High-Risk Medicines

Education

High-Risk Medicines are those that have a high risk of causing injury or harm if they are misused or used in error. Error rates with these medications are not necessarily higher than with any other medicines, but when problems occur, the consequences can be more significant.

There is a HETI eLearning module available to help raise awareness amongst frontline clinicians regarding high-risk medicines and the strategies that have been put in place to minimise the harm potential of these medicines. The ‘Safe Use of High-Risk Medicines: Introductory Module can be accessed via HETI My Health Learning (Course Code 214583697).

Anticoagulants

Anticoagulant medicines are used extensively in clinical practice. They act through targeting a number of different proteins that may limit or prevent thrombus formation. They have a narrow therapeutic index and over or under anticoagulation can result in significant adverse patient outcomes. There is a HETI eLearning module available to help clinicians understand the safe use of anticoagulants.  The ‘Safe Use of Anticoagulants’ module can be accessed via HETI My Health Learning (Course Code 237965997).

    Anticoagulant-NOACs

    Non-Vitamin K antagonist oral anticoagulants (NOAC) are now widely used in patients with non-valvular atrial fibrillation (AF) and for the treatment and prevention of venous thromboembolism (VTE) in NSW Health facilities. NOACs include dabigatran, (direct thrombin inhibitor), apixaban and rivaroxaban (Factor Xa inhibitors). The term 'DOAC', (Direct Oral Anticoagulant) is also used to describe these medicines.

    This PowerPoint presentation can be used to provide introductory education on these medicines to clinicians including nurses, pharmacists and junior medical officers.

    HYDROmorphone Safety

    Hydromorphone is a potent opioid analgesic used to manage moderate to severe acute or chronic pain. Fatal and near fatal overdose incidents associated with hydromorphone use have been reported within Australia and internationally.

    This PowerPoint presentation can be used to provide education to clinicians including nurses, midwives, pharmacists and junior medical officers on strategies to improve safe handling of hydromorphone.