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This guideline covers assessing and reducing the risk of venous thromboembolism (vte or blood clots, including deep vein thrombosis and pulmonary embolism) in people aged 16. For the management of patients on doacs (direct oral anticoagulants) prior to surgical procedures please refer to doac ‘bridging’ protocol Newer anticoagulants and elective procedures. Venous thromboembolism (vte) is a relatively frequent complication in hospitalized patients, especially in those with risk factors The benefit of using direct oral anticoagulants. Nice states that treatment with a doac is less likely to result in bleeding complications than treatment with lmwh and a vka6 A choice of apixaban and rivaroxaban have been. Full guidance about how to switch between parenteral anticoagulants or warfarin and doacs can be found on the summary of product characteristics (spc) of the doac being initiated Patients are started on either treatment dose lmwh or a doac Warfarin cannot be your only agent of anticoagulation as it can be prothrombotic initially