Safety Alerts

In addition to a full suite of medication safety newsletters for healthcare professionals and consumers, ISMP makes available urgent medication advisories. These Safety Alerts address serious medication errors or information requiring immediate attention by healthcare practitioners.

NAN Alerts

Beginning in 2009, ISMP joined the American Society of Health- System Pharmacists (ASHP) and other members of the National Coordinating Council on Medication Error Reporting and Prevention (NCC MERP) to create a National Alert Network (NAN). The NAN warns healthcare providers through several national distribution channels about actual or potential medication errors that have recently caused serious harm or death. The alerts are based on information submitted to the ISMP National Medication Errors Reporting Program (ISMP MERP).

FDA Alerts

Periodically, the US Food and Drug Administration (FDA) issues alerts related to medication recalls, increased incidence of adverse events for certain medications, and recommendations for reducing naming or packaging errors.

PSA Advisories

The Pennsylvania Patient Safety Authority (PSA) publishes a quarterly advisory to provide additional guidance on specific issues related to distribution and use of medications.

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Misleading acetaminophen liquid packaging could lead to acetaminophen overdoses. Caution is advised regarding labeling and packaging of acetaminophen liquid products now on store shelves at several leading chain pharmacies. CVS, Walgreen, Walmart and likely other chain pharmacies are currently
In two recent surveys on smart infusion pump (smart pump) usage in the US, more than 1,000 nurses, pharmacists, and other healthcare professionals provided ISMP with a unique glimpse into the successes, safety concerns, and barriers with the optimization of smart pumps. Most respondents reported
The recently revised label on propofol 200 mg/20 mL vials by Sagent Pharmaceuticals is likely to cause problems during barcode scanning now that the...
Almost 20 years ago, we published an article about SANDIMMUNE (cycloSPORINE capsules and oral solution) and how this non-modified form of the drug has decreased...
An emergency department (ED) pharmacist was talking to a patient about his U-500 insulin dose. The patient, who had been using a U-500 insulin pen, told the...