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ISMP
February 2017

In this month’s issue:

  • Using information for external errors to signal a "clear and present danger"
  • Worth repeating... RisperiDONE and rOPINIRole mix-ups
  • BEST practice: If you have electronic health records, do this to help prevent errors!
SAFETY Wires:
  • Eliquis-Effient mix-up.
  • Tresiba U-200 won't allow dosing in odd number of insulin units.
  • Don't use insulin syringes to prepare EPINEPHrine anaphylaxis doses.
  • Beware of drug names that end in the letter "L"

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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