About Anticoagulation Stewardship

About Antithrombotic Stewardship

Driving Innovation

Antithrombotic Stewardship is a multidisciplinary, holistic approach to antithrombotic management that spans the continuum of care. It includes coordinated, efficient, and sustainable patient-, clinician-, and system-level initiatives designed to achieve optimal antithrombotic-related health outcomes and minimize avoidable adverse drug events through the:

  • Application of optimal evidence-based care
  • Appropriate prescribing, dispensing, and administration of anticoagulants and related agents
  • Provision of appropriate patient monitoring and clinical responsiveness





Why Invest in Stewardship?

Anticoagulants are proven life-saving therapies for individuals with cardiac and vascular disorders. However, despite their benefits, they also carry known risks. To optimize patient safety, health outcomes, and care coordination, improving the systematic management of anticoagulants across care settings is essential. By empowering clinicians and patients, enhancing regulatory compliance, and fostering multidisciplinary collaboration, antithrombotic stewardship can significantly impact patient care.

2025 Stewardship Summit Report

This report summarizes the 2025 Antithrombotic Stewardship Summit held at ASHP Headquarters in Bethesda, MD in November 2025. Engaging professional societies, quality improvement organizations, government health agencies, and other key stakeholders, the Summit examined how stewardship is implemented in practice, with a focused review of the specific care process priorities in the outpatient setting.

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2024 Stewardship Summit Report

This report summarizes the inaugural Anticoagulation Stewardship Summit, held in Washington, DC in June 2024. It addresses challenges in anticoagulation management, outlines the need for stewardship, and highlights key takeaways from the summit discussions among key stakeholder organizations. The report includes information on current practices, successful programs, and recommendations for future actions.

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Advancing Anticoagulation Stewardship: A Playbook

This playbook provides in-depth guidance and concrete strategies for incorporating the Seven Core Elements of Anticoagulation Stewardship in your organization.

Our goal is for individuals to use this Playbook as a tool to help address common barriers and accelerate adoption of Anticoagulation Stewardship programs on the national scale.

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Core Elements of Anticoagulation Stewardship Programs Guide

The Core Elements of Anticoagulation Stewardship Programs Guide & Assessment Checklist define the necessary components of an impactful and sustainable Anticoagulation Stewardship Program and identify common programmatic components across care settings.

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Now Available in Spanish

¡Ahora disponible en español! >

Antithrombotic Stewardship Resources

Explore AC Forum's collection of antithrombotic stewardship resources, including practical tools, implementation support, and insights on the clinical impact of stewardship. Visit the Resource Center to access materials that support effective, evidence-based antithrombotic care.

Visit Resource Center


AC Forum’s Literature Library features a comprehensive, curated list of PubMed-cited manuscripts, selected by our Centers of Excellence team for their relevance to anticoagulation practitioners. Updated biweekly, this bite-size resource is categorized by topic and designed to be highly useful for your practice. Our searchable database allows you to filter by date, author, title, and keywords, with the most impactful articles highlighted. Follow the link below to explore the full Stewardship collection: browse by date or by topic (Stewardship) to find relevant resources for your needs.

Browse Citation Library

Infographics and Advocacy Resources

Resources that provide valuable insights and practical tools for healthcare professionals dedicated to improving antithrombotic stewardship. From digital tools and emergency department trends to national movements and evidence of impact, these documents offer comprehensive guidance and highlight successful stewardship initiatives across various healthcare settings.


National Standards and Oversight Resources

Essential guidelines and regulatory efforts shaping antithrombotic stewardship. These include key initiatives and updates designed to improve antithrombotic management and patient safety.


Professional Society Positions and Resources

Discover organizations that support antithrombotic stewardship. Learn about key professional societies that have endorsed or aligned with antithrombotic stewardship initiatives, providing valuable resources and guidance for healthcare providers.


Peer-Reviewed Publications

Discover a curated collection of research and practical guidance developed by industry experts. These peer-reviewed publications offer invaluable insights into implementing effective anticoagulation stewardship programs, improving patient outcomes and safety, and advancing evidence-based practices. Stay ahead of the curve with our comprehensive resources, designed to empower healthcare professionals in delivering optimal antithrombotic care.


Podcasts and Webinars

Explore a number of stewardship webinars designed to educate and empower healthcare professionals. Presented by leading experts, these webinars cover a wide range of topics related to antithrombotic stewardship, advocacy, clinical practice, and patient safety.


Driving Innovation

Antithrombotic Stewardship is a multidisciplinary, holistic approach to antithrombotic management that spans the continuum of care. It includes coordinated, efficient, and sustainable patient-, clinician-, and system-level initiatives designed to achieve optimal antithrombotic-related health outcomes and minimize avoidable adverse drug events through the:

  • Application of optimal evidence-based care.
  • Appropriate prescribing, dispensing, and administration of anticoagulants and related agents
  • Provision of appropriate patient monitoring and clinical responsiveness





Our Partners in Collaboration

Explore partnerships strengthen our advocacy efforts, broaden access to high-quality resources, and amplify the impact of our shared mission. We invite you to view their work and discover the valuable resources they offer to the communities they serve.

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