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Allison Burnett Antithrombotic Stewardship Award
The Anticoagulation Forum is pleased to invite nominations for its Antithrombotic Stewardship Award, recognizing those who have made exemplary and ongoing contributions to Antithrombotic Stewardship that spans the continuum of care. This prestigious award honors an individual, anticoagulation clinic, or organization that has:
Demonstrated a multidisciplinary, holistic approach to anticoagulation management over time
Several years of experience in the field of anticoagulation care
Has had a significant impact on advancing the quality of anticoagulation care through various aspects of Antithrombotic Stewardship
This impact may be demonstrated in the following ways:
Enhancing regulatory compliance and fostering multidisciplinary collaboration
History of significant contributions to quality improvement, patient safety, education, and/or research in the field, leading to advancement of Antithrombotic Stewardship
Scholarly publications
Service & mentorship
Eligibility:
Significant professional experience in Antithrombotic Stewardship
Profession(s) of nurse, physician, pharmacist or APP, or anticoagulation clinic or related organization
Demonstrated commitment to the Anticoagulation Forum’s mission of improving the quality of care for patients taking antithrombotic medications
History of significant contributions to quality improvement, patient safety, education, and/or research in the field
A strong history of mentorship, professional development, or advocacy related to Antithrombotic Stewardship
Current AC Forum Board of Directors & former award winners (Allison Burnett, Tara Lech, Anne Rose, and Veterans Integrated Service Network (VISN) 8 Anticoagulation Workgroup) are ineligible
Nomination Procedure:
Nominations are accepted from colleagues or self-nomination of individual or group by completing the survey below by
Thursday, November 19th, 2026
Award winner will be announced at the Anticoagulation Forum’s 19th Conference in Orlando, FL April 1-3, 2027
We look forward to receiving your nominations and celebrating excellence in anticoagulation management!
Nominator Information
*
1.
Please enter the following
(Required.)
Your full name
Your email
Your institution
Nominee Information
2.
Complete if nominating an Individual (you can self-nominate)
Full Name
Title
Institution
Email
Years of Experience in Anticoagulation Management
3.
Complete if nominating an Anticoagulation Clinic
Clinic Name
Institution
Years in practice
Contact Name
Contact Title
Contact Email
4.
Complete if nominating an Organization
Organization Name
Years in service
Contact Name
Contact Title
Contact Email
Nominee’s Contributions
*
5.
Nominee's Contributions to Antithrombotic Stewardship
Please describe the nominee's key contributions to advancing Antithrombotic Stewardship. This may include their impact on clinical practice, patient care, research, education, leadership, or initiatives that enhance patient safety and optimize anticoagulation management. (300 words max)
(Required.)
*
6.
Evidence of Sustainable and Scalable Success
Provide examples of how the nominee or organization has implemented successful, sustainable, and scalable practices that have led to positive patient outcomes or improved anticoagulation care. Highlight any innovative approaches that have contributed to lasting improvements in care. (250 words max)
(Required.)
*
7.
Additional Achievements or Honors
Please list any additional awards, publications, or honors the nominee or organization has received that demonstrate leadership and contributions to advancing Antithrombotic Stewardship and patient safety. (250 words max)
(Required.)
Supporting Materials (please upload as PDFs below)
8.
CV or Resume of Nominee (if individual)
Choose File
No file chosen
9.
Any relevant publications or documentation supporting the nominee’s achievements
Choose File
No file chosen
Thank you!
