|
|
2009 |
| 07/02/2009 |
Misidentification of alphanumeric symbols in both handwritten and computer-generated information |
| 06/18/2009 |
Intrathecal injection warrants mask worn by clinician during procedure |
| 06/04/2009 |
Icons and symbols on IV related products: Global industry must reflect on the safety aspects. |
| 05/21/2009 |
Survey on LASA drug name pairs:
Who knows what's on your list and the best ways to prevent mix-ups?
|
| 05/07/2009 |
QuarterWatch (3rd quarter 2008)
Safety concerns with generics, Chantix aggressive behavior, and more
|
| 04/23/2009 |
Failed check system for chemotherapy leads to pharmacist's no contest plea for involuntary manslaughter |
| 04/09/2009 |
Shared MDIs: Can cross-contamination be avoided? |
| 03/26/2009 |
Fatal outcome after inadvertent injection of topical EPINEPHrine |
| 03/12/2009 |
Beware of basal opioid infusions with PCA therapy |
| 02/26/2009 |
Inattentional blindness: What captures your attention? |
| 02/12/2009 |
Follow ISMP Guidelines to safeguard the design and use of automated dispensing cabinets (ADCs) |
| 01/29/2009 |
Revatio=sildenafil=Viagra |
| 01/15/2009 |
ISMP QuarterWatchT (2nd quarter 2008) |
|
|
2008 |
| 12/18/2008 |
Color-coded syringes for anesthesia drugs: use with care |
| 12/04/2008 |
Safe practice environment chapter proposed by USP |
| 11/20/2008 |
Actively caring for safety: Overcoming bystander apathy |
| 11/06/2008 |
Using external errors to signal a clear and present danger |
| 10/23/2008 |
ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events |
| 10/09/2008 |
Collaboration focused on priority issues promotes safety |
| 09/25/2008 |
Report and spread information about software risks |
| 09/11/2008 |
Don't underestimate the impact of change on risk potential |
| 08/28/2008 |
Misprogramming PCA concentration leads to dosing errors |
| 08/14/2008 |
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning |
| 07/31/2008 |
Use of tall man letters is gaining wide acceptance |
| 07/17/2008 |
Heparin errors continue despite prior, high-profile, fatal events |
| 07/03/2008 |
Epidural-IV route mix-ups: Reducing the risk of deadly errors |
| 06/19/2008 |
FDA Advise-ERR: Prevent dangerous drug-device interaction causing falsely elevated glucose levels |
| 06/05/2008 |
Benefits and risks of including patients on RCA teams |
| 05/22/2008 |
Managing visits from pharmaceutical sales representatives |
| 05/08/2008 |
Considering insulin pens for routine hospital use? Consider this... |
| 04/24/2008 |
Some red rules shouldn't rule in hospitals |
| 04/10/2008 |
FDA Advise-ERR: Medication errors associated with Cerebyx |
| 03/27/2008 |
There's more to the 60 Minutes story on heparin errors |
| 03/13/2008 |
Resolving human conflicts when questions about the safety of medical orders arise |
| 02/28/2008 |
USA Today news series: Clarifying the issues and embracing community pharmacy safety |
| 02/14/2008 |
Keeping patients safe from iatrogenic methadone overdoses |
| 01/31/2008 |
Fatal overdose uncovers need to rethink where pediatric IV medications are dispensed and administered |
| 01/17/2008 |
ADC survey shows some improvements, but unnecessary risks still exist |
|
|
2007 |
| 12/13/2007 |
Celebrating 10 years of ISMP CHEERS awards |
| 11/29/2007 |
Another heparin error: Learning from mistakes so we don't repeat them |
| 11/15/2007 |
Errors with injectable medications: Unlabeled syringes are surprisingly common! |
| 11/01/2007 |
Product-related issues make error potential enormous with investigational drugs |
| 10/18/2007 |
Error-prone conditions that lead to student-nurse related errors. |
| 10/04/2007 |
Potassium may no longer be stocked on patient care units, but serious threats still exist! |
| 09/20/2007 |
Fluorouracil error ends tragically, but application of lessons learned will save lives |
| 09/06/2007 |
Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg |
| 08/23/2007 |
Lack of standard dosing methods contributes to IV errors |
| 08/09/2007 |
Progress with preventing name confusion errors |
| 07/26/2007 |
Failure to cap IV tubing and disinfect IV ports place patients at risk for infections |
| 07/12/2007 |
Requirement #1-Patch should stick to the patient! |
| 06/28/2007 |
Ongoing, preventable fatal events with fentanyl transdermal patches are alarming! |
| 06/14/2007 |
Infusion free-flow apparently still a risk |
| 05/31/2007 |
Remote CPOE error-a situation that's more than remotely possible |
| 05/17/2007 |
ISMP 2007 survey on HIGH-ALERT medications
Differences between nursing and pharmacy perspectives still prevalent
|
| 05/03/2007 |
Action needed to prevent dangerous heparin-insulin confusion |
| 04/19/2007 |
Smart pumps are not smart on their own |
| 04/05/2007 |
Failure to clearly link TYLENOL products to acetaminophen poses serious threat to safety |
| 03/22/2007 |
If safety is your yardstick, measuring culture from the top down must be a priority |
| 03/08/2007 |
Criminal prosecution of human error will likely have dangerous long-term consequences |
| 02/22/2007 |
HIGH ALERT Medication Feature
Reducing patient harm from opiates
|
| 02/08/2007 |
Heed this warning! Don't miss important computer alerts |
| 01/25/2007 |
The five rights: A destination without a map
|
| 01/11/2007 |
High-Alert Medication Feature:
Anticoagulant safety takes center stage in 2007
|
|
|
2006 |
| 12/14/2006 |
The 9th Annual ISMP CHEERS Awards: And The Winners Are... |
| 11/30/2006 |
PEN injectors: Technology is not without imPENding risks
|
| 11/16/2006 |
Pharmaceutical industry medical device companies:
Part of the solution?
|
| 11/02/2006 |
Promethazine conundrum: IV can hurt more than IM injection!
Survey spurs interest in renewing efforts to prevent serious tissue damage
|
| 10/19/2006 |
"And the 'EYES' have it": Eardrops, that is... |
| 10/05/2006 |
Harmful errors: How will your facility respond? |
| 09/21/2006 |
Our long journey towards a safety-minded Just Culture
Part II: Where we're going |
| 09/07/2006 |
Our long journey towards a safety-minded Just Culture
Part I: Where we’ve been |
| 08/24/2006 |
Your attention please. Designing effective warnings |
| 08/10/2006 |
Action needed to prevent serious tissue injury with IV promethazine |
| 07/27/2006 |
ISMP comments on IOM report, Preventing Medication Errors |
| 07/13/2006 |
Practitioners agree on medication reconciliation value, but frustration and difficulties abound |
| 06/29/2006 |
Vincristine therapy: days "4-11" misunderstood as days 4 through 11 |
| 06/15/2006 |
Preventing accidental IV infusion of breast milk in neonates |
| 06/01/2006 |
Rapid response team activation by patients can mitigate errors
|
| 05/18/2006 |
Tablet splitting: Do it only if you "half" to, and then do it safely
|
| 05/04/2006 |
Pump design flaws demonstrate need for practitioner involvement in FMEA |
| 04/20/2006 |
Original document needed to scan orders to pharmacy |
| 04/06/2006 |
IV potassium given epidurally: getting to the "route" of the problem |
| 03/23/2006 |
Safety requires a state of "mindfulness" (Part II) |
| 03/09/2006 |
Safety requires a state of "mindfulness" (Part I) |
| 02/23/2006 |
IV vincristine survey shows safety improvements needed |
| 02/09/2006 |
Pump up the volume - Tips for increasing error reporting |
| 01/26/2006 |
What does your patient safety brochure really say about safety? |
| 01/12/2006 |
Infusion pump double key bounce and double keying errors |
|
|
2005 |
| 12/15/2005 |
The 8th Annual ISMP CHEERS Awards: And the winners are... |
| 12/01/2005 |
Fatal misadministration of IV vincristine |
| 11/17/2005 |
Mail service and community pharmacies must work in tandem |
| 11/03/2005 |
Propofol sedation: Who should administer? |
| 10/20/2005 |
Preventing magnesium toxicity in obstetrics |
| 10/06/2005 |
Unfortunately, this time it wasn't the equipment |
| 09/22/2005 |
Paralyzed by mistakes. Preventing errors with neuromuscular blocking agents |
| 09/08/2005 |
Be aware of false glucose results with point–of-care testing |
| 08/25/2005 |
Safety still compromised by computer weaknesses
Comparing 1999 and 2005 pharmacy computer field test results |
| 08/11/2005 |
New fentanyl warnings: more needed to protect patients |
| 07/28/2005 |
High-reliability organizations (HROs):
What they know that we don't (Part II) |
| 07/14/2005 |
High-reliability organizations (HROs):
What they know that we don't (Part I) |
| 06/30/2005 |
Two steps forward and one step back for patient safety?
Two groups focus on improved outcomes, another on Rx "vending" machines |
| 06/16/2005 |
Symlin insulin adjunct presents safety issues |
| 06/02/2005 |
An exhausted workforce increases the risk of errors |
| 05/19/2005 |
Practitioners anticipate punitive action from licensing bodies |
| 05/05/2005 |
End the ice age-Is glacial acetic acid really needed? |
| 04/21/2005 |
Building a case for medication reconciliation |
| 04/07/2005 |
Patient's watchful eye and Internet lead to pump tampering |
| 03/24/2005 |
Medication orders: Don't put me on hold
Joint Commission and use of the Broselow tape
Sterile cockpit |
| 03/10/2005 |
Measuring up to medication safety |
| 02/24/2005 |
Welcome to the State Board of (Nursing, Pharmacy, Medicine) Inquisitions |
| 02/10/2005 |
The truth about hospital formularies
Survey shows many myths still exist 15 years later |
| |
|
| 01/27/2005 |
New dangers in the drug reimportation
process: Will we know what our patients are taking? |
| 01/13/2005 |
Looking forward: Make "pro-change"
your New Year's Resolution |
|
|
2004 |
| 12/16/2004 |
Fatal gas line mix-up: How to avoid
making this "gastly" mistake
2004 ISMP CHEERS for medication
safety: Celebrating excellence |
| 12/02/2004 |
Loud wake-up call: Unlabeled containers
lead to patient's death |
| 11/18/2004 |
The truth about hospital formularies:
We've come a long way, or have we? |
| 11/04/2004 |
FDA and the pharmaceutical industry
must be more responsive for a safer healthcare system |
| 10/21/2004 |
Hazard Alert!
ISMP urges immediate replacement of Brethine ampuls
with vials! |
| 10/07/2004 |
Reducing "at-risk behaviors"
Part II of Patient safety should NOT be a priority in
healthcare! |
| 09/23/2004 |
Patient safety should NOT be
a priority in healthcare!
Part I: Why we engage in "at-risk behaviors" |
| 09/09/2004 |
Inflated risk: Inadvertent
drug injections into inflation port
Potential confusion with AMARYL
(glimepiride) and REMINYL (galantamine) |
| 08/26/2004 |
Root causes: A roadmap to action |
| 08/12/2004 |
Hospital and medical staff leadership
is key to compliance with JC dangerous abbreviation
list |
| 07/29/2004 |
Misprogram a PCA pump? It's easy! |
| 07/15/2004 |
Lowdown on lomustine: We’d
hate CeeNU make this mistake |
| 07/01/2004 |
An omnipresent risk of morphine-hydromorphone
mix-ups |
| 06/17/2004 |
Problems persist with life-threatening
tubing misconnections |
| 06/03/2004 |
Oops, sorry, wrong patient!Applying
the JC “two-identifier” rule beyond the patient’s
room |
| 05/20/2004 |
The high cost of medications: A
bitter pill to swallow |
|
05/06/2004 |
Bicillin products: Syringe enhancements
may help to prevent IV administration |
|
04/22/2004 |
Improvised
drug delivery: A cause for concern
Hazard warning with BRETHINE
and METHERGINE. |
|
04/08/2004 |
Burns in MRI patients
wearing transdermal patches
Confusion caused by several different
products with DULCOLAX brand name. |
|
03/25/2004 |
Intimidation:
Practitioners speak up about this unresolved problem
(Part II) |
|
03/11/2004 |
Intimidation:
Practitioners speak up about this unresolved problem
(Part I) |
|
02/26/2004 |
Broselow
tape: Measuring the changes from 1998 to today |
|
02/12/2004 |
Safety issues with adding lidocaine to IV potassium infusions |
|
01/29/2004 |
Evidence-based
medicine doesn’t preclude common sense |
|
01/15/2004 |
Template for
disaster? Fatal injection into wrong port of implanted
infusion pump |
|
|
2003 |
|
12/18/2003 |
2003 CHEERS
for medication safety: Celebrating excellence
ISMP's
list of high-alert medications |
|
11/27/2003 |
Intrathecal
injection of ionic contrast media may be fatal |
|
11/13/2003 |
A spectrum of
problems with using color |
|
10/30/2003 |
Double-checks
for endogenous and exogenous errors |
|
10/16/2003 |
Survey on high-alert
medications
Differences between nursing and pharmacy perspectives
revealed |
|
10/02/2003 |
Helping to remove
the barriers to patient education |
|
09/18/2003 |
How sterile water
bags show up on nursing units |
|
09/04/2003 |
Cultural diversity
and medication safety |
|
08/21/2003 |
Is an antithyroid
or antimetabolite needed? |
|
08/07/2003 |
How are you
preventing acetaminophen overdoses? |
|
07/24/2003 |
Part II - How
to prevent errors - Safety issues with patient-controlled
analgesia |
|
07/10/2003 |
Safety issues with
patient-controlled analgesia Part I - How errors occur |
|
06/26/2003 |
New data monitoring
technology offers real-time reporting of impending adverse
events |
|
06/12/2003 |
Blood pressure
monitor tubing may connect to IV ports |
|
05/29/2003 |
Mind your “Medrols” |
|
05/15/2003 |
How fast is too fast
for IV push medications? |
|
05/01/2003 |
Nix the quick fix:
Drug protocols require groundwork |
|
04/17/2003 |
"Looks"
like a problem: ephedrine - epinephrine |
|
04/03/2003 |
U cnt
abbrv “Patient Safety” |
|
03/20/2003 |
Last week was National
Patient Safety Week – and what a week it was! |
|
03/06/2003 |
The virtues of independent
double checks – they really are worth your time! |
|
02/20/2003 |
It’s time
for standards to improve safety with electronic communication
of medication orders |
|
02/06/2003 |
The reports are
in…or are they? Awareness of medication error
reporting programs needs a boost |
|
01/23/2003 |
Water,
water, everywhere, but please don't give IV |
|
01/09/2003 |
Success with
New Year's resolutions requires more than personal resolve |
|
|
2002 |
|
12/18/2002 |
"Cheers"
for medication safety: Celebrating those who made a
difference in 2002 |
|
11/24/2002 |
Watch out for this
turkey - Complacency |
|
11/13/2002 |
Face it! Intimidation
presents serious safety issues |
|
10/30/2002 |
Tricks but no
treats: Illusions and medication errors |
|
10/16/2002 |
It doesn't pay to
play the percentages |
|
10/03/2002 |
Benzocaine-containing
topical sprays and methemoglobinemia |
|
09/18/2002 |
Bad "marks"
for order communication |
|
09/04/2002 |
Involving non-clinical
departments in patient safety discussions can reduce
the risk of serious errors |
|
08/21/2002 |
The road less traveled |
|
08/07/2002 |
Accidental
childhood acetaminophen overdoses illustrate our responsibility
to educate parents |
|
07/24/2002 |
Pain scales don't
weigh every risk |
|
07/10/2002
06/26/2002 |
Pharmacy interventions
- Part I and II from ISMP survey |
|
06/12/2002 |
What's
in a name? Ways to prevent dispensing errors linked
to name confusion
A medication error trifecta!
|
|
05/29/2002 |
More
on avoiding opiate toxicity with PCA by proxy |
|
05/15/2002 |
Atrocious
labeling of plastic ampuls
needs action now by FDA and manufacturers |
|
05/01/2002 |
Annenberg Conference
sends a patient's message: "Nothing about me without
me" |
|
04/17/2002 |
Remote
order entry: Innovative practice to reduce distractions
and offer 24-hour pharmacy service |
|
04/03/2002 |
Beware of erroneous
daily oral methotrexate dosing |
|
03/20/2002 |
Practitioner
access to the Internet: A necessity in a modern hospital |
|
03/06/2002 |
ISMP survey shows
drug companies providing fewer unit dose packaged medications |
|
02/20/2002 |
Eliminating
dangerous abbreviations and dose expressions in the
print and electronic world |
|
02/07/2002 |
"Smart"
infusion pumps join CPOE and bar coding as important
ways to prevent medication errors |
|
01/23/2002 |
Shortsighted
JC standard lacks understanding of pharmacist's role
in prospective order review |
|
01/09/2002
|
Messages in
our mailbox |
|
|
2001 |
|
12/12/2001 |
The
year 2001 at a glance: ISMP's medication safety "Cheers" |
|
11/28/2001 |
IV connection
to tracheostomy cuff inflation port reflects larger problem |
|
11/14/2001 |
Supervision
often a weak link in error prevention |
|
10/31/2001 |
To promote understanding,
assume every patient has a health literacy problem |
|
10/17/2001 |
Failure
Mode and Effects Analysis can help guide error prevention
efforts |
|
10/03/2001 |
Systems thinking:
Tap into staff creativity to unleash innovation |
|
09/19/2001 |
ISMP survey
on perceptions of a nonpunitive
culture produces some surprising results |
|
08/08/2001 |
It's time for
a new model of accountability |
|
07/25/2001 |
The supermarkets
do it - so why can't we raise the "bar" in
health care? |
|
07/11/2001 |
Patient safety
is all about taking that extra step |
|
06/28/2001 |
Insights into
people will improve our safety systems. |
|
06/13/2001 |
Medication
error or professional judgement?
|
|
05/30/2001 |
New official
interpretation of JC standard bans open access to
pharmacy after hours |
|
05/02/2001 |
Please Don't
Sleep Through this Wake-Up Call
Includes ISMP's table of
dangerous medical abbrevations |
|
04/18/2001 |
Lessons
Lost by the Global Pharmaceutical Industry |
