Category Archives: Medication Safety

Outsourcing sterile product preparation and the importance of quality assurance

I’m sure you’ve heard about the recent meningitis outbreak tied to a contaminated batch of preservative-free methylprednisolone acetate. The story has received significant attention as more that 100 people have been sickened and as many as eight have died as a result of receiving an injection of the contaminated steroid (this data is already out of date… Read More »

A trip to IHOP and more thoughts on color

A trip to the local IHOP (@IHOP) this morning for breakfast with my family reminded me of something I saw a couple a weeks ago and this post about the use of color in pharmacy labels. It’s a big of a stretch, I know, but the things that pop into one’s mind aren’t necessarily controlled by logic.

Prenteral nutrition error [from #ISMP]

From the latest ISMP Medication Safety Alert!, a mix up between an adult parenteral nutrition (PN) template in an electronic health record (#EHR) and one for pediatrics. The big difference between these two is how you order electrolytes; it’s a really big difference. The most shocking part of all this was that the error made… Read More »

Warning labels on outpatient prescription vials not so great after all

Everyone has seen them, I know you have. Those little colored labels that the pharmacy slaps on your bottle when you get a prescription: “May cause drowsiness”, “Avoid excess sun”, “Do not take aspirin products without doctor approval” and so on. There are a ton of them. I remember seeing them lined up in front… Read More »

Article: The costs of adverse drug events in community hospitals

The article below appeared in the March 2012 edition of Joint Commission Journal on Quality and Patient Safety – yes, that’s a real journal. I couldn’t make this stuff up – Anyway, there’s nothing new here, we all know that ADEs are expensive. How expensive? Well, the bottom line is that “ADEs were associated with an increased adjusted… Read More »

Ambiguous and Dangerous Abbreviations article results in interesting comment

There’s a little blurb in the March 2012 issue of Pharmacy Times about the dangers of using inappropriate abbreviations in prescriptions. The author gives a couple of good examples where the use of abbreviations resulted in errors. I’ve seen my fair share of crappy handwriting and liberal use of abbreviations during my career, and I almost always read… Read More »