society of Hospital Medicine Program Implementation Guide (2014)
This guide to implementation of a hospital-based, interdisciplinary quality improvement initiative for reduction of stroke risk in patients with NVAF includes a list of metrics and information to help improve the transition of care to the outpatient setting.