The following are excerpts from the newsletter

May 2, 2013

Survey results show medication safety information provided by ISMP is valued and acted upon by US hospitals

ISMP extends its sincere appreciation to the many readers who completed our survey regarding satisfaction and effectiveness of the ISMP Medication Safety Alert! Your input is highly valued and will be used to improve the newsletter and other services that ISMP provides to the healthcare community. What follows is a brief description of the overall survey results.  

Safety Brief: Check computer listing for generic DOXOrubicin liposome injection. A safety concern might exist in the product description field for some listings of a generic liposomal DOXOrubicin product that was approved by the US Food and Drug Administration (FDA) in February 2013.  Listings of this product may not be reflected correctly in various drug information databases or computer systems.

Safety Brief: David Bates honored. World renowned patient safety expert and ISMP trustee David W. Bates, MD, MSc, received the Society of General Internal Medicine’s highest award, The Robert J. Glaser Award.

Your Reports at Work. Last week, the US Food and Drug Administration (FDA) published a draft Guidance, “Safety Considerations for Container Labels and Carton Labeling Design to Minimize Medication Errors.”  Comments are welcome within the next 60 days.

WorthRepeating...Prevent 10-fold overdoses of IV acetaminophen. In an earlier ISMP article, a case was described in which acetaminophen injection 250 mg was prescribed for a 25 kg child (10 mg/kg).  A mental slip led the clinician to program an infusion pump to deliver 250 mL (2,500 mg) instead of 25 mL (250 mg).

Unique 2-day program. Attend ISMP’s Medication Safety INTENSIVE workshop, an interactive program that provides hands-on experiences with risk assessment, event investigation, error analysis, and action planning.  The workshop will be held in Philadelphia, PA, on June 13-14, 2013.  For further details, please visit:

ISMP webinars. ISMP will be holding webinars titled Unsafe Injection Practices are Placing Patients at Risk: Take Action Now on May 9, 2013 and Understanding the Finer Points of The Joint Commission Medication Management Standards for Hospitals: An Update for 2013 on June 20, 2013.  For details about both webinars, please visit:

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