Opioids are still among the most frequent high-alert medications to cause patient harm, and anesthesia providers are in a key position to support improved understanding of the risks associated with the use of opioids. An ISMP symposium on opioid safety is being held at the American Society of Anesthesiologists (ASA) meeting on October 22, 2017 in Boston, MA. Please encourage your anesthesiology department to attend--there will be discussion about current opioid medication safety challenges and the potential leadership role for anesthesiologists in error prevention. For more information or to register, go to: http://surveys.ismp.org/s3/freseniuskabi-ANES17
At the recently held MSOS Member Meeting during the ASHP Medication Safety Collaborative in Minneapolis on June 4, 2017, a member shared an occurrence that happened in their facility. The member believed that a defect in BD’s (Pyxis) MedStation ES software resulted in the misinterpretation of an order frequency intended to be every Monday, Wednesday and Friday as every day that was associated with a patient incident. David Swenson, Vice President, Clinical Strategy, Medical Affairs, Medication Management Systems at BD attended that meeting and publicly volunteered to investigate the report. David shared his investigation For the full message with an excerpt of his findings, please click on the title above.
For years, insulin has been shown to be associated with more medication error-related harm than any other drug. The new ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults are designed to help healthcare practitioners prevent errors and improve outcomes for patients with diabetes. The guidelines, based on a multidisciplinary consensus conference of experts, provide recommendations for avoiding at-risk behaviors involving subcutaneous insulin across the entire continuum of care, including prescribing, preparation and administration, monitoring, and patient education. The document also addresses evolving practices, devices, and technology that aim to enhance the safety of insulin use, such as with concentrated insulin and insulin pen devices. For a copy, visit: https://www.ismp.org/Tools/guidelines/default.asp
The ISMP Medication Safety Self Assessment® for Antithrombotic Therapy has been updated and now includes safety strategies for some of the newer oral anticoagulants. Healthcare organizations can use the assessment to evaluate their current systems related to the use of antithrombotic agents, proactively identify potential improvement areas, and track their efforts over time. To access the revised antithrombotic self assessment, go to: http://www.ismp.org/selfassessments/Antithrombotic/2017.
Are you a nurse, or know a nurse executive interested in medication safety? ISMP will be conducting a free breakfast symposium at the American Organization of Nurse Executives Annual Meeting (AONE 2017) entitled Changing the Safety Paradigm on IV Medication Use: Recognizing the Risk and Taking Action at the Baltimore Convention Center on Friday, March 31, 2017 from 7:00-8:00am. Continuing education credit will be provided. For more information and to register, see: www.proce.com/AONE17