Project Information

Pharmacist-led monitoring for direct oral anticoagulants (DOACs)

Project Description: Pharmacist working at an outpatient clinic (Internal Medicine at Tower Hill) and will be monitoring patients who are receiving direct oral anticoagulants (DOACs), a group of medications used to prevent blood clots. Historically patients were managed with warfarin which required frequent clinic visits but the DOACs do not require routine clinical monitoring. Recently data has suggested patients on DOACs should receive counseling and education 2-4 times per year to ensure the safe use of these medications. The current project will collect clinical data related to the patient visits with the Pharmacist related to DOACs. Data will be used to determine the usefulness of the clinical service to determine if more frequent monitoring is needed, types of monitoring that may be needed, specific questions or areas for improved patient education and counseling to target, or if additional interventions need to be implemented in order to ensure the safe use of these medications.

QPI: Eric, Dietrich, (

Collaborators: (


UF Health Big Aims: Transform our Culture None

MeSH Keywords: Outpatients, Pharmacists, Drug Monitoring, Oral Anticoagulant, Anticoagulation