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November 3, 2005

  • Propofol sedation: Who should administer?
  • Near sight/sound dead hit!

    Confusion between OMACOR (omega-3-acid ethyl esters) and AMICAR (aminocaproic acid) leads to a dispensing error.

  • Seeing (and hearing) double.

    Pressing a number key on Alaris SE pumps may result in an unintended repeat of that number, signaled by a double beep by the pump.

  • Maalox brand name extension causes confusion.

    A new formulation of MAALOX (aluminum-magnesium hydroxide and simethicone) known as Maalox Total Stomach Relief looks identical to regular Maalox, but contains bismuth subsalicylate.

  • Special announcements.

    ISMP announces the 8 th Annual Cheers Awards winners and Lifetime Achievement Award recipient.

November 17, 2005

f you want to learn more about…

  • Mail service and community pharmacies must work in tandem
  • Look-alike Tylenol packets.

    A packaging change for unit-dose TYLENOL (acetaminophen) 500 mg caplets makes the product virtually indistinguishable from Tylenol 325 mg packets.

  • Label change number two.

    A change in the color of the label on Baxter’s phenytoin helped to differentiate heparin and phenytoin vials, but created a new look-alike situation.

  • FDA-ISMP campaign.

    ISMP and FDA will create a comprehensive educational campaign aimed at eliminating error-prone abbreviations.

  • Communication can avert harm from preventable ADRs.

    A communication failure among healthcare providers, and between healthcare providers and the patient leads to two preventable adverse drug reactions (ADRs).

  • ISMP Activities at the ASHP Midyear Meeting.

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