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Incorrectly prescribed medications can have serious implications, especially in young children. Safe practice recommendations include listing patients’ age, weight, and date of birth on prescriptions, verifying discharge orders, and involving pharmacists in reconciliation.
Part 1 of a 3-part series discusses 3 medication safety risks that can easily fall off the radar screen in hospitals and doctors’ offices.
Managing home infusion patients in the hospital and emergency department
Preventing incidents of oral meds given intravenously
Errors with flecainide suspension in children
Harm and death associated with methotrexate errors
Container mix-ups and syringe swaps in the surgical environment
The absence of a drug–disease interaction alert leads to a child’s death
Leftover or improperly discarded drugs are easy prey for diversion and are fueling the opioid abuse epidemic. ISMP offers safe practice recommendations to prevent drug misuse.
The final part of a 3-part series discusses medication safety risks related to labeling, patient education, and medication storage.
Part 2 of a 3-part series discusses medication safety risks related to labeling, patient education, and medication storage.
Inpatients with Parkinson’s disease require precise medication management
“Wrong patient” insulin pen injections alarmingly frequent
Diluting IV drugs in patient-care areas adds undue risk
Strengthen your resolve: no unlabeled containers anywhere, ever!
Unverified patient-reported errors can have real consequences
Speaking “off the cuff” is a prescription for disaster in health care
Twelve persistent safety gaffes that need resolution
Practice changes cause the mislabeling of batched drugs
The impact of disrespectful workplace behavior and how to address it
Epinephrine for anaphylaxis: Autoinjector or 1-mg vial or ampoule?
Safety requires mindfulness
Misidentification of alphanumeric symbols plays a role in errors
Survey reveals widespread health workplace intimidation
Improve staff training with vendor partnerships
Inadvertent intrathecal vincristine administration causes fatalities
We all have a role in preventing fentanyl patch tragedies
Muting alarms in the post-anesthesia care unit endangers patient safety
We must ensure safer use of oral chemotherapy
Improving medication safety during transitions in care.
Understanding IV container overfill promotes safety.
Automated dose alerts with hard stops aid patient safety.
Preventing fatal PCA adverse events
Using a saline flush “site unseen” could lead to a wrong-route error
Risk-reduction strategies for high-alert medication lists
Community liaison programs to cut hospital readmissions
An ISMP survey finds problems involving proper use of Carpuject prefilled syringes.
A culture of respect is vital to providing health care safely.
Safety strategies for avoiding tragedies with Lugol’s solution
Mismatched prescribing and pharmacy templates for parenteral nutrition can cause errors.
Bulk packages of IV contrast media used inappropriately
Pharmacy focus on hospital discharge cuts readmissions.
Smart pump concentration mistakes can lead to harm.
A clinical reminder about the safe use of insulin vials
The index of suspicion: red flags warn of safety threats.
Physician dispensing in offices and clinics raises concerns.
We often abandon the “second victims” of medical errors
Another tragic parenteral nutrition compounding error
Measuring mix-ups blamed for overdoses of insulin
Preventing mistakes with color-tinted intravenous tubing
Avoiding dangerous lapses in infection-control practices
Using a parenteral syringe to prepare or give oral or enteral liquids can be deadly