We are having a tough time keeping our mannitol crystal-free here in Alaska... We have it in a warmer set at 104 F, but occasionally we have found ourselves with NO crystal-free mannitol in the hospital. I would never advise an RN to put the 20% mannitol bag into the blanket warmer for 1/2 hour, then let it cool just prior to administration. :-)

Hi all! I am not in a medication safety role at my hospital, we currently do not have a formal position for this, but I am assisting with updating our reporting system to provide more useful data with regards to ADR and medication errors. I have a passion for med safety :) I was wondering if there is a standardized definition for preventable adverse drug events? And if anyone has recently gone through a system update and would be willing to let me bounce some ideas off of them I would greatly appreciate it. Thank you so much!

Regeneron received FDA approval yesterday for unit of use packaging for their casirivimab and indevimab monoclonal antibodies. New EUA labeling includes the nonproprietary names for each (previously labeled as investigational new drugs) as well as functioning bar codes.

Hello!

My team and I are trying to revamp a report that tracks DPDC compliance by including administration data and all dispense codes. I have also reached out to Epic for their guidance. Has anyone worked on a similar project before?

Thank you,
Xiang

Does anyone have a program in place that utilizes potential monetary rewards for submitting medication or patient safety reports? For example, a random drawing each month for everyone who reports or a small monetary award each month for the "best" report.

I've been unable to locate anything in literature that shows impact of these types of reward systems on reporting.

Thanks,
Lea Nieveen

Hi everyone, I have recently promoted as the medication safety officer in my hospital, I have some previous experience during PGY1 residency but no further training has obtained. I can foresee there will be a lot of challenge in this new position, and I will greatly appreciate if you guys can give me some advice or resources you may recommend to me to prepare myself to pick up this position. Thank you so much!

Before January 2021, the Pharmacy Examining Board's Administrative Code chapter on Pharmacy Practice established that CV and unscheduled prescriptions expire one year after their written date. However, at the prompting of National Association of Boards of Pharmacy, the new Pharmacy Practice chapter published last month no longer lists an expiration date for prescriptions. It is now up to pharmacist's professional judgment.
What does you state say about prescription expiration dates?

I am looking for information about adding medication to an existing Large Volume Bag that is infusing on a patient. For example: Potassium Chloride or Oxytocin. I know that it is bad practice but looking for back up.

I seem to recall that this was written up in the ISMP newsletter but cannot find the article. Interested in your thoughts/feedback and what policies that you may have in place.

Thank you in advance for your help
Doug Shafer

I am looking for information about adding medication to an existing Large Volume Bag that is infusing on a patient. For example: Potassium Chloride or Oxytocin. I know that it is bad practice but looking for back up.

I seem to recall that this was written up in the ISMP newsletter but cannot find the article. Interested in your thoughts/feedback and what policies that you may have in place.

Thank you in advance for your help
Doug Shafer

How does your org prevent RNs from inadvertently increasing heparin dose after holding for critical PTT when post-hold PTT comes back therapeutic or subtherapeutic?

For example, my org's protocol is that if PTT is critical, hold heparin x 1 hr, recheck PTT, and if less than x secs, restart at 3 units/kg/h less than pre-hold dose. However, if post-hold PTT is subtherapeutic, for example, some RNs may misinterpret the protocol (which has been reviewed by human factors engineer) and increase dose, not as intended.