The following are excerpts from the newsletter

April 24, 2014

In this week's issue:

  • Part II: Disrespectful behaviors Their impact, why they arise and persist, and how to address them
  • AUVI-Q post injection ticking sound.
    • We were recently alerted that AUVI-Q auto-injector’s (EPINEPHrine injection) electronic voice speaker may make a “ticking” sound as the battery drains and can’t fully power the device. This sound might alarm someone who thinks the ticking noise is associated with a possible calamitous event.
  • Solid controls needed for demo training devices.
    • In addition to the accidental storage or demo products in patient care areas, we recently learned about a different issue with demo devices that is a major cause for concern. Dozens of students from a university injected each other with solution from vials of a Pocket Nurse Demo Dose product meant to resemble 0.9% sodium chloride injection. 
  • Certification for medication safety officers? 
    • ISMP is collaborating with the American Society of Health-System Pharmacists (ASHP) and the National Patient Safety Foundation (NPSF) to determine the need for a certification credential for medication safety officers/leaders. Please complete a short 3-5 minute survey by May 5 at:

Special announcements...

  • ISMP webinar
    • Join ISMP for our May 28 webinar, Managing Outcomes and Enhancing Safety: The Role of Protocol-Driven Care in Today's Healthcare Environment. Pharmacists have expanded their scope of practice to work collaboratively with physicians to provide protocol-driven care in an effort to improve patient outcomes. Join our guest speakers as they discuss protocol-driven care for treatment modalities such as pain management, nutritional support, and various drug therapies.
    • For details, visit:
  • Enteral connector webinar
    • To address the demand for information on the new enteral connectors coming in late 2014, the American Society for Parenteral and Enteral Nutrition (A.S.P.E.N.) has scheduled a webinar on April 30 to help clinicians prepare for the change. All members of the nutrition support team should attend.
    • For details, visit:
  • Unique 2-day program
    • Attend ISMP's Medication Safety INTENSIVE workshop in Las Vegas on May 30-31. This workshop provides hands-on experiences with event investigation, risk analysis, error-reduction strategies, action planning, Just Culture, and more!
    • For details, visit:

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