This week’s featured newsletter explores lessons learned from the recent criminal trial of an Ohio physician for ordering unusually high doses of opioids, and presents recommendations for developing an escalation process that helps promptly resolve disputes over the safety of medication orders: https://www.ismp.org/node/31756
A National Alert Network (NAN) warning has been issued regarding possibile mix-ups with potassium chloride for injection concentrate in EXCEL plastic bags. The new B. Braun pharmacy bulk packaging could be accidentally infused directly into a patient’s IV line. To access the alert and safe practice recommendations, visit: www.ismp.org/node/31719
ISMP has posted the draft Guidelines for Medication Safety in Perioperative and Procedural Settings for public input. Deadline is May 27, 2022: https://www.ismp.org/resources/guidelines-safe-medication-use-perioperat...
Our survey shows that there is room for improvement in the implementation of the three new ISMP Targeted Medication Safety Best Practices for Hospitals. This week’s free featured newsletter article provides an overview of common barriers and enablers: https://www.ismp.org/node/31512
In a recent national news article, ISMP is quoted advocating for requiring entry of at least five letters of a drug’s name when searching automated dispensing cabinets. The article focuses on changes safety experts recommend in the wake of the recent criminal conviction of a former nurse: https://www.cnn.com/2022/04/28/health/hospital-drug-mistakes-khn/index.html