186 Anticoagulation Stewardship Using a Direct Oral Anticoagulation Dashboard to Reduce Incorrect Prescribing

Background: Direct oral anticoagulants (DOACs) are guideline preferred treatment in nonvalvular atrial fibrillation and venous thromboembolism, they have complex dosing regimens leading to frequent inaccurate dosing and increased risks of bleeding and thromboembolism. Population health dashboards are an effective tool for antithrombotic stewardship to identify and correct inaccurate DOAC dosing and reduce harms. While these dashboards have been shown to reduce inaccurate DOAC dosing and clinical harms in the Veterans Health Affairs (VHA) system, data is lacking in non-VHA health systems.