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June 20, 2026American Journal of Health-System Pharmacy

An inpatient DOAC surveillance dashboard flags known critical alerts in ~9% of monitored patients.

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Why the study?

Does an acute care digital dashboard successfully support DOAC surveillance and identify inappropriate dosing in hospitalized patients?

Population

1,059 acute care patients receiving direct oral anticoagulants (DOACs) across 4 acute care facilities

Design

Other

Follow-up

21 monthly dashboard snapshot surveys

Key result

An inpatient digital dashboard for DOAC surveillance implemented across 4 facilities identified 1,059 patients, of whom 9.1% had a known critical alert and 19.7% had a possible critical alert.

Authors

HHHeeseung HongSLSarah Hanigan LewisDTDarren M. Triller

Discussion

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Overview

Dashboard feasible for identifying DOAC dosing alerts in inpatients; leaves open effects on outcomes or practice.

Key Points

  • The aim is to evaluate the implementation success of a digital dashboard for managing direct oral anticoagulants (DOACs) in acute care settings.
  • Developed a digital dashboard for DOAC management across 4 acute care facilities.
  • Conducted qualitative and quantitative surveys to evaluate implementation success across 7 domains.
  • Analyzed data from 21 monthly dashboard snapshot surveys encompassing 1,059 patients.
  • Identified 1,059 patients receiving DOACs with 9.1% having a known critical alert.
  • 19.7% had a possible critical alert and 7.3% had a 'for your information' alert.
  • Clinicians reported high satisfaction and effective integration of the dashboard into clinical workflows.

Study Design

Type

Observational (n=1,059)

Multicenter

Yes

Structured PICO

Does an acute care digital dashboard successfully support DOAC surveillance and identify inappropriate dosing in hospitalized patients?

P
Population
1,059 acute care patients receiving DOACs identified across 4 facilities during 21 monthly dashboard snapshot surveys.
E
Exposure
Acute care digital dashboard for population management and surveillance of DOACs
O
Outcome
Implementation success evaluated using qualitative and quantitative surveys across 7 domains (acceptability, adoption, appropriateness, feasibility, fidelity, penetration, and sustainability)

An inpatient digital dashboard for DOAC surveillance was successfully implemented across 4 facilities, demonstrating high acceptability and effectively identifying patients with potentially inappropriate dosing.

Cite This Study

Hong et al. (2026) conducted an observational in Acute care patients receiving DOACs (n=1,059). Digital dashboard for DOAC surveillance was evaluated on Known critical alerts. An inpatient digital dashboard for DOAC surveillance implemented across 4 facilities identified 1,059 patients, of whom 9.1% had a known critical alert and 19.7% had a possible critical alert.

synapsesocial.com/papers/6a3721e201fe431c2518895bhttps://doi.org/10.1093/ajhp/zxag182
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