Impact of Hospital-based Multidisciplinary Anticoagulation Stewardship Programs

Arch Med Res. 2023 Jan;54(1):1-6. doi: 10.1016/j.arcmed.2022.11.016. Epub 2022 Dec 5.

Abstract

Antithrombotic therapies, especially anticoagulants, are high-risk medications with increased potential for adverse events. The development and implementation of a well-functioning, designated, multidisciplinary anticoagulation stewardship program (MASP), tailored to each hospital-center's needs, has the primary objectives of improving patient-centered outcomes, minimizing undesirable anticoagulation-related adverse events and minimizing hospital length of stay (LOS) and other patient-related costs. Such stewardship programs are pivotal in supporting busy clinicians with consultation on challenging clinical case scenarios, ensuring appropriate use of valuable healthcare resources, achieving compliance with anticoagulant-associated accreditation standards, and positively impacting patient-specific morbidity/mortality outcomes. Herein, we review and discuss the critical need for antithrombosis stewardship and the benefit of formalized MASP in optimizing use of antithrombotic therapies.

Keywords: Adverse drug events; Anticoagulants; Antithrombotic therapies; Multidisciplinary anticoagulation stewardship programs; Venous thromboembolism.

Publication types

  • Review

MeSH terms

  • Anticoagulants* / therapeutic use
  • Drug Utilization Review* / organization & administration
  • Fibrinolytic Agents / therapeutic use
  • Hospital Administration
  • Hospitals*
  • Humans

Substances

  • Anticoagulants
  • Fibrinolytic Agents