MSOS News

January Member Briefing
Post date: 2 weeks 5 days ago

Sign up now for the next MSOS Member Briefing webinar scheduled to be held on Thursday, January 26, 2023 from 1:00-2:00 PM ET.
Register Now: https://ecri.zoom.us/webinar/register/WN_Loxe9LQVSXqXesV-X9yfGA

Short medication safety-related presentations for this webinar will include:

• Baclofen accumulation in acute kidney injury
Jacqueline Hartford, PharmD, BCPS, BCCCP, Medication Safety Officer, Sinai Hospital-Grace Medical Center-Northwest Hospital- Levindale, Lifebridge Health

•Updating the look- and sound-alike institutional list
Mona Hammam, PharmD, MS, BCPS, FISMP, Medication Safety Officer, Dana-Farber Cancer Institute

•Closing the loop: Standardizing medication event feedback
Heather Ellis, PharmD, Medication Safety Coordinator, AdventHealth

Preventing Latent and Active Failures
Post date: 3 weeks 3 days ago

This week’s free newsletter article describes how a series of latent and active failures involving IV bags in an automated dispensing cabinet perfectly aligned to allow a preventable adverse event to reach a patient: https://www.ismp.org/node/57727

Alert about Isoflurane
Post date: 3 weeks 6 days ago

Please visit https://www.ismp.org/alerts/isoflurane-labeled-animal-use-only-cartons-i... to review a Special Alert regarding isoflurane labeled "for animal use only" that has been inadvertently packaged in cartons of isoflurane intended for human use and distributed to healthcare organizations. If you purchase and use this product, inspect your supply to ensure you have the correct product approved for human use.

Preventing Administration of Ear Drops into Eyes
Post date: 2 months 5 days ago

This week’s ISMP free newsletter article gives recommendations for preventing accidental administration of ear drops into the eye: https://www.ismp.org/node/51003

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The mission of the Medication Safety Officers Society (MSOS) is to advance and encourage excellence in safe medication use by providing communication, leadership, direction, and education among its members.