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Medication-related FDA Patient Safety videos provided in cooperation with ISMP
May 2008
Mistakenly Swallowing Inhaler Capsules
April 2008
Caution Giving Children Cough and Cold Medicines
Mixups between Insulin U-100 and U-500
February 2008
Severe Tissue Injury with IV Promethazine (December 2006)
Avoiding Accidental Overdoses when Methadone is Prescribed for Pain (February 2007)
November 2007
Avoiding Dangerous Mixups between Amphotericin B Formulations
Warnings for Rocephin
Rare Side-Effect of Codeine in Nursing Mothers
October 2007
Using the Wrong Exactacain Straws can Endanger Patients
WHO Warns About Fatal Errors with Vincristine
More Patient Deaths from Luer Misconnections
September 2007
Caution on No-Name Drug Patches
Preventing Patient Deaths from Fentanyl Patches
July 2007
Avoiding Dangerous Mix-ups between Insulin and Heparin
June 2007
Preventing Drug Mix-Ups: Bumetanide and Norepinephrine
March 2007
Possible Dose-Counter Errors with the Asmanex Twisthaler
February 2007
Dangerous Use of Saline Flush Syringes
Possible Dosing Errors with the OptiClik Insulin Injection Device
January 2007
Preventing Dosage Errors with Diastat AcuDial
December 2006
Preventing Fatal Heparin Overdoses
Severe Tissue Injury with IV Promethazine
November 2006
Vaccine Mix-ups: Adacel (Tdap) and Daptacel (DTaP)
Danger in Administering Azathioprine and Mercaptopurine Together
October 2006
Nostril Errors with Nasal Sprays
August 2006
Preventing Errors with Tablet Splitting
USP Statement on Preventing Errors with Neuromuscular Blocking Agents
July 2006
Renal Failure Associated with Bowel Cleansing Agents
FDA/ISMP Campaign to Eliminate Dangerous Abbreviations
June 2006
Dangerous Confusion with Color-coded Wristbands
Accidental Intrathecal Administration of IV Vincristine
March 2006
Drug Name Confusion: Amicar and Omacor
February 2006
Drug Name Confusion: Salagen and Selegiline
Avoiding Glucose Monitoring Errors in Patients Receiving Other Sugars
December 2005
Preventing Errors with Neuromuscular Blocking Agents
November 2005
Caution on Accidentally Giving Nimodipine Intravenously
October 2005
Caution on Power Injection of MRI and CT Contrast Media
Certain Oral Drops for Infants Recalled
Mix-ups Involving Lindane
Avoiding Fatal Overdoses with Fentanyl Patches
August 2005
Alert on Certain Children's Tylenol Products
April 2005
Patient Deaths Caused by Unlabeled Containers
Confusion between Acetylcysteine Dosage Forms
Mixups between Extended-release Formulations of Same Drug
March 2005
More on Preventing Fatal Gas Mix-Ups
More on Brethine-Methergine Mix-up
February 2005
Warnings on Proper Use of Bicillin
Drug Name Confusion: Reminyl and Amaryl
January 2005
JCAHO on Drug Name Mix-ups
Warning on Supplements for Sexual Enhancement
Warning about CeeNU Overdoses
Caution on Fatal Dosing Errors with Epinephrine
December 2004
Mix-ups Administering Lotrisone Lotion
November 2004
Caution on Ethyl Chloride Flammability
October 2004
Avoiding Confusion with Broselow Tapes
September 2004
Reducing the Danger of Injecting Long-Acting Penicillin I
Preventing Fatal Tubing Misconnections
August 2004
Sodium Hyaluronate Mix-ups
Caution on Programming Certain IV Pumps
July 2004
More About Hazards in Patient-Controlled Analges
Mix-ups between Brethine and Methergine
Burns in MRI Patients Wearing Transdermal Patches
May 2004
Dangerous Mixups Between Opium Tincture and Paregoric
April 2004
Injections Into the Wrong Port of an Implantable Infusion Pump
March 2004
More on Dangerous Abbreviations
February 2004
Caution on Rapid Administration of IV Push Medications
Fatal Errors in Administering Intrathecal Contrast Media
December 2003
Store IV Bags in Their Overwraps
More on the Danger of Giving Sterile Water Intravenously
November 2003
Drug Name Confusion: Purinethol® & Propylthiouracil
Children at Risk from Brightly Colored Pills
October 2003
Drug Name Confusion: Zyprexa/Zyrtec/Zantac
September 2003
Two-channel Pump Mix-up
August 2003
Dangerous Misconnections Between BP Monitors and IV Ports
Patients with Reading Problems
July 2003
Mix up Between TD and PPD
Fatal Medication Errors with Temodar
May 2003
Drug Errors Caused by Abbreviations
FDA Proposes Bar Codes on Drugs
Warning on I.V. Infusions of "Free Water"
April 2003
Caution on Drug Names that End in L
March 2003
Insulin Mixups
Errors Using Transdermal Patches
February 2003
Warning About Methotrexate Overdoses
January 2003
Anesthetic Sprays and Methemoglobinemia
November 2002
Drug Name Confusion: Serzone and Seroquel
August 2002
Hazards in Patient-Controlled Analgesia
June 2002
Misconnection of Tubes and Ports
April 2002
Preventing Asphyxiation from Aspirated Syringe Tip
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Pennsylvania Patient Safety Authority
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Phone: (215) 947-7797, Fax: (215) 914-1492
© 2008 Institute for Safe Medication Practices. All rights reserved