Wanted to learn if any organizations are performing staff-led safety walkrounds. If so, can you describe the structure and frequency of the walkrounds and if possible share any "scripted" questions that you ask.

Thanks!

Do you have any alerts in your EMR (for the provider or the pharmacist) to prompt evaluation of compliance for patients admitted on clozapine from home? After polling the pharmacists at our hospital, most have on their radar to evaluate for issues of neutropenia, but most were not aware of the serious risks of restarting therapy in patients that have had interruptions in dosing of > 2 days.

I am presenting ADR e-code data for our institution at our Medication Safety Committee. For anyone that has presented this data before, what ways did you break down the data? per 1,000 med administration? per admission? other ways?

Also what e-codes did you include in your review?

Thanks,

Jeff McCarthy
Southcoast Health

Hi all,

Our current inpatient practice for insulin detemir (U-100) is unit-dose preparation by pharmacy using vials and 1 mL insulin syringes.

Doses ~greater than 75 units can cause the syringe to become unstable and plunger/stopper to possibly fall out (stopper is close to the end)

Alternative solutions come with pros and cons; curious to see what other facilities are doing for these larger doses.

Our anesthesia and neuro groups had some back-and-forth regarding the optimal units to use for ketamine infusions. Anesthesia initially wanted a rate (non-weight-based), but now have agreed to go with weight-based. The question is now whether to use mg/kg/hour vs. mcg/kg/min for continuous infusions. What do you use at your institutions? Do units differ for different indications/specialties?

Just a quick questions about High Alert Medications. Does your institution consider Oxytocin a high alert medication. If yes, do you require double check with initiation and subsequent rate change? Thanks for you help in advance.
Maryam D'Alberto
Medication Safety Pharmacist
Carroll Hospital

One of the requests members made during the recent MSOS meeting in Boston at the ASHP Summer Meeting was to add an Excel version of the ISMP Quarterly Action Agenda along with the PDF and Word versions we publish every 3 months in the ISMP Medication Safety Alert! This week's publication (QAA for April-June) will add access to an Excel formatted version. Thanks for the suggestion. Chris and Mike

I am trying to see what Oral Dextrose product do other hospitals use for their Neonates and Peds? Thank you.

Good Evening-
Our organization has recently standardized all intravenous smart pump technology and drug library content across our health system (11 hospitals). I am reaching out to see what strategies have been successful at other institutions in implementing and sustaining a control plan for smart pump technology. We have been provided a guide by our vendor (BD), but I wanted to see what strategies others have used to ensure active multidisciplinary engagement.
Thanks!

Hi,
I know that Potassium Chloride infusions have been a topic of discussion in the past, but I wanted to know if any institutions have specific policies in place about maximum doses. Currently, we have restricted 20 mEq/100 mL infusions to the CCU/ICU only for patients with Central lines. Do other facilities restrict 20 mEq's to central lines only, Telemetry patients, etc or does anyone have any other policies? We're curious to see how other places handle this.
Thanks in advance,
Lana Bell