This week’s free newsletter article describes how a series of latent and active failures involving IV bags in an automated dispensing cabinet perfectly aligned to allow a preventable adverse event to reach a patient: https://www.ismp.org/node/57727
MSOS News
Post date: 1 year 10 months ago
Please visit https://www.ismp.org/alerts/isoflurane-labeled-animal-use-only-cartons-i... to review a Special Alert regarding isoflurane labeled "for animal use only" that has been inadvertently packaged in cartons of isoflurane intended for human use and distributed to healthcare organizations. If you purchase and use this product, inspect your supply to ensure you have the correct product approved for human use.
Post date: 1 year 11 months ago
This week’s ISMP free newsletter article gives recommendations for preventing accidental administration of ear drops into the eye: https://www.ismp.org/node/51003
Post date: 2 years 2 weeks ago
It is the 25th anniversary of the Cheers Awards, and ISMP has released this year’s list of winners! For more on the honorees and how you can help support the awards and ISMP: www.ismp.org/node/47585
Post date: 2 years 2 weeks ago
Sign up now for the next MSOS Member Briefing webinar scheduled to be held on Thursday, November 17, 2022 from 1:00-2:00 PM ET.
Register Now: https://ecri.zoom.us/webinar/register/WN_RIz6EwjcRRCDhoa_XIfiHw
Short medication safety-related presentations for this webinar will include:
• REMS Medication Infrastructure and Education
Stacy Carson, PharmD, BCPS, FISMP
Medication Safety Officer
Program Director, PGY2 Medication Use Safety & Policy Residency
Advent Health
• Flatlining QT alerts: Tackling the Highest Firing Drug-Drug Interaction to Decrease Alert Fatigue
Gina Gayed, PharmD, BCPS, CPPS
Medication Safety Officer
Grady Health System
and
Lucy Von Korff, PharmD
Epic Willow Analyst, Clinical Decision Support IT Lead
Wellstar Health System