ISMP - Medication Safety





Health Literacy—¿Comprende? Not Necessarily. 6/18/2009

Medication errors are more likely in those with low health literacy, including many older adults, patients with chronic diseases, recent immigrants, and people who do not understand English well or at all.

Transdermal Patches and Burns 4/20/2009

Patients should be educated about the risk of burns and other problems that could result from wearing topical delivery systems during MRI scanning or while exposed to the sun or excessive heat.

A Warning About Warning Labels 2/20/2009

A recent study showed that there is a high level of misunderstanding of prescription drug warning labels among adults with low literacy levels.

Safety Issues Are “Compounded” by Many Factors 12/15/2008

In unrelated cases that received widespread attention a few years ago, two college-aged women died after applying a pharmacy-compounded combination of lidocaine and tetracaine topical gel.

Not the Proper Mix 7/18/2008

A patient's father arrived at a community pharmacy to pick up an antibiotic for his child (amoxicillin suspension 250 mg/5 mL).

Separation Anxiety 5/20/2008

Recent changes in federal law regarding the stocking of pseudoephedrine products may present unforeseen communication errors between prescribers and pharmacies...

A Problem We Need to “Iron” Out 3/20/2008

Recently, a mother wrote to the Institute for Safe Medication Practices (ISMP) to express confusion about iron products and the relationship between ferrous sulfate and elemental iron.

Let's Get to the Point! 1/24/2008

Numbers containing decimal points are a major source of error, and when misplaced, can lead to misinterpretation of prescriptions.

Medication Errors in Intensive Care Units 5/15/2006

The complexity of ICUs, combined with the high acuity of the patients treated in these areas, creates an environment that is more susceptible to harmful patient outcomes when medication errors occur.
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