The following are excerpts from the newsletter

December 4, 2014

In this week's issue:

  • Confusion abounds! 2-year summary of the ISMP National Vaccine Errors Reporting Program (Part I)
  • First Databank OrderKnowledge System...Useful, but a work in progress
    • Use of FDB’s OrderKnowledge can be time saving but may be predisposing your patients to dangerous orders. Read more on issues that have been experienced with this system and how you can protect your patients.
  • What else is stored in a refrigerator with influenza vaccine?
    • ISMP has received reports on mix-ups with influenza vaccines. In most cases, another drug was administered instead of the vaccine. Storage next to look-alike products and nomenclature issues has contributed to these mix-ups. During the fall and winter months, keeping the influenza vaccine readily available can lead to errors. Learn how you can prevent mix-ups from happening in your facility. 
  • Yet another expiration date issue.
    • Administering an expired medication can result in a negative outcome. Unfortunately, standards are not available to guide manufacturers on how to express expiration dates or were they should be placed on the product. Review the article for some examples of error-prone expiration dates. 

Special announcements...

  • ISMP's Annual Fund
    • The healthcare community would be very different without ISMP's existence over the last 20 years. (For a list of ISMP's many important contributions to safety, please visit: We depend on the caring individuals and organizations that passionately support our work. Your charitable donation to the Annual Fund will help keep ISMP an important part of the fight against preventable medication errors.
    • To make a donation, go to:
  • ISMP Symposia at the ASHP Midyear meeting
    • Improving Medication Safety in the Radiology Setting: Monday, December 8; 6:15 a.m. breakfast; 6:45 a.m. Symposium
    • Addressing a Trifecta of Overlooked IV Medication Risks: Monday, December 8; 11:30 a.m.
    • Recognizing and Responding to Serious Safety Concerns with Subcutaneous Insulin: Tuesday, December 9; 11:30 a.m.
    • Improving Medication Safety in the Perioperative Setting: Wednesday, December 10; 11:30 a.m.
    • For more information and to register, go to:
  • MSOS Reception at Midyear
    • Join us on December 8, at the Anaheim Marriott from 5:30 - 6:30 p.m. for a Medication Safety Officer Society (MSOS) Reception sponsored by CompleteRx.
  • ISMP Fellowships
    • Interested in the ISMP Safe Medication Management Fellowship Programs? Stop by our booth (682) at the ASHP Midyear exhibit hall, December 8 - 10, to request more information. 

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