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A study at our institution conducted 10 years ago identified that warfarin was under-utilised in patients with atrial fibrillation. We ****ted this study and compared the results. There was a significant increase in the proportion of patients appropriately anticoagulated (63% vs 9%, P less then 0.001). Eighty-seven percent of eligible patients were appropriately anticoagulated on discharge (86% previously). Seventy-two percent of treated patients were prescribed a direct oral anticoagulant. Of these, 10% were discharged with a sub-ther