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Island. Community outreach activities included radio ads, as well as distribution of patient handouts and wallet cards at community events.Practice innovation: To our knowledge, this was the first statewide pharmacist-driven academic detailing and community outreach campaign to promote adult pneumococcal vaccination.Evaluation: Academically-detailed immunization providers received a six-question survey.Pneumococcal disease rate differences between the study periods were evaluated with Fisher's exact tests, while changes in vaccination were assessed with chi-square tests.Results: From November 2013 through July 2015, our academic detailers visited and/or distributed our vaccination pathway materials to over 400 practice sites across Rhode Island, Vaccination increased while pneumococcal disease decreased during the study period.8 Key PointsBackground

Our study shows that using a standardized guideline for perioperative management of anticoagulation to inform but not to dictate clinical practice leads to low rates of both thromboembolism and bleeding.