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Promoting Medication Safety: Free ISMP Nurse Advise-ERR Newsletter



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Feb 17, 2004 07:27 AM

Promoting Medication Safety: Free ISMP Nurse Advise-ERR Newsletter

by NRSKarenRN Staff
Updated Dec 17, 2006 at 10:55 PM by NRSKarenRN

Still going strong into 2009 coutesy of McKesson Corporation & Baxter grant. ---unbiased info here. Karen

Check out the
Institute for Safe Medication Practices (ISMP) Nurse Advise-ERR

a medication safety newsletter written especially for nurses by nurses. As an adjunct publication to the widely read ISMP Medication Safety Alert! Acute Care Edition, this monthly, two-page newsletter will be offered free to nurses through an unrestricted grant. While the drug safety issues covered in the ISMP Medication Safety Alert! Acute Care edition are certainly applicable to nurses, anecdotal evidence suggests that crucial medication safety information may not be reaching very busy front-line nurses who are continuously overwhelmed with information related to a wide variety of important issues. Through its unique design, it's anticipated that ISMP Nurse Advise-ERR will be just the vehicle needed to deliver valuable medication safety information to nurses who administer medications.



March 2009
  • Various release formulations of oral opioids cause confusion
  • Recalled infusion pump
  • Hazard Alert: Reuse of insulin pens for multiple patients risks the transmission of blood-borne disease
  • Nurse captures a levetiracetam and levofloxacin mix-up
  • Smart pump guidelines open for public comment
  • 10-minute survey on Look-Alike and Sound-Alike (LASA) drug names
Updated links for 2009:


Free CE: CE for Nurses through Nurse Advise-ERR

Twice a year, ISMP offers 1 hour of CE credit covering the previous six issues of the Nurse Advise-ERR newsletter. To obtain the credit, nurses must read the prior issues and answer questions posted on our website.


If you're not already a subscriber, visit Nurse Advise-ERR to sign up.



Back issues of the newsletter are available at: http://www.ismp.org/NursingArticles/list.htm.


I receive this publication at work and distribute throught my organization. Recommend that ALL NURSES & nursing students read it. Karen


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11 Comments
No. 1
Old Mar 06, 2005, 02:10 PM

Thank you for making people aware of this Continuing-ed. resource:

http://www.ismp.org/NursingArticles/list.htm.
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No. 2
from NurseFirst
Old Mar 10, 2005, 10:30 PM

Originally Posted by NRSKarenRN
Check out the
Institute for Safe Medication Practices (ISMP) Nurse Advise-ERR

a medication safety newsletter written especially for nurses by nurses. As an adjunct publication to the widely read ISMP Medication Safety Alert! Acute Care Edition, this monthly, two-page newsletter will be offered free to nurses during 2003 and 2004
through an unrestricted grant from Eli Lilly and Company used to fund the start-up of this important publication. While the drug safety issues covered in the ISMP Medication Safety Alert! Acute Care edition are certainly applicable to nurses, anecdotal evidence suggests that crucial medication safety information may not be reaching very busy front-line nurses who are continuously overwhelmed with information related to a wide variety of important issues. Through its unique design, it's anticipated that ISMP Nurse Advise-ERR will be just the vehicle needed to deliver valuable medication safety information to nurses who administer medications.

In the February 2004 issue of Nurse Advise-ERRä, a peer-reviewed newsletter published by the Institute for Safe Medication Practices.

-- Could you mix up IV lines while setting up or programming a multiple-channel IV pump?
-- The risks of leaving an unneeded intra-arterial line in place.
-- ISMP issues a list of high-alert medications.
-- Helpful questions to use when evaluating infusion pumps.
-- Enter the ISMP Patient Safety Contest, being held in celebration of National Patient Safety Week, March 7-13, 2004.

Free CE: You can earn free Continuing Education units for reading the 2003 issues of this newsletter. Visit www.ismp.org/nursingce to participate.

Nurse Advise-ERRä is offered free during 2004 through an educational grant from Eli Lilly and Company. We encourage you to redistribute it to as many nurses as possible in your healthcare system. If you're not already a subscriber, visit
http://www.ismp.org/NursingArticles/index.htm to sign up. Back issues of the newsletter are available at: http://www.ismp.org/NursingArticles/list.htm.


I receive this publication at work and distribute throught my organization. Recommend that ALL NURSES & nursing students read it. Karen

I also discovered a couple of other organizations that are working to reduce medical mistakes: http://www.leapfroggroup.org which is 160 organizations which are group health care consumers--that is, they buy group health insurance. They have hospital reviews which indicate where, in using the various leapfrog levels (there are 4) they have implemented. (For instance, the first is CPOE--computerized physician order entry--for physicians to input prescriptions.)

There is also another, which I discovered from the leapfrog site,
http://www.qualityforum.org
haven't spent that much looking at that, yet.

NurseFirst
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No. 3
from NRSKarenRN
Old Sep 07, 2005, 01:48 PM
Updated Dec 17, 2006 at 10:47 PM by NRSKarenRN

Default September 2005 ISMP Nurse Advise-ERR Newsletter
From September 2005 issue of Nurse Advise-ERR, a peer-reviewed newsletter published by the Institute for Safe Medication Practices (ISMP).

In this month's issue:
Here's what you'll find in the September 2005 issue ...


--Cultural diversity and medication safety

--All is not as it seems: Protonix or protamine?

--Educational materials resource for your Asian-language speaking patients

--Enteral feeding drug-nutrient interactions



Special Announcements:

Teleconference. Our teleconference, "Risk Reduction Strategies for Medication Errors in the Perioperative Setting," will be held on Wednesday September 21st at 1:30 pm EDT. Speakers from ISMP, the Association of periOperative Registered Nurses (AORN), and ISMP-Canada will focus on medication and patient safety in the perioperative setting and will help organizations meet the 2006 JCAHO Patient Safety Goal requiring the labeling of all medications and medication containers on and off the sterile field in perioperative and other procedural settings. Information provided by the expert speakers will lay the foundation for how to achieve a genuine culture of safety in the perioperative setting. All speakers will present practical strategies that can be proactively used by individual practitioners and clinical departments. More information and registration at: http://www.ismp.org/T/200509/index.htm.



New ISMP Tool online! Please visit our website www.ismp.org for access to our newest tool, ISMP’s List of Confused Drug Names. Please note that we also have updated and reformatted two of our existing tools: ISMP’s List of High-Alert Medications, and ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations.


Nurse Advise-ERR is offered free to nurses through an educational grant from McKesson. We encourage you to designate a primary subscriber in your organization who then redistributes it to as many nurses as possible in your healthcare system.

Back issues of the newsletter are available at: http://www.ismp.org/NursingArticles/list.htm.
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No. 4
from NRSKarenRN
Old Dec 17, 2006, 11:00 PM
Updated Dec 17, 2006 at 11:09 PM by NRSKarenRN

Default Re: Promoting Medication Safety
ISMP Nurse Advise-ERR
Medication Safety Alert!

Educating the healthcare community about safe medication practices


December 2006 Volume 4 Issue 12



Highlights:




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No. 5
from VickyRN
Old Dec 26, 2006, 07:09 PM
Updated Jul 21, 2007 at 06:09 PM by VickyRN

Default Journal Articles Concerning Medication Safety
Toward Safer IV Medication Administration: The narrow safety margins of many IV medications make this route particularly dangerous

NursingCenter - Library - Journal Issue - Article

High-alert drugs: Strategies for safe I.V. infusions
To prevent medication errors with the most dangerous drugs, use these evidence-based strategies. About 80% of all patient deaths are caused by some 20 drugs. Do you know what these high-risk medications are and has your facility taken the necessary steps to safeguard against errors?


MEDICATION SAFETY: Look-Alike/Sound-Alike Drugs in Home Care

NursingCenter - Library - Journal Issue - Article

Pump away high-risk infusion errors

NursingCenter - Library - Journal Issue - Article

Teaching Correct Use of Inhaled Medications

NursingCenter - Library - Journal Issue - Article
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No. 6
from VickyRN
Old Dec 27, 2006, 12:24 AM

Default Re: Promoting Medication Safety

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No. 7
from VickyRN
Old Dec 27, 2006, 07:28 AM

Default Re: Promoting Medication Safety
Preventing adverse drug events

SIMPLY PUT, an adverse drug event (ADE) is an injury or other undesirable response to a drug administered for a therapeutic effect. This includes not only adverse drug reactions but also adverse outcomes associated with omissions in therapy, such as the failure to administer a drug as ordered. Medication errors are a common cause of ADEs, but allergic or immunologic responses and other adverse reactions, including toxicity and drug interactions, are also considered ADEs, even when not related to an error.
Although some ADEs are little more than minor annoyances, others are life-threatening. The cost of ADEs in patient suffering and added health care expense is enormous. According to one estimate, ADEs increase the cost of hospitalization by $2,200 to $3,200 per stay and prolong hospital stays by 2 days on average.

As part of its 100,000 Lives initiative, the Institute for Healthcare Improvement is campaigning to prevent ADEs and save lives through medication reconciliation. For details on this initiative, see “Best-Practice Interventions: How Medication Reconciliation Saves Lives” on page 63. In this article, I'll discuss why various types of ADEs occur and how you can help promote a culture of medication safety in your facility.
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No. 8
from VickyRN
Old Dec 29, 2006, 03:20 PM

Default Re: Promoting Medication Safety
Awesome video and resource:

Preventing Medication Errors
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No. 9
from NRSKarenRN
Old Jan 02, 2007, 08:22 AM

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