What challenges were discussed by the committee regarding the ORBIT tool?
The committee discussed several potential challenges regarding the ORBIT tool. These included that ORBIT does not include all of the modifiable risk factors included in HAS-BLED, so it does not serve as a reminder of these to clinicians; ORBIT is not the recommended bleeding risk tool for other conditions such as venous thromboembolism, so an initial transition period may be needed for training and education in both primary and secondary care while healthcare professionals become familiar with the tool; ORBIT is not embedded in GP systems, which may cause some initial practical difficulties; and neither tool is included in hospital systems, although both are widely available on smartphone apps.