Acute Care Volume 22, Issue 1

Medication Safety Alert! January 12, 2017

In this week's issue:

  • Accidental Injection of Topical Thrombin Continues
  • FDA Advise-ERR: Concomitant use of ENTRESTO and ACE inhibitors can lead to serious outcomes
  • Fatal route of administration recommended in journal
  • Educate fluorouracil home infusion patients about accidental overinfusion
  • Soy lecithin long gone from ATROVENT or COMBIVENT products
  • ISMP survey on Verbal Orders
  • Welcome to new ISMP Fellow
    • Ghadeer Banasser, PharmD, CPHQ; Pharmacy Quality Management Specialist at King Abdulaziz Medical City-Jeddah, Saudi Arabia
Featured article
In late 2016, CHPSO, one of the largest federally designated patient safety organizations, created in 2008 by the California Hospital Association, published a case report about accidental intravenous (IV) administration of RECOTHROM (recombinant topical thrombin). 1 The PSO identified additional...

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