The year 2001 at a glance:
ISMP's medication safety "Cheers"
The December 3, 2001, Federal
Register includes a government proposal that
requires a bar code on packages of human drug and biological
products beginning some time next year. In addition
to the drug name and dose, the bar code would contain
certain information such as the National Drug Code number,
and possibly the expiration date and lot number, to
help identify expired and recalled drugs.
Several boxes of ENGERIX (hepatitis B vaccine)
were issued to an employee health service for staff
vaccinations. Unfortunately, in place of the adult formulation
of 20 mcg/mL, the pediatric/adolescent dose of 10 mcg/0.5mL
was accidentally issued. The word "PEDIATRIC"
is missing on the pediatric strength carton but the
word "ADULT" is lised on the adult strength.
When a pharmacist spoke with a nurse regarding an
order for BOOST BAR, a popular nutritional energy
bar from Mead Johnson Nutritionals, the nurse thought
he said "BUSPAR" (buspirone).
on Pharmaceutical Bar Coding and Unit Dose Packaging
We are interested in learning more about unit dose and
bar code-related issues at your practice site. We would
appreciate it if hospital pharmacists or pharmacy technicians
who are familiar with the current unit dose (UD) dispensing
system would answer the following questions and submit
responses on a special web-based tool