Acute Care Volume 22, Issue 12

Medication Safety Alert! June 15, 2017

In this week's issue:

Featured article

Problem: Some patients may require a medication in a dose or dosage form that is not commercially available. Such medications must be specially compounded for the patient in a pharmacy. As part of an ongoing collaboration with a provincial death investigation service, our sister organization, ISMP Canada, received a report regarding the death of a child who had ingested a prescribed, compounded oral liquid suspension that contained the wrong medication.1 Below are some of the contributing factors identified in the case analysis, along with recommendations to guide pharmacies and other...

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