Medication Safety Alert! September 7, 2017
In this week's issue:
- Maximize Benefits of IV Workflow Management Systems by Addressing Workarounds and Errors
- In deepest sympathy...Dr. Kenneth N. Barker
- Please, no more teaspoon dosing
- DRAMAMINE umbrella name confusing
Data submitted to the ISMP National Medication Errors Reporting Program (ISMP MERP) have repeatedly shown that manual verification of intravenous (IV) admixture ingredients by pharmacy personnel who prepare solutions and pharmacists who inspect the final products is not particularly effective in detecting and correcting errors.1 Thus, the ISMP Guidelines for Safe Preparation of Compounded Sterile Preparations, originally published in 2013 and updated in 2016, recommend technology such as barcode scanning to verify all base solutions and ingredients during preparation and verification of...