Hello safety colleagues! Hoping to hear insights from other sites live on pump/EHR integration regarding products that have a variable concentration. Examples of variable concentration products would be "factor products" such as Kcentra or products such as alpha-1 proteinase inhibitor.

1. Do you have any variable concentration products "in scope" with pump integration?
2. If yes can you share tips or would you be willing to connect?

If your facility has a monoplace hyperbaric chamber what IV pump are you using? We are finding limited options and the most commonly used, the Zyno pump, does not have a drug library, which is against our policy.

Our infusion pump system now offers multiple Single Bolus Air-In-Line (AIL) Alarm Settings. At the lowest setting, it contributes to an enormous number of alerts. I understand that there are various causes to these alerts (e.g., nursing practice, characteristics of infusion, etc) as well as potential interventions; however, is there any guidance around what bubble size is considered clinically significant (or non-significant)? From my brief research on air embolism, it doesn't seem the highest pump setting would be of clinical concern.

Recently ASHRM has posted a Medication Safety Tip Sheet that provides a succinct overview on Medication Errors and Recommendations.
https://www.ashrm.org/system/files/media/file/2025/02/Medication-Safety-...

I would be interested in others thoughts on their definition for Adverse Drug Reactions as "side effects experienced by patients even when there is no error (PSNet 2019, NCCMERP 2015)."

Good afternoon,

For those facilities that have adopted interoperability with BD Alaris, could you share what process you follow to flush secondary medications, small-volume syringe medications, and large-volume syringe medications?

Thanks!
Mel

Hello, what does your organization use to dilute epinephrine in emergency time sensitive situations (eg as the drip is being brought to the patient)? There has been discussion around checking the availability of sterile flushes for this purpose.

Hey Everyone!

Our NICU is experiencing issues with SMOFlipids (potentially intralipid as well, they are just calling out SMOF as this is the primary lipid we use in our premature neonates) backing up, specifically when being administered via 1.4F PICC lines.

1.If you use SMOFlipids - what filter are you using, and have you experienced clogged filters or other issues with the infusion (particularly with extremely low rates)?

How are you addressing the compounding of NIOSH medications with just reproductive risk (like valproic acid IV)? Are you compounding in BSC? Or does it depend on the staff compounding it?

Is ISMP still providing/publishing a quarterly ISMP self-assessment? I can't find them anymore. Thanks!
Jennifer

For those of you on Epic, what EMR infrastructure do you have in place and utilize to facilitate medication reconciliation during transitions of care? Some specific questions:

1. What navigators are you using?

2. What is pharmacy’s involvement in discharge med rec?

3. How are you notified in real-time of a discharge?

4. What type of security does pharmacy have to change medication orders at discharge?

5. How do you ensure the discharge med rec is done before the patient discharges?