167 Optimizing Perioperative Anticoagulation Management: Impact of a Clinical Pharmacist Practitioner Managed Clinic on Patient Safety and Care Quality

Introduction: The VA North Texas Health Care System (VANTXHCS) serves over 8,000 patients on oral anticoagulants. Approximately 15% to 20% of patients who are receiving anticoagulant therapy will require a procedure annually. The lack of utilization of standardized perioperative guidelines and processes by medical staff has led to inconsistent recommendations, poor follow-up, and potential patient harm. To address these challenges, a Clinical Pharmacist Practitioner (CPP) managed Perioperative Anticoagulation Clinic was established to streamline the process, ensure consistent recommendations, and enhance patient safety.