ismp.org
Medication Safety Alert! Acute Care Edition
http://www.ismp.org/Newsletters/acutecare/articles/20030220_2.asp
SPECIAL ISSUE: Do not use these dangerous. Abbreviations or dose designations. Misunderstood or misread (symbol for dram misread for "3" and minim misread as "mL"). Use the metric system. Aurio uterque (each ear). Mistaken for OU (oculo uterque-each eye). Don't use this abbreviation. Premature discontinuation of medications when D/C (intended to mean "discharge") has been misinterpreted as "discontinued" when followed by a list of drugs. Use "discharge" and "discontinue.". Tetracaine, ADRENALIN,cocaine.
ismp.org
Inattentional blindness: What captures your attention?
http://www.ismp.org/Newsletters/acutecare/articles/20090226.asp
Inattentional blindness: What captures your attention? From the February 26, 2009 issue. A nurse pulls a vial of heparin from an automated dispensing cabinet (ADC). She reads the label, prepares the medication, and administers it intravenously to an infant. The infant receives heparin in a concentration of 10,000 units/mL instead of 10 units/mL and dies. A pharmacy technician labels and delivers an IV infusion to the dialysis unit. The nurse reads the pharmacy label and hangs the bag while preparing ...
ismp.org
Self-Assessments
http://www.ismp.org/selfassessments/default.asp
The Institute for Safe Medication Practices (ISMP) is pleased to provide healthcare organizations with the ISMP Medication Safety Self Assessments. These tools will help you assess the medication safety practices in your institution surrounding the use of medication therapy, identify opportunities for improvement, and compare your experience with the aggregate experience of demographically similar organizations. ISMP Medication Safety Self Assessment. Registered users can login to access aggregate data).
ismp.org
ISMP Educational Programs
http://www.ismp.org/educational/default.asp
ISMP considers education to be a core co mponent of its mission. If everyone in the healthcare continuum, including patients, learns more about the nature and causes of medication errors, there is a greater possibility of preventing errors and ensuring safe medication use. With this goal in mind, ISMP continually devotes time, energy, and resources to educational initiatives. Funded by unrestricted. All of ISMP’s educational programming routinely attracts large audiences. For details on specifi...
medsafety.pharmacy.purdue.edu
Medication Safety Organizations | CMSA
https://medsafety.pharmacy.purdue.edu/medication-safety-organizations
Skip to main content. CMSA in the News. Safety Alerts and Drug Shortages. Purdue College of Pharmacy, Office of Continuing Education. Agency for Healthcare Research and Quality (AHRQ). American Hospital Association (AHA). American Pharmacists Association (APhA). American Society for Healthcare Risk Management (ASHRM). American Society for Health-System Pharmacists (ASHP). Armstrong Institute for Patient Safety and Quality. Center for Disease Control (CDC). Center for Medicare and Medicaid Services (CMS).
ismp.org
ISMP QuarterWatch (Quarter 4 and 2009 totals) - Reported patient deaths increased by 14% in 2009
http://www.ismp.org/Newsletters/acutecare/articles/20100617.asp
ISMP QuarterWatch (Quarter 4 and 2009 totals) - Reported patient deaths increased by 14% in 2009. From the June 17, 2010 issue. During 2009, FDA received 19,551 reports of patient deaths associated with drug therapy, a 14% increase compared to 2008 and a 3-fold increase over the past decade. At least three factors contributed to the striking increase in reported deaths:. Known risks continue unabated. Some high-alert drugs—notably, powerful opioids and acetaminophen/opioid combinations—have b...Drug comp...
ismp.org
Treat Medication Samples With Respect
http://www.ismp.org/newsletters/consumer/alerts/Samples.asp
Treat Medication Samples with Respect. The best way to obtain samples is when you receive a voucher from your physician that is later filled at your pharmacy. Unfortunately, not all pharmaceutical companies offer a voucher program for medication samples. The reason for the medication. The amount that you should take. The frequency with which you should take it. Special precautions for use. Any significant side effects that can be expected. If a mix-up in the dilution occurs, your dose will not be accurate.
ismp.org
Medication Safety Intensive
http://www.ismp.org/educational/msi/default.asp
This unique two-day medication safety workshop will be led by ISMP faculty and other selected medication safety experts who, based on their own real-world experiences in establishing and evaluating medication safety programs, will help you maximize your effectiveness in meeting today’s medication safety challenges. At the conclusion of this workshop, participants will be able to:. Perform system-based medication error analysis. Develop error-reduction strategies around the use of high-alert medications.
ismp.org
Frequently Asked Questions
http://www.ismp.org/faq.asp
FREQUENTLY ASKED QUESTIONS (Faq). What is the national medication error rate? What standards are available for benchmarking? What is the definition of a medication error? What are the “ten key elements” of the medication-use system? Won’t medication errors be prevented if nurses just follow the “Five Rights? What are "high-alert" medications? What abbreviations are dangerous? Are these evidence based? What drug names are frequently confused? What is confirmation bias? How can I measure culture? A nationa...
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