May 2016

In this month’s issue:

  • Selected medication safety risks to manage in 2016 that might otherwise fall off the radar screen - Part I.
  • SAFETYwires
    • 15 misheard as 50 during read-back.
    • Open packages for one resident at a time
    • Unsafe labeling - Caution advised as total amount may be misread
    • Restasis mixed up with Refresh Celluvisc

    Your Reports at Work

    • New brand name for vortioxetine (Brintellix changed to Trintellix)

Special announcements:

  • Join ISMP in celebrating National Nursing Assistant Week - June 9-16, 2016
  • Special Thanks - as we say good-bye to Eli Lilly & Co. as a sponsor of the Long-Term Care Advise-ERR, and welcome to our new sponsors: Baxter, Novartis and Fresenius Kabi.
  • Survey on "Use as Directed"
  • Consider Donating to the 2016 ISMP Annual Fund
    • 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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