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MSOS Member Meeting Follow-up

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.

ISMP Releases Guidelines on Safe Subcutaneous Insulin Use

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

Updated ISMP Self Assessment for Antithrombotic Therapy Available

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.

ISMP Symposium at AONE 2017 Meeting

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

New MSOS Member Briefings

The Medication Safety Officers Society (MSOS) is pleased to announce a new educational benefit just for MSOS members – MSOS Member Briefings.  Starting in March, the MSOS will provide free quarterly 1 hour webinars for MSOS members. Participants will hear short medication safety-related presentations from invited speakers on different topics and MSOS members focusing on what they have done at their organization to address a specific medication safety issue. These calls will also include a brief ISMP update on safety issues, and an opportunity to ask questions of the speakers.

Moderated by E. Robert Feroli, these webinars will not include CE credit, but are specifically designed to share ideas and experiences to enhance the knowledge of MSOS members on a variety of current medication safety topics. MSOS members will receive an email approximately a month prior to each call to register for the MSOS Member Briefings; the first of which is scheduled to be held on Thursday, March 16, 2017 at 1 pm EST. Attendance is limited for these programs, so be sure to sign up early. Stay tuned and check your email for MSOS News to register for these in this worthwhile sessions.

ISMP Fellowships

Do you know someone who is interested in a career in medication safety?  ISMP offers two unique 12-month fellowship programs to help prepare healthcare professionals to lead the way in medication safety.

The ISMP Safe Medication Management Fellowship, sponsored by Baxter International Inc., educates a healthcare practitioner in error prevention and safe medication use methods at the ISMP office in Horsham (near Philadelphia), PA.

The FDA/ISMP Safe Medication Management Fellowship allows healthcare practitioners to spend 6 months at the ISMP office in Horsham (near Philadelphia), PA and 6 months at the US Food and Drug Administration's Division of Medication Error Prevention and Analysis office in Silver Spring, MD (near Washington DC).

Applications for both 2017-2018 fellowship programs are due March 31, 2017. If you know anyone who might be interested in this opportunity, please forward this information to them. For more information, visit:  http://www.ismp.org/profdevelopment/default.asp 

Medication Safety Certificate Program - ISMP and ASHP Partnership

We want to inform you that ISMP has signed an agreement with ASHP to offer an online medication safety certificate program. Although ISMP plans to have online learning in the future with its new website, we thought this is a good opportunity for MSOS members, along with the other programs that ISMP currently offers. This certificate program will also offer continuing education for pharmacists, nurses, and physicians. Program development will begin shortly, and we will inform you once it is available. A press release will go out this week and be posted on the ISMP website (www.ismp.org).

ISMP Launches Video Newsletter Series

ISMP has just released the first in a series of “video newsletters” being produced in partnership with the Temple University School of Pharmacy. The videos, which will be in a news format with short interviews, are designed to provide insight on key medication safety issues from nationally recognized experts. They will provide a summary of top content from the biweekly ISMP Medication Safety Alert! newsletter.

The first video, now available online, focuses on:

  • *IV Push Medication Use
  • *Eliminating Ratio Expressions
  • *ISMP’s Targeted Medication Safety Best Practices

To view the first video in the ISMP video newsletter series, visit: http://2020visualmedia.com/ismp

Thanks for Coming

We wish to thanks all those who came to the MSOS Networking Meeting and Reception at the 2016 ASHP Medication Safety Collaborative in Baltimore MD this past week. We had over 40 people attend both functions. We had some lively discussion on the new ISMP White Paper on the Value of the Medication Safety Officer, and on what is the definition of "harm" when classifying medication errors. We look forward to seeing you next year in Minneapolis. 

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