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The following are excerpts from the newsletter

january 12, 2006

FDA published a Public Health Advisory to warn US citizens about risks when obtaining drugs from foreign sources.

  • Labeling change.
Sanofi-pasteur received FDA approval for packaging and labeling changes on some of their vaccine products that aim to reduce mix-ups.
  • Unsafe abbreviation.

A medical abbreviation, SID, is sometimes used by veterinarians and has occasionally been misinterpreted.

A conflict arises with a practitioner unknowingly orders an unsafe dose of an IV medication when converting a patient over from oral therapy, and insists a nurse administer the medication as ordered.

  • It’s our 10 th anniversary.

As we begin our 11 th year publishing the ISMP Medication Safety Alert!®, the staff at ISMP would like to thank healthcare providers for making a commitment to medication safety and for implementing error-prevention strategies to reduce the risk of errors.

Special Announcements…

  • 2006 teleconference.

Our next teleconference, Preventing Errors with Insulin: An Interdisciplinary Approach , will be held on February 9, from 1:30 to 3:00 pm (ET). Visit www.ismp.org/educational/teleconferences.asp to register.

  • New recommendations.

ASHP’s section of Inpatient Care Practitioners and the Hospital and Health System Association of Pennsylvania have recently published Professional Practice Recommendations for Safe Use of Insulin in Hospitals (www.ashp.org/emplibrary/Safe_Use_of_Insulin.pdf ).

  • ISMP Safe Medication Management Fellowship for 2006 -2007.

ISMP is now accepting applications for the 12- month program. Please visit www.ismp.org/profdevelopment/managementfellowship.asp for more information.

 

january 26, 2006

  • Tylenol packaging returns to yellow.

    McNeil’s pouches of 500mg Extra Strength TYLENOL (acetaminophen) returns will be returning to the familiar yellow color within the next 6 to 8 weeks.

  • On the watch.

    Confusion between a news sleep aid, ROZEREM (ramelteon), and RAZADYNE (galantamine) has been reported to ISMP by community pharmacists..

  • USP focuses on radiological procedures in 6 th annual MEDMARX report.

    According to USP, 12% of errors involving radiological procedures between 2000-2004 resulted in harm.

  • New Quarterly Action Agenda

    The ISMP Quarterly Action Agenda summarizes important topics published in the newsletter during the previous 3 months and will now present topics in a “to do” list format. Free continuing education credit is available for pharmacists and nurses.

Special Announcements…

  • HIMSS conference

    ISMP will be co-sponsering the 2006 HIMSS Annual Conference and Exhibition in San Diego from February 12-16, 2006. Visit www.himss06.org/education for more information.

  • Antithrombotic self-assessment

    Pleas remember to submit your results from the ISMP Medication Safety Self Assessment® for Antithrombotic Therapy for Hospitals by March 1, 2006. Click here or contact Matt Fricker, RPh, at mfricker@ismp.org for more information.

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