CHA’s Medication Safety Committee has created a High Alert
Medication Guideline summarizing safe-use practices for the
anticoagulants unfractionated heparin, warfarin and enoxaparin.
Anticoagulation is high-risk therapy that involves complex dosing
and stringent monitoring, as well as ensuring patient adherence
in the outpatient setting. The new document is intended only as a
guideline. Hospitals should consult with their pharmacy and
therapeutics committees prior to adopting the guideline’s
recommended practices. The Medication Safety Committee is
comprised of representatives from the California Department of
Public Health, California Society of Health System Pharmacists,
California Board of Pharmacy, related professional organizations
and CHA member hospitals. For more information,
e-mail medsafety@cshp.org.
Despite warnings from the Food and Drug Administration,
manufacturers and various patient safety agencies, fentaNYL
transdermal patches continue to be prescribed inappropriately to
treat patients with acute pain who are not opioid tolerant.
CDPH has issued several Immediate Jeopardy administrative
penalties for inappropriate use of fentaNYL transdermal patches.