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ismp1

  1. Confusion compounded vs. commercial Tamiflu Suspension concentration during shortgage. http://bit.ly/4GnCMl
  2. ISMP presenting Automated Dispensing Safety talk in Columbia SC today. SC Soc Health-Syste Pharmacists Meeting.
  3. Getting reports of dosing errors in kids. MD orders Tamiflu Susp unaware of mnfr shrtg of 12 mg/mL. Label has RPh dispensing 15 mg/mL!
  4. Capt Sullenberger (USAir Flt 1549): had Just Culture book in bags upon splashdown. Now displayed in local library near his home. PARADE MAG
  5. Latest ISMP QuarterWatch drug safety report available at: http://www.ismp.org/Quarter...
  6. Surprise - Some vendor barcode scanners beep whether correct drug or not. Beep means scanner was able to read barcode! ISMP MSA 2nite.
  7. Anes Pt Safety Fdtn (APSF) recommending pulse ox for most PCA pts/capnography for those most at risk. See ISMP MSA tonight.
  8. Consumermedsafety.org has new consumer med safety videos: http://www.consumermedsafet.... T.Y. Everwell!
  9. Potency of USP unit changes Oct 1. About 10% less what used to be. Due to intl harmonization. More in ISMP MSA tonight.
  10. > 3800 respondents to ISMP survey - 88% - "near miss" is error not reaching pt. 3% say error that reached, caused no harm (AHRQ def).
  11. ISMP's consumer website wins industry award for developer: http://bit.ly/dJqX0
  12. Promethazine injury was subject of Supreme Court decision in Wyeth vs. Levine. http://bit.ly/Ysshs
  13. ISMP Survey on promethazine tissue injury: http://www.ismp.org/downloa...
  14. Original report on promethazine prompting FDA action: http://www.ismp.org/downloa...
  15. FDA Pt Safety News video on promethazine tissue damage. http://bit.ly/2yJUst
  16. Never use a dash (-) in dosing (e.g., 10-mg). Handwritten, slanted dash can look like a 1. Zero and dash sit side by side on keyboard.
  17. Ongoing mix-ups reported to us between VALTREX (valacyclovir) and VALCYTE (valganciclovir). valACYclovir and valGANCIclovir recommended.
  18. Casidex-Kapidex mix-ups reported. Kapidex can easily be misspelled "Capadex," Google&find Darvocet-like foreign product with Internet sales.
  19. Updated article on Eric Cropp, sentenced to jail for an error: http://bit.ly/9ofbY
  20. ISMP on panel at National Quality Forum today, deliberating 2009-2010 update Safe Practices for Better Healthcare