NCCMERP recommends medical product packaging and labeling
IV benzodiazepine guidelines
Many asthma paatients continue to use inhalers long
after medicine may be gone.
Trivia -- MLT staands for multilayer tablet.
Patients may not let pharmacist know when a prescription
is filled incorrectly. Work to cultivate them to help
in the error prevention system.
Communication of dosing information for long term
care patients admitted to the hospital requires coordination
of patient information and drug information.
Institutions with specialty care units sometimes admit
other types of patients to those units. This at times
can cause confusion in the types of therapy really needed.
Two recent errors occurred due to misunderstood emergency
verbal orders. Verbal orders must be clear...An order
for half an amp of something is not clear when the dru;g
is available in multiple strengths.
antihypertensive can be mistake for DiaBeta®
an antidiabetic agent.
Name Alert 1: Diovan®
a new antihypertensive can look like Darvon®.
Name Alert 2: when written poorly Posicor®
looks very similar to Proscar®.
Senate FDA Reform Bill (S 830) includes provisions
for simplification of labeling.
Ortho-McNeil contacted about packaging of Levaquin®.
shows prescription which includes the indication. This
might trigger prescribers to include the indication
on prescriptions, not only for Accolate, but for other
medications as well.
Recall of Pondimin®
and Redux® points
up need for post marketing surveillance and need for
more rapid communication of early events from FDA.
TAC and SPA --- Problematic abbreviations. Order for
TAC 0.1% for triamcinolone was written by a resident.
Pharmacist almost filled it with hospital's standard
formula for tetracaine,adrenaline and cocaine solution.
Avoid the abbreviations.....Avoid the mistakes.
Baxter's Mini-Bag Plus®
System where vial is attached to an IV minibag and reconstituted
immediately before use requires forcing liquid from
minibag into vial and from vial into minibag. Some of
the dose may not be forced back into the bag and administered