{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T18:44:42Z","timestamp":1782758682842,"version":"3.54.5"},"reference-count":16,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,19]],"date-time":"2026-06-19T00:00:00Z","timestamp":1781827200000},"content-version":"am","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Direct oral anticoagulants (DOACs) are highly effective in the treatment and prevention of thrombosis. Nevertheless, the prevalence of inappropriate DOAC dosing (ie, dosing not in alignment with Food and Drug Administration package labeling) remains high and is associated with suboptimal patient outcomes. Development and utilization of a digital dashboard to support DOAC management in the acute care setting has not yet been described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>An acute care digital dashboard for population management of DOACs was developed and implemented at 4 acute care facilities, and implementation success was evaluated using qualitative and quantitative surveys completed by lead project clinicians.<\/jats:p>\n                    <jats:p>Based on responses from all participating facilities related to 7 previously described domains of implementation success, including acceptability, adoption, appropriateness, feasibility, fidelity, penetration, and sustainability, the dashboard implementation was considered a complete success. In 21 monthly dashboard snapshot surveys across all sites, the dashboard identified 1,059 acute care patients receiving DOACs. Of these patients, 96 (9.1%) had a known critical alert, 209 (19.7%) had a possible critical alert, and 77 (7.3%) had a \u201cfor your information\u201d alert across all sites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This case study demonstrated successful implementation of an acute care DOAC dashboard at 4 unique practice sites. Clinicians felt that the dashboard appropriately addressed clinical issues in patients receiving DOACs and was readily incorporated into their daily workflow. Overall, dashboard users were satisfied with the tool and found it palatable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ajhp\/zxag182","type":"journal-article","created":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T11:44:47Z","timestamp":1781783087000},"source":"Crossref","is-referenced-by-count":0,"title":["Implementation evaluation of an inpatient digital dashboard for direct oral anticoagulant surveillance"],"prefix":"10.1093","author":[{"given":"Heeseung","family":"Hong","sequence":"first","affiliation":[{"name":"University of Utah College of Pharmacy , Salt Lake City, UT ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hanigan Lewis","sequence":"additional","affiliation":[{"name":"University of Michigan College of Pharmacy , Ann Arbor, MI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darren M","family":"Triller","sequence":"additional","affiliation":[{"name":"Anticoagulation Forum , Newton, MA ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn E","family":"Dane","sequence":"additional","affiliation":[{"name":"Department of Pharmacy, The Johns Hopkins Hospital , Baltimore, MD ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathew","family":"Jones","sequence":"additional","affiliation":[{"name":"Henry Ford Hospital , Detroit, MI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colleen","family":"Whyte","sequence":"additional","affiliation":[{"name":"Johns Hopkins Bayview Medical Center , Baltimore, MD ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael S M","family":"Lanham","sequence":"additional","affiliation":[{"name":"Department of Learning Health Sciences, Michigan Medicine , Ann Arbor, MI, and Department of Obstetrics and Gynecology, Michigan Medicine, Ann Arbor, MI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arthur L","family":"Allen","sequence":"additional","affiliation":[{"name":"VA Salt Lake City Health Care System , Salt Lake City, UT ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Kaatz","sequence":"additional","affiliation":[{"name":"Henry Ford Health , Detroit, MI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geoffrey D","family":"Barnes","sequence":"additional","affiliation":[{"name":"Frankel Cardiovascular Center, University of Michigan , Ann Arbor, MI ,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,19]]},"reference":[{"issue":"12","key":"2026062913530967900_zxag182-B1","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.amjmed.2011.06.009","article-title":"Anticoagulation-associated adverse drug events","volume":"124","author":"Piazza","year":"2011","journal-title":"Am J Med."},{"issue":"18","key":"2026062913530967900_zxag182-B2","doi-asserted-by":"crossref","first-page":"e035859","DOI":"10.1161\/JAHA.124.035859","article-title":"Pharmacist use of a population management dashboard for safe anticoagulant prescribing: evaluation of a nationwide implementation effort","volume":"13","author":"Barnes","year":"2024","journal-title":"J Am Heart Assoc."},{"key":"2026062913530967900_zxag182-B3"},{"issue":"3","key":"2026062913530967900_zxag182-B4","first-page":"173","article-title":"Reduce the likelihood of patient harm associated with the use of anticoagulant therapy: commentary from the Anticoagulation Forum on the updated Joint Commission NPSG.03.05.01 elements of performance","volume":"46","author":"Dager","year":"2020","journal-title":"Jt Comm J Qual Patient Saf."},{"issue":"6","key":"2026062913530967900_zxag182-B5","doi-asserted-by":"crossref","first-page":"622","DOI":"10.1002\/jac5.1614","article-title":"Hemostatic and antithrombotic stewardship programs: a toolkit for program implementation","volume":"5","author":"Dane","year":"2022","journal-title":"J Am Coll Clin Pharm."},{"key":"2026062913530967900_zxag182-B6","first-page":"100089","article-title":"Advancing anticoagulation stewardship: a call to action for stewardship from the US-based Anticoagulation Forum","volume":"6","author":"Burnett","year":"2022","journal-title":"Thromb Update."},{"key":"2026062913530967900_zxag182-B7"},{"issue":"1","key":"2026062913530967900_zxag182-B8","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1007\/s11239-023-02893-9","article-title":"Digital dashboards for direct oral anticoagulant surveillance, intervention, and operational efficiency: uptake, obstacles, and opportunities","volume":"57","author":"Triller","year":"2024","journal-title":"J Thromb Thrombolysis."},{"issue":"7","key":"2026062913530967900_zxag182-B9","doi-asserted-by":"crossref","first-page":"544","DOI":"10.12788\/jhm.2769","article-title":"Dosing accuracy of direct oral anticoagulants in an academic medical center","volume":"12","author":"Schwartz","year":"2017","journal-title":"J Hosp Med."},{"issue":"3","key":"2026062913530967900_zxag182-B10","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1310\/hpj5203-207","article-title":"Assessment of direct oral anticoagulant prescribing and monitoring pre- and post-implementation of a pharmacy protocol at a community teaching hospital","volume":"52","author":"Miele","year":"2017","journal-title":"Hosp Pharm."},{"issue":"8","key":"2026062913530967900_zxag182-B11","doi-asserted-by":"crossref","first-page":"1567","DOI":"10.1111\/bcp.14264","article-title":"Quality of clinical direct oral anticoagulant prescribing and identification of risk factors for inappropriate prescriptions","volume":"86","author":"Zhang","year":"2020","journal-title":"Br J Clin Pharmacol."},{"issue":"1","key":"2026062913530967900_zxag182-B12","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1186\/s13012-020-01044-5","article-title":"Applying population health approaches to improve safe anticoagulant use in the outpatient setting: the DOAC dashboard multi-cohort implementation evaluation study protocol","volume":"15","author":"Barnes","year":"2020","journal-title":"Implement Sci."},{"issue":"2","key":"2026062913530967900_zxag182-B13","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10488-010-0319-7","article-title":"Outcomes for implementation research: conceptual distinctions, measurement challenges, and research agenda","volume":"38","author":"Proctor","year":"2011","journal-title":"Adm Policy Ment Health."},{"issue":"2","key":"2026062913530967900_zxag182-B14","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.jbi.2008.08.010","article-title":"Research electronic data capture (REDCap)\u2014a metadata-driven methodology and workflow process for providing translational research informatics support","volume":"42","author":"Harris","year":"2009","journal-title":"J Biomed Inform."},{"issue":"8","key":"2026062913530967900_zxag182-B15","doi-asserted-by":"crossref","first-page":"806","DOI":"10.1177\/1060028019835843","article-title":"Impact of a direct oral anticoagulant population management tool on anticoagulation therapy monitoring in clinical practice","volume":"53","author":"Valencia","year":"2019","journal-title":"Ann Pharmacother."},{"issue":"2","key":"2026062913530967900_zxag182-B16","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1177\/87551225231226431","article-title":"Assessment of population-based approach to direct oral anticoagulant management","volume":"40","author":"Ha","year":"2024","journal-title":"J Pharm Technol."}],"container-title":["American Journal of Health-System Pharmacy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ajhp\/advance-article-pdf\/doi\/10.1093\/ajhp\/zxag182\/68561494\/zxag182.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ajhp\/advance-article-pdf\/doi\/10.1093\/ajhp\/zxag182\/68561494\/zxag182.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,29]],"date-time":"2026-06-29T17:53:16Z","timestamp":1782755596000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ajhp\/advance-article\/doi\/10.1093\/ajhp\/zxag182\/8711975"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,19]]},"references-count":16,"URL":"https:\/\/doi.org\/10.1093\/ajhp\/zxag182","relation":{},"ISSN":["1079-2082","1535-2900"],"issn-type":[{"value":"1079-2082","type":"print"},{"value":"1535-2900","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,19]]},"article-number":"zxag182"}}