MSOS News

March 2023 Member Briefing
Post date: 1 week 4 days ago

Sign up now for the next MSOS Member Briefing webinar scheduled to be held on Thursday, March 23, 2023 from 1:00-2:00 PM ET.
Register Now: https://ecri.zoom.us/webinar/register/WN_kuByH0aqRk2vcgNHFQiU8w

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

• Near Miss Reporting Leads to a Positive Change
Shannon Manzi, PharmD, BCPPS, FPPA
Director, Safety & Quality, Department of Pharmacy
Faculty, Applied Informatics, Computational Health Informatics Program
Assistant Professor of Pediatrics, Harvard Medical School
Boston Children’s Hospital

• Making Smarter Alerts for “Smart” Infusion Pumps
Stephen Andrews, PharmD, BCPS, CPPS
Drug Information Specialist
University of Utah Health

Part I in Article Series on Diversion
Post date: 3 weeks 4 days ago

This week’s featured newsletter article is the first in a two-part series on how controlled substance drug diversion is a threat to patient safety, and ways to implement a proactive approach to prevention: https://www.ismp.org/node/64547

January Member Briefing
Post date: 2 months 1 day 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: 2 months 1 week 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: 2 months 1 week 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.

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