Strategies to Prevent Duplicate Anticoagulation when Transitioning to Another Anticoagulant

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jgold@ismp.org. 

1 post / 0 new
Log in or register to post comments
Mon, 04/25/2022 - 10:31
#1
Manisa Tanprayoon
Manisa Tanprayoon's picture
Offline
Last seen: 1 week 7 hours ago
Joined: 03/08/2020 - 09:40
Strategies to Prevent Duplicate Anticoagulation when Transitioning to Another Anticoagulant

Hi MSOS Members,

We had a patient case when apixaban for VTE treatment was started too soon (12 hours after am dose Lovenox). The patient was on Lovenox treatment once a day dosing regimen before transitioning to apixaban. Alert was not fired since Lovenox order was no longer active at the time apixaban order was placed. Our EHR does not have a look back option turn on. I would like to see what your sites put in place to prevent such an error.

Thank you,

Manisa

Top