2007 ISMP Survey on High-Alert Medications

Total: 4598

Medication or Class of Medications

Section A

Do YOU believe this is a high-alert medication?

Section B

Does YOUR PRACTICE SITE consider this a high-alert medication with special precautions in place?

 
A.   Current List Yes No Yes No  
1. Adrenergic agonists, IV (e.g., epinephrine) 97% 3% 93% 7%  
2. Adrenergic antagonists, IV (e.g., propranolol) 91% 9% 89% 11%  
3. Anesthetic agents, general, inhaled and IV (e.g., propofol) 97% 3% 94% 6%  
4. Cardioplegic solutions 96% 4% 93% 7%  
5. Chemotherapeutic agents, parenteral 99% 1% 98% 2%  
6. Chemotherapeutic agents, oral 96% 4% 94% 6%  
7. Dextrose, hypertonic, 20% or greater 94% 6% 91% 9%  
8. Dialysis solutions, peritoneal and hemodialysis 92% 8% 90% 10%  
9. Epidural or intrathecal medications 99% 1% 96% 4%  
10. Glycoprotein IIb, IIIa inhibitors (e,g, eptifibatide) 94% 6% 92% 8%  
11. Hypoglycemics, oral 87% 13% 86% 14%  
12. Inotropic medications, IV (e.g., digoxin, milrinone) 94% 6% 91% 9%  
13. Liposomal forms of drugs (e.g., liposomal amphotericin B) 92% 8% 91% 9%  
14. Moderate sedation agents, IV (e.g., midazolam) 94% 6% 93% 7%  
15. Moderate sedation agents, oral, for children (e.g., midazolam, chloral hydrate) 96% 4% 93% 7%  
16. Narcotics and opiates, IV, transdermal, transmucosal, oral (including liquid concentrates, immediate/sustained release) 96% 4% 94% 6%  
17. Neuromuscular blocking agents (e.g., succinylcholine) 99% 1% 96% 4%  
18. Radiocontrast agents, IV 92% 8% 90% 10%  
19. Thrombolytics/fibrinolytics (e.g., tenecteplase) 97% 3% 95% 5%  
20. Total parenteral nutrition solutions 91% 8% 91% 9%  
21. IV amiodarone 94% 6% 92% 8%  
22. Colchicine injection 91% 9% 89% 11%  
23. Heparin, low molecular weight, injection 92% 8% 92% 8%  
24. Heparin, unfractionated, IV 97% 3% 96% 4%  
25. Insulin, subcutaneous 95% 5% 95% 5%  
26. Insulin, IV 98% 1% 98% 2%  
27. Lidocaine, IV 94% 6% 92% 8%  
28. Magnesium sulfate injection 94% 6% 93% 7%  
29. Methotrexate, oral, non-oncologic use 92% 8% 91% 9%  
30. Nitroprusside, sodium, injection 95% 5% 93% 6%  
31. Potassium chloride for injection 98% 2% 97% 3%  
32. Potassium phosphates injection 97% 2% 96% 4%  
33. Sodium chloride injection, hypertonic, more than 0.9% concentration 97% 3% 95% 5%  
34. Warfarin 94% 6% 92% 8%  
B.   New drugs/products to consider
1. epoprostenol (FLOLAN) 88% 12% 86% 14%  
2. promethazine injection, IV 87% 13% 91% 9%  
3. oxytocin 93% 7% 91% 9%  

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