Medication Safety Alert! August 11, 2016
In this week's issue:
- What Price Must We Pay for Safety? Excessive Cost of EPINEPHrine Auto-Injectors Leads to Error-Prone Use of Ampuls or Vials and Unprepared Consumers
- Low dose enteral syringe tip gets Food and Drug Administration (FDA) clearance
- Burns during Magnetic Resonance Imaging (MRI) from patches with metal in the backing
- Risk with entering "test order"
A series of recent events reported to ISMP has intensified our previously documented concerns about very serious errors with EPINEPHrine that have occurred after healthcare providers felt compelled to replace cost-prohibitive EPIPEN (EPINEPHrine injection) auto-injectors or a generic EPINEPHrine auto-injector with ampuls and/or vials. When a severe hypersensitivity reaction occurs, the EpiPen or a generic auto-injector can help ensure that lifesaving EPINEPHrine is available quickly and is administered in the correct dose and by the correct route of administration. The device automatically...