Risk Management

Avastin

There are two Avastin consent forms

• Use the Avastin form for all adult patients receiving Avastin. This form was revised on 3/13/20.
• Ask women of child-bearing age to sign Avastin.Possible risk for the fetus about the possible risk to the fetus. This form was revised on 11/5/15.

Review our risk management recommendations on the use of anti-VEGF drugs in adults.

Anti-VEGF drugs for adults addresses on- and off-label use, preventing endophthalmitis, informed consent issues, and documentation. It incorporates key guidelines on intravitreal injection published by a panel of experts. It also addresses the FDA warning about Avastin in more detail.

Conduct a time out before each intravitreal injection.

OMIC has received reports of “wrong” events associated with intravitreal injections. These include wrong patient, wrong eye, wrong condition, wrong drug, and wrong dose.

To ensure that the correct drug and dose are injected into the correct eye every time, the ophthalmologist needs to lead a time out.  Time out before intravitreal injections provides the opportunity to confirm that the patient, medical record, and ophthalmologist are in agreement.