70 Evaluation of Current Outpatient DOAC Management Practices Within Trinity Health Grand Rapids

Introduction: Direct oral anticoagulants (DOACs) have become a preferred anticoagulation (AC) strategy over the past decade, but their utility does not come without risks. There have been numerous instances of both under or overdosing of these agents leading to thrombotic or bleeding events. Some institutions have sought to prevent these issues by extending their AC services to include a DOAC monitoring outpatient service line. This medication use evaluation provides baseline trends in appropriateness of DOAC prescribing, monitoring, and instances of safety events within a year of treatment and potentially illustrate if a DOAC service line should be considered.