This episode explores the care that happens outside the acute care visit. We speak with a primary care physician about the use of anticoagulation, the safety concerns they have, and how those concerns differ from the acute care setting. This is a great follow up that rounds out the first two episodes from a physician perspective.

Visit us at our website at www.amspod.com and send us an e-mail! We'd love to hear from you about topics of interest or burning questions, especially those that fall within the season's clinical focus. If you would like to contribute and be a guest on the podcast, the website is the place to send that message.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

This episode continues an interview with an expert in direct oral anticoagulants, an Emergency Department physician, who shares some of his concerns along with proven tips for helping us all care safely. The conversation was compelling and rich enough that we had to break it into two episodes for our listeners, and this is the conclusion of that conversation.

Visit us at our website at www.amspod.com and send us an e-mail! We'd love to hear from you about topics of interest or burning questions, especially those that fall within the season's clinical focus. If you would like to contribute and be a guest on the podcast, the website is the place to send that message.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

This episode features an interview with an expert in direct oral anticoagulants, an Emergency Department physician, who shares some of his concerns along with proven tips for helping us all care safely. The conversation was compelling and rich enough that we had to break it into two episodes for our listeners.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

2016 Nicholso L, "The Immune system"

https://research-information.bris.ac.uk/ws/portalfiles/portal/94167087/275.full.pdf

2020 Seneff S, Nigh G "Worse than the Disease? Reviewing Some Possible Unintended Consequences of the mRNA Vaccines Against COVID-19

https://people.csail.mit.edu/seneff/2021/SeneffNigh_mRNA_vaccines_IJVTPR.pdf

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

2016 Nicholso L, "The Immune system"

https://research-information.bris.ac.uk/ws/portalfiles/portal/94167087/275.full.pdf

2020 Seneff S, Nigh G "Worse than the Disease? Reviewing Some Possible Unintended Consequences of the mRNA Vaccines Against COVID-19

https://people.csail.mit.edu/seneff/2021/SeneffNigh_mRNA_vaccines_IJVTPR.pdf

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

At the end of nearly every episode of Season 1: Opiate Safety, guests provided their thoughts for improving healthcare. In this episode, we've sought out balancing perspectives to answer the same question, and discover where the true direction of patient care may lie.

Christian Heinz, co-host from the Making the Argument podcast (https://podcast.nickforva.com/), joins to provide a perspective grounded in history and familiarity with the Virginia legislative process to broaden our questions and ways we think of common issues.

Resources referenced in this podcast episode include:

Emergency Medical Treatment and Labor Act (EMTALA): https://www.cms.gov/files/document/qso-22-22-hospitals.pdf

CMS Stats for Coverage and Payments: https://data.cms.gov/sites/default/files/2023-03/CMSFastFactsMar2023.pdf 

Government Healthcare Values: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/CMS-Quality-Strategy 

COVID-19 Vaccination among Healthcare Personnel (HCP) measure: https://www.cms.gov/newsroom/fact-sheets/fy-2024-hospital-inpatient-prospective-payment-system-ipps-and-long-term-care-hospital-prospective

List of Largest Private Insurers: https://www.forbes.com/advisor/health-insurance/largest-health-insurance-companies/ 

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Source Reference: Dekker S, Cilliers P, Hofmeyr J-H "The Complexity of failure: Implications of complexity theory for safety investigations" Safety Science 49 (2011) 939–945

doi:10.1016/j.ssci.2011.01.008

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

This episode also published on Todd's podcast - well worth listening to - "Pre Accident Investigations"

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.

Disclaimer: The first person narration of safety events is done to preserve the learning power of stories. The safety events discussed are fictional though the risks and safety concerns are very real. They are created from over decades from multiple home care, acute care, and long-term care institutions; and gathered from discussion with peers around the world who shared their stories to help others. In no way do these fictional safety events reflect the patient experience at my current employer. This podcast is purely a personal and private endeavor to enhance patient safety in some small way.

Hosted by Michael Van Ornum RPh, RN, BCPS, CPPS with over 30 years experience in the medical field and more than 10 years with medication safety.