Is a New USP Resolution Best for Safety?; Unsafe Tylenol Packaging; Don't Abbr Drg Nms

2005 ◽  
Vol 40 (6) ◽  
pp. 475-482 ◽  
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL SAFE or via E-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

Ongoing Incidents Involving Fentanyl Patches are Alarming!; Insulin CONCENTRATE U-500; WHO: Dilute Vincristine in a Minibag

2007 ◽  
Vol 42 (10) ◽  
pp. 884-887 ◽  
Author(s):  
Michael R. Cohen ◽  
Judy L. Smetzer
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL-SAFE or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

Preventing Inadvertent IV Administration of Nimodopine Capsule Contents Meant for Nasogastric Administration; Depo-SubQ Provera 104 – Potential for Confusion; Wrong Patient Error; Suggested United States Adopted Names

2005 ◽  
Vol 40 (10) ◽  
pp. 844-847
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL-SAFE or via E-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

IV Tubing Misconnected to Tracheostomy Cuff; Unidentifiable Patches; A Risk that should Not be Tolerated

2007 ◽  
Vol 42 (9) ◽  
pp. 790-792
Author(s):  
Michael R. Cohen ◽  
Judy L. Smetzer
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL-SAFE or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

New DepoDur Presents Unique Challenges; JCAHO NPSG Survey Change; “Daily” OK, but “QD” is Not; Similar but Different

2005 ◽  
Vol 40 (4) ◽  
pp. 301-303 ◽  
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL SAFE or via E-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

scholarly journals Tragedy in the Postanesthesia Care Unit; Mix-ups between Risperidone and Ropinirole

2013 ◽  
Vol 48 (7) ◽  
pp. 538-549
Author(s):  
Michael R. Cohen ◽  
Judy L. Smetzer
Keyword(s):  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Postanesthesia Care Unit ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 at your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program. 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. Errors, close calls, or hazardous conditions may be reported directly to ISMP through the ISMP Web site ( www.ismp.org ), by calling 800-FAIL-SAFE, or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters’ wishes as to the level of detail included in publications.

Confusion between Two Forms of EDTA; Identical Name Error which Spans Three Continents; New Form and Strength

2006 ◽  
Vol 41 (5) ◽  
pp. 405-406 ◽  
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
New Form ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL-SAFE or via E-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

Location of Printed Labels; Benazepril Confused with Benadryl; Important Fer-in-Sol Concentration Change; Not Well Known; Pound/Kilogram Confusion

2009 ◽  
Vol 44 (4) ◽  
pp. 288-290
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Concentration Change ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 at your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program. 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. Errors, close calls, or hazardous conditions may be reported directly to ISMP through the ISMP Web site ( www.ismp.org ), by calling 800-FAIL-SAFE, or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order by Metric Weight, Not Volume

2010 ◽  
Vol 45 (4) ◽  
pp. 282-287
Author(s):  
Michael R. Cohen ◽  
Judy L. Smetzer
Keyword(s):  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Iphone Application ◽  
Fail Safe ◽  
E Mail

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 at your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program. 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. Errors, close calls, or hazardous conditions may be reported directly to ISMP through the ISMP Web site ( www.ismp.org ), by calling 800-FAIL-SAFE, or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

scholarly journals Understanding Human Over-reliance on Technology; It's Exelan, Not Exelon; Crash Cart Drug Mix-up; Risk with Entering a “Test Order”

2017 ◽  
Vol 52 (1) ◽  
pp. 7-12
Author(s):  
Michael R. Cohen ◽  
Judy L. Smetzer
Keyword(s):  
Medication Errors ◽  
Training Programs ◽  
Health Care Facilities ◽  
Level Of Detail ◽  
Inservice Training ◽  
Safe Medication ◽  
Care Facilities ◽  
Test Order ◽  
Fail Safe ◽  
E Mail

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 at your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program. 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. Errors, close calls, or hazardous conditions may be reported directly to ISMP through the ISMP Web site ( www.ismp.org ), by calling 800-FAIL-SAFE, or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

Action Needed to Prevent Dangerous Heparin-Insulin Confusion; Sorting Things Out; Staff Unaware of Fentanyl Patch Starting Doses

2007 ◽  
Vol 42 (8) ◽  
pp. 675-679 ◽  
Author(s):  
Michael R. Cohen
Keyword(s):  
Medication Errors ◽  
Web Sites ◽  
Training Programs ◽  
Health Care Facilities ◽  
Inservice Training ◽  
Fentanyl Patch ◽  
Safe Medication ◽  
Care Facilities ◽  
Fail Safe ◽  
E Mail

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 (MERP), 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. Errors, close calls, or hazardous conditions may be reported through the ISMP ( www.ismp.org ) or USP ( www.usp.org ) Web sites or communicated directly to ISMP by calling 800-FAIL-SAFE or via e-mail at [email protected] . ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.

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