Press Coverage

Medical Mystery: What Caused 11-Year-Old Boy's Death in Operating Room?

Ronald S. Litman, D.O., ISMP's medical director, discusses his investigation into the cause of a fatal medication error during surgery that involved accidental administration of the wrong drug by an anesthesiologist and describes prevention strategies that could prevent similar mistakes, such as bar-coding systems and the use of pre-filled drug syringes.

For the full text of the article, visit

More News

ISMP will hold an invitational, virtual summit to discuss challenges and barriers to medication safety present in all types of perioperative settings and look to gain consensus on best practice adoption and implementation.
ISMP will hold an invitational, virtual sterile compounding safety summit to address safe practices related to the use of sterile compounding workflow software, automated compounding devices and robotic compounding automation.