April 2015

In this month’s issue:

In this month's issue: 
  • ENFit enteral devices are on their way... Important safety considerations in long-term care facilities.
  • Safety Wires!
    • Catching dispensing errors
    • Glucagon label contributes to confusion
    • Mix-up between two anti-anxiety drugs with names that start with "A"
    • Z-pak order confusion
    • Is it insulin or heparin?
Special announcements:
  • Please participate in our readership survey!
    • We are conducting a readership survey to learn how the Long-Term Care Advise-ERR is being distributed and its impact on medication safety.  We would appreciate if the primary recipients of this newsletter would complete the survey by May 29, 2015 via
  • ISMP beings 2015 Annual Fund Drive
    • Please consider donating to this year's Annual Fund to help keep ISMP an important part of the fight against preventable medication errors. To contribute, go to Thank you. 

Report medication errors to ISMP. Share your medication safety stories and error reports in confidence by calling ISMP 1-800-FAILSAF(E), via our website (, or by email ( Reporter identity and location remain strictly confidential and are never published. Anonymous reports are also accepted. 

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