Table 2 Implementation strategies
Strategy | Actor(s) | Action(s) | Target of action | Temporality | Dose | Implementation outcome |
|---|---|---|---|---|---|---|
EHR medication alerts/notifications | EHR | Display well-designed medication alert | Initial Rx: Prescriber Longitudinal monitoring: Prescriber or Pharmacist | New Rx: immediately Existing Rx: daily as necessary | Once for each unsafe DOAC prescription | (1) Patient-level adoption of evidence-based DOAC prescribing (2) Effectiveness |
Prescriber-pharmacist collaboration | Prescriber and anticoagulation pharmacist | Pharmacist review and recommendation | Prescriber | Referral opportunity immediate; pharmacist review within 3 days | Once for each unsafe DOAC prescription | (1) Patient-level adoption of evidence-based DOAC prescribing (2) Effectiveness |