Grand Canyon University HLT-308V

Grand Canyon University HLT-308V

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Risk Management Program Analysis Part One

Risk Management Plan and Audience High alert medications and high risk processes that focus on the use of anticoagulants is the specific plan that was chosen for this report. The specific audience for this report is nursing staff, pharmacist and providers who will be administering or preparing high risk medications, specifically anticoagulants. This topic was chosen because of the high likelihood of hard that can be done when a patient is prescribed anticoagulant therapy, and the high rate of errors present in anticoagulant therapy. Firstly, a high alert medication are medications that can cause significant harm if subject to a medication error. The frequency that many of these medications are used contributes to the lack of proper safeguard use in hospitals which could contribute to the error rate. (Lu, Yu, Chen, Wang, Wu, & Tang, 2013). Although increased rate of errors is not necessarily a criterion for being classified as “high-alert” status, anticoagulants categories have been associated with more medication errors than any other medications, according to the Institute for Safe Medication Practices(ISMP) (2014). This has been a contributing factor for why The Joint Commission has prioritized safe medication practices specifically related to anticoagulants as a National Patient Safety Goal for nearly a decade (The Joint Commission, 2017). Increased attention has been a focus of hospitals and accrediting bodies since 1999, when the US Institute of Medicine released the book To Err is Human- Building a Safer Health System (Lu et. al, 2013). Recommended Process vs. Facility There are many regulatory bodies that have taken notice High-Alert Medications, also known as HAM’s, and have specific recommendations for the processes involved in their administration. To start, Federal and State laws are the major contributing bodies; however, they 2
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Risk Management Program Analysis Part One also highly rely on other organizations to help identify areas that could help improve the medication administration process such as the National Coordina