Preventing Harm with the Use of Opioids, Anticoagulants and Insulin

The Hospital and Healthsystem Association of Pennsylvania’s work on Adverse Drug Events (ADE) provides tools and support, and facilitates collaboration to help facilities reduce harm associated with opioids, anticoagulants, and insulin. 

Adverse Drug Events

Business Case:  According to the U.S. Department of Health and Human Services, an Adverse Drug Event (ADE) is an injury resulting from medical intervention related to a drug. This includes medication errors, adverse drug reactions, allergic reactions, and overdoses.

ADEs can happen anywhere: in hospitals, long-term care settings, and outpatient settings.

In inpatient settings, ADEs:

  • Account for an estimated 1 in 3 of all hospital adverse events
  • Affect about 2 million hospital stays each year
  • Prolong hospital stays by 1.7 to 4.6 days

Each year, ADEs in outpatient settings account for:

  • More then 3.5 million physician office visits
  • An estimated 1 million emergency department visits
  • Approximately 125,000 hospital admissions

The most common cause for patients 65 years of age and older to visit emergency departments were in three medication classes:

  • Oral anticoagulants or antiplatelet agents
  • Antidiabetic agents
  • Narrow therapeutic index agents

Together, these three medication classes caused nearly half of all emergency department visits for ADEs but were prescribed in only 9.4 percent of outpatient visits.

The good news is that most ADE’s are preventable. The Hospital and Healthsystem Association of Pennsylvania provides tools and supports, and facilitates collaboration to help facilities reduce harm associated with opioids, anticoagulants, and insulin.

Through its Opioid Learning Action Network (LAN), HAP supports Pennsylvania’s hospitals in working collectively to identify, create, and disseminate promising practices to measurably increase the number of patients entering evidence-based treatment for opioid use disorder (OUD) and reduce overdose deaths.

HAP Contacts

For more information, contact Beth Murray. Media inquiries should be directed to Liam Migdail, director, media relations.

HAP News

How Health Equity Impacts Patient Care

Day one of HAP’s Patient Safety and Quality Symposium addresses health equity, COVID-19, and the latest regulatory updates

During the first day of HAP’s virtual Patient Safety and Quality Symposium, health care leaders from Pennsylvania and across the nation discussed the ways COVID-19 has transformed care, health equity, and the latest state and federal regulatory updates.

Thursday’s sessions began with a powerful look at the impact of implicit bias in patient care from Ronald Wyatt, MD, MHA, vice president and patient safety officer, MCIC Vermont, LLC.

Every hospital needs to make a plan to prioritize health equity, Wyatt said.

“There is no patient safety, there is no health care quality, unless we work on health equity and health inequity,” Wyatt said.

Among the key topics from the symposium’s first day:

  • Health equity improves patient quality and safety:  Implicit biases and subconscious behaviors influence how we interact with patients. Listening to a patient’s individual needs can help prevent stereotyping and other negative judgments that lead to poor outcomes
  • Putting it into practice:  Hospital staff need to review and identify areas where bias may have influenced care. The care team at Brigham Health outlined how it reviews care through an equity lens and the lessons it has learned along the way
  • The ‘new normal’:  The pandemic has required Pennsylvania’s hospitals to adjust quickly to a world that’s constantly changing. Hospital leaders have identified new strategies to communicate changes with staff, patients, and their communities about what they can expect when they come to the hospital
  • Regulatory Update:  The Joint Commission has adjusted its survey process to accommodate COVID-19 public health precautions, and health care organizations are facing unique challenges to balance their COVID-19 response within their larger operations. In Pennsylvania, officials with the Department of Health expect to provide more information about the COVID-19 flexibilities the state has indicated are set to expire on September 30

HAP’s virtual Patient Safety and Quality Symposium concludes tomorrow with a look at how health care organizations can learn from their mistakes, lessons in emergency management from the pandemic, and other critical sessions about quality, safety, and family engagement.

Learn more about this year’s Patient Safety and Quality Symposium online.