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The following are excerpts from the newsletter


March 13, 1996

  • Prevention of adverse drug events caused by potassium phosphate injection
  • Effective date of FDA's Medical Device Regulations extended
  • "T.I.W." - a dangerous medical abbreviation
  • Action forthcoming on Versed (midazolam) labeling
  • Another error reported with esmolol (BREVIBLOC)
  • Safety Briefs:
    • Check for outdated medications and supplies
    • Vincristine regimen written incorrectly
    • Caution: storage of epinephrine 30 mL vials in clinical areas
    • Listen to patients!

March 27, 1996

  • Use of nitroglycerin ointment as alternative to phentolamine for dopamine extravasation
  • 649 children given diluted vaccine by pediatrician
  • Avoid abbreviating drug names in medical orders
  • Preventing pediatric adverse drug events by a dose verification process
  • Drug sampling - Now there's a better way
  • ISMP announces availability of medication safety fellowship.
  • Safety Briefs:
    • If you dial an incorrect number for a fax transmission, confidential information might wind up in the wrong hands.
    • Name watch: Tiazac® and Ziac®
    • Quite a few people have been fooled by the new packaging used for Cepacol® lozenges.
    • Reports increase involving replacement of incorrect medications into automated dispensing modules

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