Prescriber-pharmacist collaboration
Our second strategy for increasing the implementation of evidence-based DOAC prescribing is encouraging prescriber-pharmacist collaboration. This is done in conjunction with the EHR alerts and notifications, described above, but entails different actions. For new prescription alerts, we encourage prescriber-pharmacist by offering a button for prescribers to click within the medication alert that will trigger a request for a DOAC pharmacist to review the prescription (and patient case) and recommend any necessary changes. For existing prescription notifications, prescriber-pharmacist collaboration is encouraged by routing notifications of inappropriate prescriptions initially to DOAC pharmacists directly, rather than prescribers. The pharmacist will then use their expert judgment to determine when it is clinically appropriate to contact the prescriber and request or recommend a prescription change.