Not For your eyes only!: Putting the ISMP Medication Safety Alert! to work
Significant errors reported in recent Publications
Watch dosing with SmithKline Beecham's new beta blocker
Hospital cost reduction efforts cause incorrect dose
of hepatitis vaccine to be given.
Computer system listings of medication names may be
linked to medication errors.... check carefully when
updating these files.
Telephone orders for SmithKline Beecham's Denavir®
penciclovir can sound like indinavir which is Merck's
protease inhibitor Crixivan®
Imprecise order from an anesthesiologist asking for
"the new anesthesia drug that ends in an X" causes a
respiratory arrest when the wrong drug was used.
Adams County, Colorado Judge rules that there is probable
cause for three Denver nurses to stand trial on charges
of criminally negligent homicide for their role in a
medication error which caused the death of a newborn.
American Regent 50 mL vials of Sodium Phosphate and
Potassium Phosphate can be confused due to same color
labels. American Regent is changing the labels.
National Federation of the Blind campaigns for tactile
cues to be added to insulin vials to help diabetics
distinguish between insulin types. Eli Lilly Co. and
Novo Nordisk Pharmaceutical have agreed to use one to
four raised horizontal bars on the insulin labels to
represent the different insulin types.