Hello everyone! Hoping to connect with other organizations that do transplant and use pump integration with their EHR.

Would like to discuss how other organizations manage anti-thymocyte started in the OR that needs to continue several hours post-op.

Thanks so much!
Jen

Dear Colleagues,

We have recently received reports indicating decreased efficacy in one lot of propofol manufactured by Avet. We are reaching out to inquire whether others in this community have observed similar issues or have any related experiences to share.

This has also been reported to the manufacturer and FDA. The lot in question is Lot ES240306A.

Thank you,
Patti Cutting
patricia.cutting@childrens.harvard.edu

Can you please share the current critical value threshold for blood glucose for your organization? Looking to potentially increase our threshold and wanted to benchmark.

We currently use the BBraun Infusomat Space LVP and make our changes for quarterly updates in DoseGuard. We have a "homegrown" database that we are using and are able to do a "cross check/double check" comparing our DoseGuard changes with the database changes. This process can be cumbersome so we are wondering if others can share best practices for double checking changes to the pump library.

Thank you!

Hello,
Our facility has seen a spike with K coverage errors- extra dose given,incorrect dose given etc.

Any measures that facilities have done to decrease these type of errors? Our facility has epic and has multiple link order for general K coverage

Register now to attend the next MSOS Member Briefing webinar being held on May 22nd 1-2 pm ET
https://ecri.zoom.us/webinar/register/WN_o5tQT5RtSmqt9n77_CqgYA

Topics include:
Improving the Safety of Heparin Infusion Therapy – A Multidisciplinary Journey
Respiratory Therapists: A Vital Link in Your Medication Safety Efforts
Eliminating Autoverification in the ED: Processes and Success
and an ISMP Update

Do any facilities still mix epi 0.3mL with BSS 500mL? Seems this practice has gone away.

Hello
Was wondering if anyone had any policies on peripherally administered vasopressors they would be willing to share including extra vasation. Thank you kindly

Hello,
Curious if anyone is aware of goals for medication errors. I was told there is an ISMP goal <20% Category C errors (error occurred that reached the patient but did not cause patient harm) of overall category errors. Can anyone attest to this, or add an further information?
Thank you,
Shilpa Patel
Adventist Health Sierra Vista Hospital
San Luis Obispo, CA 93401

In August 2025, we will be undergoing an EPIC upgrade which will default the “search suggestions as your type” functionality (we currently do not have turned on).

EPIC has notified organizations that they can configure a “blocklist” to prevent certain medication strings that should not be included as possible suggestions for medication searches (i.e.: for LASA or HAMs, etc.)

Do any of your organization (on EPIC) have a ‘blocklist’ that you are willing to share?

If so, please send to lyndsy.p.beckman@kp.org.

Thanks!