{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:43:56Z","timestamp":1784673836120,"version":"3.55.0"},"reference-count":17,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T00:00:00Z","timestamp":1753142400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Muscle and Nerve"],"published-print":{"date-parts":[[2025,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction\/Aims<\/jats:title><jats:p>Verbal informed consent prior to electrodiagnostic (EDx) studies, including nerve conduction study and needle electromyography (EMG), is considered the standard of care to counsel the patient of risks and benefits of the procedure. However, there is a paucity of population\u2010based studies evaluating the actual occurrence of complications. We aim to improve the informed consent process for EMGs by accurately understanding rates of adverse events.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A rapid cycle quality improvement approach was used to assess complication rates for EMGs at a US Veterans Administration tertiary medical center. Potential complications were compared to actual complications following 24,718 EMG procedures performed over a 14\u2010year period. The occurrence of serious complications in the month following EMG was queried from the electronic health record.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>About 35% of the patients used anticoagulants or antiplatelet agents, yet no cases of hematoma were recorded. Three reports of cellulitis occurred in patients on aspirin. No pneumothoraces were recorded. These findings were then used to update informed consent guidelines to more closely align with actual complication rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study underscores the safety of EMGs, even in the setting of anticoagulation use, and helps guide the informed consent process. Taking into consideration the findings of prior studies, caution must still be exercised when performing EMGs in muscles with a high risk of pneumothorax. Based on our findings, anticoagulants and antiplatelet agents do not appear to increase the risk of bleeding\u2010related complications. Cellulitis in the three patients on aspirin was most likely due to medical comorbidities.<\/jats:p><\/jats:sec>","DOI":"10.1002\/mus.28472","type":"journal-article","created":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T07:03:37Z","timestamp":1753167817000},"page":"632-635","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Examining Complication Rates to Inform the Consent Process in Needle Electromyography: A Quality Improvement Project"],"prefix":"10.1002","volume":"72","author":[{"given":"Jihong","family":"Min","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bharathi","family":"Swaminathan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine &amp; Rehabilitation Captain James A. Lovell Federal Health Care Center  Chicago Illinois USA"},{"name":"Chicago Medical School  North Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amtul","family":"Farheen","sequence":"additional","affiliation":[{"name":"Department of Neurology G.V. (Sonny) Montgomery VA Medical Center  Jackson Mississippi USA"},{"name":"Department of Neurology University of Mississippi  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rahila","family":"Ansari","sequence":"additional","affiliation":[{"name":"Department of Neurology Long Beach VA Healthcare System  Long Beach California USA"},{"name":"Department of Neurology University of California Irvine  Irvine California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ileana","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Medicine University of Washington  Seattle Washington USA"},{"name":"Rehabilitation Care Services, VA Puget Sound Healthcare System, Seattle  Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,7,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470-2045(08)70128-1"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.112120"},{"key":"e_1_2_11_4_1","unstructured":"L. B. M.BotwinickandC.Haraden \u201cLeadership Guide to Patient Safety: IHI Innovation Series White Paper \u201d2006Institute for Healthcare Improvement."},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-4598(199703)20:3<352::AID-MUS13>3.0.CO;2-2"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.27501"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/mus.25421"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cnp.2021.02.005"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/WNP.0000000000000643"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PHM.0000000000001304"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.17161\/rrnmf.v1i1.13544"},{"key":"e_1_2_11_12_1","volume-title":"The Improvement Guide: A Practical Approach to Enhancing Organizational Performance","author":"Langley G. 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