153 Implementation of a Clinical Surveillance Tool for Direct Oral Anticoagulation Monitoring in the Outpatient Setting

Introduction: Despite the advantages of direct oral anticoagulants (DOACs) over warfarin such as reduced laboratory monitoring and fewer adverse events, variability in patient’s responses can lead to unexpected bleeding or thrombotic complications. Anticoagulation stewardship aims to optimize therapy and provide safe management of anticoagulation through appropriate prescribing, monitoring, and patient education. This study evaluates the impact of a clinical surveillance tool (CST) for monitoring DOACs in an ambulatory care setting.