Hi all,

We have noticed a trend in reported errors related to dosing unit mix ups within our children's hospital. an example of a potential mix up would be something like ordering mg/kg/day when it really should be mg/kg/dose and so on. For background, we have set up the system for order sets to default to the appropriate dose and dosing unit but this may not be the case when medications are ordered "a la carte" (i.e. from the medication preference list).

Does anyone have a sotalol order set or panel they're willing to share with me?

Thanks in advance!

Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Do you have a protocol for pain management for IVF procedures? Our clinics had been using Demerol which is on shortage. We have been trying to switch to Dilaudid but some patients are still experiencing more pain than expected. What meds and doses are you using?

Thanks!

Hi Med Safety colleagues.

I am curious to know if any of your organizations have guidelines or policies that address a process by which physicians are "required" to review and/or reconcile "provider held" medications against the patient's active med list to ensure that the holds remain clinically appropriate. If so, would you be willing to share?

Also, do you allow "provider held" medications without defined durations or eliminated it after the fact? If so, how did you get physicians to buy into this change?

In our hospital, we featured a "Best Practices Hieroglyphics" challenge in our monthly newsletter to raise awareness on ISMP's best practice #3.

You are welcome to use it in your organization as educational material if you think it would be helpful to your staff.

Hospitals that use an EHR other than Epic will need to edit it with some creativity. There is also a reference to a Baltimore sports team that may be more difficult, depending on where you're located.

Is anyone seeing trends with Beyfortis and fevers?

Hello
i am curious if other med safety officers have utilized AI in their wokflow? we have copilot built into my microsoft docs and ive done mostly for admin tasks - summarize info, emails etc.

During a recent regulatory accreditation survey, the surveyors wanted to see the protocol details within the medical record at the time the protocol initiation order is placed. We currently link the protocol to the order. Staff can click on it to view the protocol but it isn't face up in the EHR.

Wondering how other organizations have protocols integrated into the EHR. How have you accommodated longer protocols or ones with flow diagrams?