significant harm with even small error

APINCHS

• A - Antimicrobials
  • Aminoglycosides: gentamicin, tobramycin and amikacin
  • vancomycin
  • amphotericin – liposomal formulation
• P - Potassium and other electrolytes
  • Injections of concentrated electrolytes: potassium, magnesium, calcium, hypertonic sodium chloride
• I - Insulin: All insulins
• N - Narcotics (opioids) and other sedatives
  • hydromorphone, oxycodone, morphine, fentanyl, alfentanil, remifentanil and analgesic patches
  • Benzodiazepines: diazepam, midazolam
  • thiopentone, propofol and other short-term anaesthetics
• C - Chemotherapeutic agents
  • vincristine, methotrexate, etoposide, azathioprine
  • Oral chemotherapy
• H - Heparin and other anticoagulants
  • warfarin, enoxaparin, heparin
  • Direct oral anticoagulants (DOACs): dabigatran, rivaroxaban, apixaban
• S - Systems
  • Medication safety systems such as independent double checks, safe administration of liquid medications, standardised order sets and medication charts etc