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ISMP
January 2014

In this month’s issue:

  • A long journey towards a safety-minded Just Culture. Part II – Where we're going.  True patient safety can only be achieved by moving to a Just Culture. This article is the second of a two part series on getting to a Just Culture, including what a Just Culture involves and state regulatory trends towards a Just Culture.
  • SafetyWires: PriLOSEC - PROzac mixups.Discusses an error in an long-term care facility where these two drugs were mixed up. The article provides strategies for reducing errors for this and other look-alike, sound-alike drugs.
  • SafetyWires: Ear Drops in the Eye. Discusses an error in an long-term care facility where an ear drop was administered in a resident’s eye. The article provides strategies for reducing errors for ear and eye drops
  • SafetyWires: More Wrong Resident Errors. Discusses continuing multiple recent reports of errors in long-term care facilities involving dispensing and administering drugs to the wrong resident, despite discussion in the October 2013 issue of this newsletter.
  • 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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