Resource Library

Whether you have experienced a medication error in your organization or you are proactively implementing prevention strategies, you are not alone. Thousands of organizations worldwide have relied on ISMP's resources for institutional change to reduce errors on a daily basis. These resources are developed from ISMP's review of reports through its national error reporting programs, peer-reviewed articles in its publications, and/or consensus gathering summits on topics pertinent to specific errors  or hazards. ISMP offers a wide range of downloadable and easy to use resources. Many are free.

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Electronic health records (EHRs), computerized prescriber order entry (CPOE) systems, electronic medication administration records (eMARs), and electronic prescribing (e-prescribing) systems are health information technologies (HIT) being widely adopted by healthcare providers in a national effort...
It has been 4 weeks since we published an article about the loss of potency of certain medications when prepared in BD 3 mL and 5 mL syringes that are not administered shortly thereafter. According to a BD representative, this may be related to a problem with syringe plunger stoppers from a...
In 1996, during the first year of publishing the ISMP Medication Safety Alert! , we described cases of inadvertent intravenous (IV) administration of liquid substances meant for administration via feeding tubes . Of course, incidents had been happening long before that time, putting patients who...
Some hospital pharmacists have been in touch with us recently to report potency issues with certain medications prepared in advance in 3 mL or 5 mL BD syringes. One of the medications is fenta NYL citrate injection diluted to 10 mcg per mL for pediatric use, which was prepared in a hospital pharmacy...
Problem: The US Food and Drug Administration (FDA) and ISMP have received reports that describe errors associated with the wrong frequency of administration with mefloquine as well as wrong drug errors in which mefloquine was dispensed instead of the intended MALARONE (atovaquone/proguanil). Both...