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Data had been analyzed using descriptive data, ANOVA, and chi-square. Ninety-one clients had been included with warfarin due to the fact preliminary OAC in many patients (n = 76) at typical dose of 29 mg/week. Fifteen clients were initially prescribed apixaban (n = 12) or dabigatran (letter = 3). Many switches in OAC treatment had been to apixaban. Once the initial OAC was a DOAC, it was maybe not dosed appropriately in five with one bleed, two dosed appropriately had ble