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The following are excerpts from the newsletter

April 9,1997

  • Preserve medication safety in the OR. Single vs. multiple-dose local anesthetic vials.
  • The potassium chronicles
  • Safety Briefs
    • Peptavlon® mistaken for Pavulon®
    • USP formulates recommendations on neuromuscular blockers
    • OTC dosing cups may not always reflect the size of a dose.
    • What to tell parents about the dosing of ipecac.
    • Protocols for heparin monitoring can catch errors early and prevent untoward effects.
    • NEJM (April 10,1997) reports case of spontaneous hyphema linked to ginkgo bilboa extract
    • Bayer announces repackaging of Mycelex® and Domeboro® tablets so that the products can be differentiated more easily.
    • Journal of Intravenous Nursing March/April 1997 Issue has an article reviewing dopamine extravasations.

April 23,1997

  • Designing preprinted order forms that prevent medication errors
  • Choose your epitaph
  • Safety Briefs
    • ISMP mails US hospitals warning about magnesium sulfate errors
    • Reward system makes for better reporting of ADR's
    • FDA Center for Devices and Radiological Health issued a public notice about potential infection problems with medical devices.
    • New law aimed at controlling quantities of pseudoephedrine or ephedrine that may be purchased at one time becomes effective in October.
    • Study of bacterial and fungal contamination of pediatric enteral feedings published in Journal of Pediatric Pharmacy Practice.
    • Roxane revamps labeling of Roxanol® and Roxicodone® Intensol liquids to reduce errors.
    • Down & dirty DUR may reduce some ADR

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