Medication Safety Alert! September/October 2022

In this issue: 

• Are You Well Positioned to Resolve Conflicts with the Safety of an Order? Learning from A Physician’s Homicide Trial and the Firing of Multiple Healthcare Workers

• Take a tour of ISMP’s updated consumer website: ConsumerMedSafety.org
• Worth reading…
  • Leveraging Quality Assurance and Performance Improvement for High Reliability in Aging Services
  • Operationalizing High Reliability in Aging Services Through Systems Safety
• Topical gel dispensed in an ENFit syringe given via G-tube
• Accidental needlestick with EVENITY prefilled syringe
• “Shellfish allergy” may be a red herring
• Please take our survey on tall man letters!