I quite literally stumbled across this the other day while doing research for another project. I heard that ISMP had updated their best practices document, but didnâ€™t see an official announcement. Itâ€™s possible I just missed it.
The document contains some great new safety recommendations. All in all there are eleven best practices listed. Most of the recommendations are what I would consider minor, but there are a couple that I think are worth highlighting:
Dispensing vinCRIStine in a minibag instead of a syringe. This is one of those ideas that seems so simple, yet brilliant. When you read it, you instantly say to yourself “why didnâ€™t I think of that?”. VinCRIStine is commonly dispenses in a syringe and given via short IV push. However, being dispensed in a syringe has led to the accidental administration of the drug via the intrathecal route. The result is devastating neurological damage, up to and including death. By simply putting the drug in a minibag, you effectively eliminate the possibility of it being administered intrathecally.
Performing independent verification of ingredients during sterile compounding. This includes a recommendation to use technology to â€œassist in the verification process (e.g., barcode scanning verification of ingredients, gravimetric verification, robotics, IV workflow software) to augment the manual processes.â€ I believe this is the first official document from an organization to include such a recommendation. Congratulations to ISMP for having the resolve to do this. ASHP needs to follow suite.
More information can be found here: 2016-2017 Targeted Medication Safety Best Practices for Hospitals [PDF]