MSOS Discussion Board

Medication IV Push practice, implementation, and issues

Kevin McVey's picture

Forums: 

Does anyone have any experience with IV push medication and issues? Generally surrounding implementation of IV push antibiotics but also sometimes antiseizure medications and then having to reverse course? Positive vs negative experiences? What was learned? Is anyone having continuing issues with IV push and if so what are they?

Cerner EHR age-based percentile support?

Emily Gorman's picture

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Hi everyone, we have had a couple pediatric weight error near misses in recent months. We were reviewing ISMP safe practice recommendations and noted the following recommendation. "Leverage the EHR. Check if your EHR can incorporate age-based percentile support which could help raise suspicion that a weight or height may be incorrect."

Safeguarding Insulin Pen Use

Lissney Borrego's picture

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Hello,

Our institution is exploring the implementation of insulin pens (e.g., insulin glargine pens) within our freestanding emergency departments.

We are seeking insight on best practices to ensure this process is appropriately safeguarded, specifically regarding strategies to prevent use of a single pen for multiple patients (e.g., needle changes between patients).

Any guidance or shared experiences would be greatly appreciated.

Thank you.

Methadone Intensol 10 mg/mL Med Error

Henri Valois's picture

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We recently had a med error (10x dosing error) with methadone intensol that was ordered from the med rec (Epic). We only have methadone tablets and methadone intensol 100 mg/10 mL unit dose cups on our formulary. What formulations do you have at your facility? How are you safely dispensing methadone intensol? Any input is appreciated.

Smart Pump Committee

mark heelon's picture

Forums: 

Hi all,

We are looking to revise our Health System’s Smart Pump Committee and Charter. Does your hospital have a committee that oversees smart pump technologies? Wanted to see if anyone would be willing to share the following:

Who are the members of the committee and general reporting structure?

What are the responsibilities of the committee?

Do you have a system for monitoring data obtained from smart infusion pumps?

Could you share your committee charter and any policies governing smart pumps?

2026-27 TMBSP for Hospitals release?

Erin Gavin's picture

Forums: 

Good morning,
My organization's access to ECRI/ISMP has changed so I want to be sure I didn't miss anything. Have the new hospital best practices been released as a full document yet, or is there a date for release? All I've seen is the article in Pharmacy Practice News announcing what the new practices will be.

Thanks!
Erin

https://www.pharmacypracticenews.com/Online-First/Medication-Safety/Arti...

2026-27 TMBSP for Hospitals release?

Erin Gavin's picture

Forums: 

Good morning,
My organization's access to ECRI/ISMP has changed so I want to be sure I didn't miss anything. Have the new hospital best practices been released as a full document yet, or is there a date for release? All I've seen is the article in Pharmacy Practice News announcing what the new practices will be.

Thanks!
Erin

https://www.pharmacypracticenews.com/Online-First/Medication-Safety/Arti...

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