The following are excerpts from the newsletter

February 13, 2014

In this week's issue:

  • Survey links PN component shortages to adverse outcomes
  • How FDA can help reduce dabigatran (PRADAXA) bleeding risks
    • The high risk of hemorrhage in older patients can be substantially reduced with two options currently available to healthcare providers in Canada and Europe, but not in the US … Why???
  • Results of the 2011 ISMP Self Assessment includes a list of national priorities
    • The aggregate results of the 2011 ISMP Medication Safety Self Assessment for Hospitals appear this week in the February 2014 issue of The Joint Commission Journal on Quality and Patient Safety.
  • Oral vaccine mistakenly given by injection. (rotavirus vaccines)
    • The rotavirus vaccine is the only oral live vaccine available in the US market. Providers with less experience administering oral vaccines could inadvertently inject them, especially one formulation that needs to be reconstituted.
  • Welcome action by CVS. (not selling tobacco products)
    • ISMP acknowledges CVS Caremark Corporation for its recent announcement that the company will stop selling tobacco products in their retail pharmacies.

Special announcements...

  • 1-year Fellowships
  • ISMP webinar
    • Join us for our February 26 webinar, Reducing Hospital Readmissions: Successful Staff Intervention Strategies at Discharge. Learn firsthand how two organizations have used creative solutions to decrease hospital readmissions. Our speakers will describe how they used medication reconciliation at discharge, implemented structured patient discharge education, and removed barriers to obtaining needed medications after discharge, resulting in a significant reduction in readmissions as well as improvement in patient care and satisfaction.
    • For details, visit:

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