191 Pharmacist Empowerment, Mandatory 4T Scoring and Real-time EHR Alerts to Optimize Antithrombosis Stewardship Around Diagnosis and Management of Heparin Induced Thrombocytopenia: The Persistent Study

Introduction: Heparin-induced thrombocytopenia (HIT) is a rare but potentially life-threatening immune-mediated adverse reaction to unfractionated heparin (UFH) or low molecular weight heparin (LMWH). Platelet count fluctuations among hospitalized patients often lead to over-testing and inappropriate treatment. HIT represents a significant opportunity for quality improvement and antithrombosis stewardship. The University of New Mexico Hospital (UNMH) has implemented a system-level process designed to optimize diagnosis and management of HIT.