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ISMP
May 2014

In this month’s issue:

  • Picture-perfect order scanning and faxing eliminates confusion.  Safety can be compromised if faxed or scanned orders are not perfectly clear. This article discusses some of the ways unclear faxed and scanned orders have led to medication errors and some tips to eliminate errors related to faxing and scanning technology.
  • Vancomycin injection for oral use given IM. The dispensing of vancomycin injectable vials for reconstitution and administration orally for the treatment of C. difficile-related diarrhea instead of oral capsules has become a common cost-cutting technique in long-term care. However, this technique has led to errors. This article discusses safe ways of dealing with this issue.
  • All is not as it seemsShows some examples of how unclear handwriting with the use of unapproved abbreviations and look-alike names can lead to medication errors.
  • SafetyWire: Discusses an error related to the use of oral liquid medication cups with multiple scales for measuring doses of oral liquid medications, and how to prevent it.
  • Report medication errors to ISMP. Share your medication safety stories and error reports in confidence by calling ISMP 1-800-FAILSAF(E), via our website (www.ismp.org/MERP), or by email (ismpinfo@ismp.org). Reporter identity and location remain strictly confidential and are never published. Anonymous reports are also accepted.

Report medication errors to ISMP. Share your medication safety stories and error reports in confidence by calling ISMP 1-800-FAILSAF(E), via our website (www.ismp.org/merp), or by email (ismpinfo@ismp.org). Reporter identity and location remain strictly confidential and are never published. Anonymous reports are also accepted. 

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