Clinicians Often Unaware of Colchicine Dose Limits; What is a “Bolus?”; Drug Information Leaflets can Help Prevent Errors

2002 ◽  
Vol 37 (4) ◽  
pp. 355-356
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Training Programs ◽  
Drug Information ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Information Leaflets ◽  
Care Facilities ◽  
Dose Limits

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Making it Easier for Nurses to Identify Patients before Administering Medications Cafcit Label Easy to Misread Preventing Misunderstandings When Accepting Oral Requests for Drug Information Caution: 30 mL Vials of Topical and Injectable Adrenalin are Nearly Identical

2000 ◽  
Vol 35 (5) ◽  
pp. 486-488
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Training Programs ◽  
Drug Information ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute of Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 1-800-233-7767 (1-800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writer's names will be published if desired. ISMP may be contacted at the address shown below.

Another Purpose for “Purpose” Look-Alike Unit-Dose Containers Mixed up Misinterpretation of Sliding-Scale Insulin Dose

2001 ◽  
Vol 36 (12) ◽  
pp. 1132-1133
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Training Programs ◽  
Insulin Dose ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Sliding Scale ◽  
Unit Dose

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 1-800-233-7767 (1-800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Involving Nonclinical Departments in Patient Safety Discussions can Reduce the Risk of Serious Errors; “40 of K” is Not OK; NDC Number ID of Compounded Prescription Ingredient Leads to Error; Topamax-Toprol XL Mix-Up

2002 ◽  
Vol 37 (11) ◽  
pp. 1140-1146
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Check Crash Cart Drug Concentrations for Broselow Tape Compatibility; Different Dosage Forms of Same Drug May Not Share the Same Monograph in the PDR; Mifepristone Confused with Misoprostol; A Nurse “Nose” How to Differentiate Products

2002 ◽  
Vol 37 (10) ◽  
pp. 1037-1038
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Training Programs ◽  
Dosage Forms ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Drug Concentrations ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

• Drug Shortages Lead to Medication Errors; •Dispense from the Pharmacy, Not from Central Supply; •Use of Symbols Increases Medication Error Risk

2001 ◽  
Vol 36 (5) ◽  
pp. 494-496
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Error ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Drug Shortages ◽  
Care Facilities ◽  
Error Risk

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 1-800-233-7767 (1-800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Beware of Erroneous Daily Oral Methotrexate Dosing; Sound-Alike Names: Diprivan and Ditropan how Many Viokase? Indicate mEq of Potassium or Sodium when Phosphorous Supplements are Prescribed

2002 ◽  
Vol 37 (6) ◽  
pp. 586-593
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Oral Methotrexate ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

More on Avoiding Opiate Toxicity with PCA by Proxy; Brand Name Arixtra (Fondaparinux) Confused with Laboratory Test for Anti-Factor Xa; Avoid “AD” as an Abbreviation for “Right Ear”

2002 ◽  
Vol 37 (8) ◽  
pp. 807-812
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Laboratory Test ◽  
Medication Errors ◽  
Training Programs ◽  
Factor Xa ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Brand Name ◽  
Safe Medication ◽  
Care Facilities

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800-233-7767 (800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Look-Alike Names and Packages Are at the Root of Most Stocking Errors in Automated Dispensing Cabinets Use Caution when Reconstituting Synagis (Palivizumab) Intrathecal Vincristine Fatal Once More Fellowship in Medication Safety Medication Safety Videos Available Free via the Internet

2003 ◽  
Vol 38 (4) ◽  
pp. 312-313
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Medication Safety ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
The Internet ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800–233–7767 (800–23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

• Oral Feeding Formula Confused with Beta-Blocker/• Look-Alike Products from Bedford Laboratories/• Fatal Error with Simultaneous Low-Molecular-Weight and IV Heparins

2001 ◽  
Vol 36 (3) ◽  
pp. 250-254
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Molecular Weight ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Oral Feeding ◽  
Inservice Training ◽  
Low Molecular Weight ◽  
Safe Medication ◽  
Care Facilities

These medication errors have occurred in health care facilities at least once. They will happen again–perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 1-800-233-7767 (1-800-23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below.

Ephedrine–Epinephrine Mix-Ups Nurse Computer Order Entry Leads to Error Precisely Wrong

2003 ◽  
Vol 38 (7) ◽  
pp. 629-631 ◽  
Author(s):  
Michael R. Cohen
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Order Entry ◽  
Safe Medication ◽  
Care Facilities ◽  
Procedural Safeguards

These medication errors have occurred in health care facilities at least once. They will happen again—perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them in your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the USP Medication Errors Reporting Program, which is presented in cooperation with the Institute for Safe Medication Practices. If you have encountered medication errors and would like to report them, you may call USP toll-free, 24 hours a day, at 800–233–7767 (800–23-ERROR). Any reports published by ISMP will be anonymous. Comments are also invited; the writers‘ names will be published if desired. ISMP may be contacted at the address shown below.

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