A National Alert Network (NAN) warning has been issued regarding possibile mix-ups with potassium chloride for injection concentrate in EXCEL plastic bags. The new B. Braun pharmacy bulk packaging could be accidentally infused directly into a patient’s IV line. To access the alert and safe practice recommendations, visit: www.ismp.org/node/31719
MSOS News
Post date: 2 years 6 months ago
ISMP has posted the draft Guidelines for Medication Safety in Perioperative and Procedural Settings for public input. Deadline is May 27, 2022: https://www.ismp.org/resources/guidelines-safe-medication-use-perioperat...
Post date: 2 years 6 months ago
Our survey shows that there is room for improvement in the implementation of the three new ISMP Targeted Medication Safety Best Practices for Hospitals. This week’s free featured newsletter article provides an overview of common barriers and enablers: https://www.ismp.org/node/31512
Post date: 2 years 6 months ago
In a recent national news article, ISMP is quoted advocating for requiring entry of at least five letters of a drug’s name when searching automated dispensing cabinets. The article focuses on changes safety experts recommend in the wake of the recent criminal conviction of a former nurse: https://www.cnn.com/2022/04/28/health/hospital-drug-mistakes-khn/index.html
Post date: 2 years 7 months ago
A group of our current and past Fellows and staff have provided input on what they would do differently if they returned to frontline patient care after learning firsthand about medication errors at ISMP. See this week’s free featured newsletter article for their advice: https://www.ismp.org/node/31256