Multiple High Risk Events Involving Workflow Wasting Medications Used Anesthesia

This case and commentary appeared on the AHRQ PSNet in July 2020.

Hospitals Can Take Key Steps to Improve Safe Use of Digital Systems

This article appeared on the Pew Charitable Trusts website on July 21, 2020.

Blank NMBA Cap Poses Lethal Med Error Risk

This article appeared on the Pharmacy Practice News website on July 6, 2020.

Due to ISMP Advocacy, VinCRIStine Labeling and Packaging Changed to Prevent Wrong Route Administration

ISMP commends the U.S. Food and Drug Administration for requesting that Pfizer revise its current prescribing information and product packaging for vinCRIStine to eliminate syringe administration.

ISMP Warns about Medication Safety Issues with Drug Shortage Replacement Products

Practitioners should be prepared to take extra precautions with vials of neuromuscular blocking agents without the usual “Warning: Paralyzing Agent” statement required on vial caps and a propofol p...

ISMP Shares Announcement Neuromuscular Blocking Agents Will Not Carry Safety Alert Caps Due to COVID-19 Demand

This article appeared on the Anesthesia Patient Safety Foundation website on June 5, 2020.