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Methods: The descriptive cross-sectional design will use an electronic survey instrument consisting of closed-answer multiple choice questions and one attitude scale to randomly sample clinics from a larger convenience sample with the permission of The Anticoagulation Forum. Individual telephone contact will be used initially to identify clinical managers interested in participating in the study and promote participation. Results: http://www.selleckchem.com/products/VX-770.html Data collection and analysis will evaluate frequency of responses in terms of percentages and the mean attitudes regarding content taking standard deviation. Conclusions: The goal of this study is to elucidate current processes and attitudes about appropriate education for anticoagulation nurses and compare them with The Joint Commission guidelines and recommendations of other professional organizations, thereby highlighting strengths and ways to improve educational processes. These data have the potential to initiate standardizing and education and competency for nurses providing anticoagulation management and patient education and improve patient care overall. Background: Uncontrolled hypertension is an established risk factor for hemorragic stroke in anticoagulated patients with atrial fibrillation, and guidelines recommend a systolic blood pressure goal ��140 mmHg in these patients. Objectives: To test the efficacy of two types of physician notification http://www.selleck.cn/products/mi-773-sar405838.html to improve blood pressure control in anticoagulated patients with atrial fibrillation. Methods: All patients with atrial fibrillation http://www.selleckchem.com/products/Imatinib-Mesylate.html in one of our anticoagulation clinics were reviewed, and those with their last recorded systolic blood pressure and at least one previous systolic blood pressure of >140 mmHg were candidates for the study. This was a quality improvement project and patient consent was not required; the study was approved by our local IRB. Patients were randomized using opaque envelopes and their physicians received either an e-mail notification of uncontrolled blood pressure and a short synopsis of guideline recommendations or the same e-mail with follow-up phone notification. During the phone notification, the research team offered to facilitate follow-up for the patient or to assist in blood pressure medication adjustment. The primary outcome was the proportion of patients that achieved a systolic blood pressure of