Read this week’s ISMP newsletter free featured article for an analysis of a recently reported fatal error in which potassium chloride for injection concentrate was administered IV push to a patient during a cardiac arrest. The article includes ISMP’s safe practice recommendations: https://www.ismp.org/node/25027

Surgery sites: participate in the ISMP Medication Safety Self Assessment for Perioperative Settings! This new tool offers hospitals, freestanding ambulatory surgery centers, and other facilities that perform outpatient medical or surgical procedures the opportunity to evaluate their medication use systems and compare their results with demographically similar organizations. Data collection deadline is August 31, 2021. Visit www.ismp.org/node/18027 to access the workbook and online database, and to register for our free webinar for participants.

In addition to its comprehensive multi-day risk assessments, ISMP offers a one-day customized risk assessment that can help your organization quickly address specific medication safety challenges. It’s available virtually or in person.
For more information, visit: https://ismp.org/node/23546

Errors related to medication labeling and packaging continue to be among the most frequent types of voluntary reports submitted to ISMP. Read this week’s free newsletter featured article for a list of error-prone conditions with container and carton labels and ISMP recommendations: https://www.ismp.org/node/24533

During the first four months of COVID vaccine administration, ISMP has received more than 160 voluntary reports associated with a variety of error types, including wrong administration technique and incorrect storage and handling. This week’s free ISMP newsletter featured article provides an up-to-date analysis of vaccine errors as well as safe practice recommendations: https://ismp.org/resources/any-new-process-poses-risk-errors-learning-4-...

ISMP’s nationally recognized experts are here to support you, even during the pandemic! Our multidisciplinary consulting team can offer medication safety solutions for healthcare facilities of all sizes and settings, virtually or in person. Whether you need assistance getting you medication safety program started, identifying potential issues, or solving ongoing problems, we can help. For more information on services tailored to your specific needs, visit: https://ismp.org/node/23650

The Joint Commission has released a new sentinel event alert on optimizing smart infusion pump safety with DERS that references ISMP guidelines and recommendations. For a copy of the alert, visit: www.jointcommission.org/resources/patient-safety-topics/sentinel-event/s...

To access ISMP’s smart pump guidelines: www.ismp.org/guidelines/safe-implementation-and-use-smart-pumps

Don’t miss a unique opportunity to maximize your error prevention efforts and look at your organization through the eyes of leading safety experts! Register for the virtual ISMP Medication Safety Intensive Workshop on April 22 & 23 and learn how to develop a program that can meet current challenges and use data for sustained improvement. Visit: https://ismp.org/node/21482

This week’s free ISMP newsletter featured article is a follow-up to our December article on how to improve complete delivery of small-volume intermittent IV infusions, and provides additional recommendations from major US smart pump infusion vendors on how to prevent medication loss in tubing. Visit: https://ismp.org/node/24098