Table 2.
Descriptions of respondent work environments
| Inpatient | Outpatient | |||
|---|---|---|---|---|
| Non-VHA (n = 52) |
Non-VHA (n = 133) |
VHA (n = 55) |
p Value† | |
| Count (%) | Count (%) | Count (%) | ||
| Primary EMR system | ||||
| Cerner | 14 (26.9%) | 13 (9.8%) | 2 (3.6%) | < 0.001 |
| Epic | 27 (51.9%) | 96 (72.2%) | 0 (0.0%) | |
| Other | 11 (21.2%) | 24 (18%) | 53 (96.4%) | |
| Other work environment characteristics | ||||
| Uses additional AC management software | 13 (25.0%) | 43 (32.3%) | 46 (83.6%) | < 0.001 |
| Has organized service to manage warfarin | 47 (90.4%) | 129 (97%) | 54 (98.2%) | NS |
| Has organized service to manage DOACs | 30 (57.7%) | 97 (72.9%) | 54 (98.2%) | < 0.001 |
| Reports having dashboard for warfarin management | 16 (30.8%) | 45 (33.8%) | 24 (43.6%) | 0.20 |
| Reports having dashboard for DOAC management | 11 (21.2%) | 28 (21.1%) | 54 (98.2%) | < 0.001 |
| Can display multiple warfarin users on demand | 30 (57.7%) | 67 (50.4%) | 30 (54.5%) | NS |
| Can display multiple HRD users on demand | 18 (34.6%) | 19 (14.3%) | 16 (29.1%) | 0.002 |
| Reported need for digital resources to enhance DOAC management | ||||
| Strongly agree | 38 (73.1%) | 91 (68.4%) | 25 (45.5%) | 0.018‡ |
| Agree | 13 (25.0%) | 32 (24.1%) | 20 (36.4%) | |
| Neutral | 1 (1.9%) | 9 (6.8%) | 8 (14.5%) | |
| Disagree | 0 (0%) | 1 (0.8%) | 2 (3.6%) | |
| Strongly disagree | 0 (0%) | 0 (0%) | 0 (0.0%) | |
†Statistical tests compared outpatient groups only
‡Statistical test performed across group of response options
AC anticoagulant, DOAC direct oral anticoagulant, EMR electronic medical record, HRD high risk drug (e.g., diabetes, opioids), VHA Veterans Health Administration