Development of Pharmacist-led Anticoagulation Stewardship

Anticoagulants are among the leading causes of adverse drug events requiring emergency care. Warfarin alone accounts for nearly one-third of anticoagulant-related emergency visits. This presentation outlines the rationale, structure, and core components of pharmacist-led anticoagulation stewardship programmes. It describes stewardship models based on administrative support, professional accountability, multidisciplinary engagement, systematic care, transitions of care, data collection, and continuous education. The role of pharmacists in driving clinical safety, optimising anticoagulant therapy, and reducing bleeding risks is highlighted, supported by evidence and international guidelines.