2007 ISMP Survey on High-Alert Medications

Total: 793

Medication or Class of Medications

Section A

Do YOU believe this is a high-alert medication?

Section B

Does YOUR PRACTICE SITE consider this a high-alert medication with special precautions in place?

 
A.   Current List Yes No Yes No  
1. Adrenergic agonists, IV (e.g., epinephrine) 84% 16% 63% 37%  
2. Adrenergic antagonists, IV (e.g., propranolol) 56% 44% 41% 59%  
3. Anesthetic agents, general, inhaled and IV (e.g., propofol) 86% 14% 68% 32%  
4. Cardioplegic solutions 77% 23% 54% 46%  
5. Chemotherapeutic agents, parenteral 97% 3% 90% 10%  
6. Chemotherapeutic agents, oral 78% 22% 66% 34%  
7. Dextrose, hypertonic, 20% or greater 70% 30% 51% 49%  
8. Dialysis solutions, peritoneal and hemodialysis 58% 42% 39% 61%  
9. Epidural or intrathecal medications 93% 7% 79% 21%  
10. Glycoprotein IIb, IIIa inhibitors (e,g, eptifibatide) 64% 36% 51% 49%  
11. Hypoglycemics, oral 31% 69% 21% 79%  
12. Inotropic medications, IV (e.g., digoxin, milrinone) 67% 33% 50% 50%  
13. Liposomal forms of drugs (e.g., liposomal amphotericin B) 57% 43% 44% 56%  
14. Moderate sedation agents, IV (e.g., midazolam) 69% 31% 59% 41%  
15. Moderate sedation agents, oral, for children (e.g., midazolam, chloral hydrate) 78% 22% 62% 38%  
16. Narcotics and opiates, IV, transdermal, transmucosal, oral (including liquid concentrates, immediate/sustained release) 79% 21% 68% 32%  
17. Neuromuscular blocking agents (e.g., succinylcholine) 94% 6% 78% 22%  
18. Radiocontrast agents, IV 55% 45% 43% 57%  
19. Thrombolytics/fibrinolytics (e.g., tenecteplase) 83% 17% 70% 30%  
20. Total parenteral nutrition solutions 55% 45% 50% 50%  
21. IV amiodarone 70% 30% 55% 45%  
22. Colchicine injection 48% 52% 29% 71%  
23. Heparin, low molecular weight, injection 61% 39% 54% 46%  
24. Heparin, unfractionated, IV 85% 15% 80% 20%  
25. Insulin, subcutaneous 77% 23% 73% 27%  
26. Insulin, IV 93% 7% 88% 12%  
27. Lidocaine, IV 70% 30% 57% 43%  
28. Magnesium sulfate injection 70% 30% 59% 41%  
29. Methotrexate, oral, non-oncologic use 56% 44% 45% 55%  
30. Nitroprusside, sodium, injection 75% 25% 62% 38%  
31. Potassium chloride for injection 93% 7% 86% 14%  
32. Potassium phosphates injection 87% 13% 77% 23%  
33. Sodium chloride injection, hypertonic, more than 0.9% concentration 83% 17% 71% 29%  
34. Warfarin 67% 33% 54% 46%  
B.   New drugs/products to consider
1. epoprostenol (FLOLAN) 58% 42% 40% 60%  
2. promethazine injection, IV 60% 40% 42% 58%  
3. oxytocin 58% 42% 42% 58%  

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