Accreditation Template Vertical
High-Alert Medications
Required Organizational Practices (ROP)
Key Facts
High-Alert Medications ROP
• High-alert medications are those that have an increased risk of causing significant patient harm when used in error.
• The Institute for Safe Medication Practices (ISMP) has defined a list of high-alert medications – ISMP: List of High-Alert Medications
• The ROP requires a comprehensive strategy to manage the organization’s approach to the identification, safe storage, labelling, handling and administration of medications that are designated as high-alert.
• Concentration and volume options for high-alert medications are limited and standardized.
• Auditing must be performed to ensure high-alert medications are only available to clinical areas in approved and appropriate dose formats.
I need to know
• Health PEI is implementing a high-alert medication policy to ensure these medications are identified, safely stored, labelled, handled and administered.
• The high-alert medication policy outlines Health PEI’s high-alert medication list which is based on the ISMP high-alert list.
• In order to minimize risk of error, Health PEI Pharmacy Services will be streamlining and limiting the availability of high-alert medications.
Related Standards
Medications Management 2.5
Required Organizational Practices (ROPs) are identified by Accreditation Canada as evidence based-practices, which reduce harm to patients. They are mandatory practices matched to specific Accreditation Canada Standards that organizations must have in place. There are 33 ROPs identified within Health PEI for the September 2017 survey visit.
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