What objective tools do you use to help determine if a patient is too high risk for anticoagulation to prevent stroke or DVT?

There are a number of risk scores, like HAS-BLED, that can be used, but I continue to use clinical judgment and shared decision-making. The excellent risk profile of NOACs and the availability of LAAO mean that I can usually come up with a solution for almost every patient that will protect them fro...