The second article in a two-part ISMP newsletter series on promoting safety culture when training new hires focuses on the role of simulation, an evidence-based teaching method that replicates a process or system in a safe environment: www.ismp.org/node/75988

Sign up now for the next MSOS Member Briefing webinar scheduled to be held on Thursday, May 25, 2023 from 1:00-2:00 PM ET.
Register Now: https://ecri.zoom.us/webinar/register/WN_GPJMYGwjS-q7U_yLHrFhQA

Short medication safety-related presentations for this webinar will include:

• A road less traveled: Smart pump library hard limits
Silvana Balliu, PharmD
Coordinator of Pharmacy Services, Medication Safety and Smart Pumps
Cleveland Clinic

• Framework for a medication safety rotation
Dan Sheridan, MS, RPh, CPPS
Medication Safety Pharmacist
OhioHealth Marion General Hospital & Hardin Memorial Hospital

This week’s featured newsletter article is the first in a two-part series on ensuring competency and safety when training newly hired professional staff: https://www.ismp.org/node/73770

ISMP has launched the 2023-2024 Targeted Medication Safety Best Practices for Community Pharmacy, which are the first set of guidance of its kind! Help us spread the word and inspire greater action on these important safety issues: www.ismp.org/node/65345

Sign up now for the next MSOS Member Briefing webinar scheduled to be held on Thursday, March 23, 2023 from 1:00-2:00 PM ET.
Register Now: https://ecri.zoom.us/webinar/register/WN_kuByH0aqRk2vcgNHFQiU8w

Short medication safety-related presentations for this webinar will include:

• Near Miss Reporting Leads to a Positive Change
Shannon Manzi, PharmD, BCPPS, FPPA
Director, Safety & Quality, Department of Pharmacy
Faculty, Applied Informatics, Computational Health Informatics Program
Assistant Professor of Pediatrics, Harvard Medical School
Boston Children’s Hospital

• Making Smarter Alerts for “Smart” Infusion Pumps
Stephen Andrews, PharmD, BCPS, CPPS
Drug Information Specialist
University of Utah Health

This week’s featured newsletter article is the first in a two-part series on how controlled substance drug diversion is a threat to patient safety, and ways to implement a proactive approach to prevention: https://www.ismp.org/node/64547

Sign up now for the next MSOS Member Briefing webinar scheduled to be held on Thursday, January 26, 2023 from 1:00-2:00 PM ET.
Register Now: https://ecri.zoom.us/webinar/register/WN_Loxe9LQVSXqXesV-X9yfGA

Short medication safety-related presentations for this webinar will include:

• Baclofen accumulation in acute kidney injury
Jacqueline Hartford, PharmD, BCPS, BCCCP, Medication Safety Officer, Sinai Hospital-Grace Medical Center-Northwest Hospital- Levindale, Lifebridge Health

•Updating the look- and sound-alike institutional list
Mona Hammam, PharmD, MS, BCPS, FISMP, Medication Safety Officer, Dana-Farber Cancer Institute

•Closing the loop: Standardizing medication event feedback
Heather Ellis, PharmD, Medication Safety Coordinator, AdventHealth

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

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.

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