Medication Safety Alert! September 21, 2023

​​​​​In this week's issue:

• Patient Death Tied to Lack of Proper Escalation Process for Barcode Scanning Failures
• Worth repeating…FLUZONE packaging leads to a double dose
• Hazard Alert! Medisca 20 mL oral syringes could lead to dosing errors
• Some Cardinal Health Monoject syringes incompatible with syringe pumps
• The myth about the safety of the “Five Rights”
• Message in our Mailbox: Follow up on amiodarone dosing error
• Fatal N-acetylcysteine overdose due to pump programming errors
• ISMP 26th Annual Cheers Awards