IMSN members publications

Click to have a look on the publications issued by each IMSN member

Centrale Medicatie-incidenten Registratie (CMR)

  • CMR Nieuwsbrief
    This newsletter discusses major risks, provides alerts and recommendations and informs about news from the Centrale Medicatie-incidenten Registratie (CMR).
    Periodicity: four issues by year
    Publication langage: Dutch
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to CMR Nieuwsbrief: Read on...

    What's new in the last issue?

    - News from PvP / CMR: ‘NOOTgeval’ naming case reviews from ambulance safety incidents; 17th National Emergency Congress
    - From the CMR database: patient mix-ups
    - Striking reports: Delivery problems with Thyrax°: conversion leads to 10fold error; Dosage control of dabigatran requires the mention of the indication on the prescription; Alert: omeprazole suspension by extemporaneous preparation
    - Incentives about practice: First use of insulins: what guidance for the patient? Anticoagulants: Who is in charge?

    What's new in the last community pharmacy issue?

    - News from the CMR: Collaboration between Boots and PvP/ CMR
    - Striking reports: Mix-up between leflunomide and lenalidomide; Alert: confusions between strengths of atropine eye drops; Reported again twice: Invalid conversion to Thyrax° levothyroxine 10x too high!
    - Incentives about practice: Prescriptions stopping treatments: important information for communities pharmacies and call to report similar incidents; Mix-up between insulins of different duration

  • CMR Signaal
    A short message which CMR want to raise a risk in the medication use process, when the recurrence rate is high.
    Periodicity: as needed
    Publication langage: Dutch
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to CMR Signaal: Read on...

    What's the last CMR Signaal?

    22 December 2016 - Linking wrong Social Security Number leads to incorrect medication list Read on (in Dutch)...

  • CMR Alerts
    Serious incidents with a high risk of recurrence, educational potential for other healthcare providers and actual or potential risk of serious harm to the patient (CMR three basic criteria for the relevance of the error).
    Periodicity: as needed
    Publication langage: Dutch
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to CMR Alerts: Read on...

    What's the last CMR Alert?

    12 December 2016: Important interactions missed due to poor computer date management leading to an erroneous date of the end of treatment Read on ...
    7 December 2016 - Ignorance of overfilled ampoule leads to possibly 50% higher dosage Read on ...
    17 November 2016 - Note Thyrax° dosage for conversion !! Read on ...
    12 May 2016 - Wrong choice in electronic prescribing list leads to pregnancy Read on ...
    23 December 2015 - “End date” in the current medication list leads to stop necessary medications Read on ...
    5 November 2015 - First confusion between Spiolto Respimat and Spiriva Respimat reported to CMR Read on ...
    16 July 2015 - Miscalculation in cabazitaxel preparation software Read on ...
    13 september 2013 - Error in drug preparation specification leads to excessively high dose of cabazitaxel (Jevtana®) Read on (English translation)...

  • CMR Praktijkprikkel
    A dynamic way on involving pharmacist into patient safety attention so-called “CMR incentives about practice”. With the consent of the reporter, case reports are presented by PvP/CMR with a short analysis. The described problem, selected to be obvious, is submitted to a specific survey on the problem and ways of preventing it.
    Periodicity: as needed
    Publication langage: Dutch
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to CMR Praktijkprikkel: Read on...

    What are the last CMR Praktijkprikkel?

    10 April 2017 - Issue 6: Reported again: unintentionally supply of phenprocoumon via automated dose dispensing (ADD)
    27 March 2017 – Issue 5: Serious overdose with Dipiperon®- drops
    13 March 2017 – Issue 4: Who is in charge of gentamicin dose adjustment in your hospital?
    27 February 2017 – Issue 3: Unintentional supply also via automated dose dispensing (ADD) leads to double intake of phenprocoumon
    13 February 2017 – Issue 2: Monitoring excipients not possible in software systems
    26 January 2017 – Issue 1: Inadvertently prolonged use of Brilique°

  • CMR Regular columns in professional journals
    Het Pharmaceutisch Weekblad

    The Pharmaceutisch Weekblad (PW) is the official journal of the Royal Dutch Society for the Advancement of Pharmacy (KNMP), distributed every week to all the members of the KNMP: community pharmacists, hospital pharmacists and pharmacy industry.
    Publication langage: Dutch
    Access to CMR column in the Pharmaceutisch Weekblad: Read on...

    UA

    UA is a glossy magazine for pharmacy technicians, aiming to provide background information and practical facts and figures in an easily readable form.
    Publication langage: Dutch
    Access to CMR column in UA: Read on...

Danish Patient Safety Authority - Styrelsen for Patientsikkerheds læringsenhed


The Danish Patient Safety Authority is responsible for the administration of the system for reporting inadvertent incidents within the health service, and helps to make sure that the knowledge gained from these incidents and complaints and liability suits is used preventatively. The incidents are administrated in the Danish Patient Safety Database.

  • Newsletter from the Learning Unit
    The Newsletter from the Learning Unit is published by the Learning Unit of the the Danish Patient Safety Database.
    Periodicity: quaterly
    Publication langage: Danish
    No Subscription. Available for free download.
    Access to the Danish Patient Safety Authority’ Newsletter from the Learning Unit: Read on...

    What's new in the last Newsletter from the Learning Unit?

    - Could it happen with you? Confusion of insulin preparations

  • Attention notes
    The Attention notes are issued when serious or fatal incidents are registered by the Danish Patient Safety Authority in the Danish Patient Safety Database.
    Periodicity: as needed
    Publication langage: Danish
    No Subscription. Available for free download.
    Access to the Danish Patient Safety Authority’ Attention notes: Read on...

    What are the last medication attention notes?

    16 December 2016 - Risk of confusion between Gardasil° and the MMR vaccine Read on...
    9 March 2016 - Dement patients and patches Read on... ; It goes wrong when the patch must be changed Read on...
    15 June 2015 - Pradaxa® capsules should remain in the blister pack until use Read on...

  • Thematic reports
    The Thematic reports investigate a topic in-depth. It could be issued on request or when serious, fatal or repeated incidents are registred by the Danish Patient Safety Authority in the Danish Patient Safety Database.
    Periodicity: 2-4 yearly
    Publication langage: Danish
    No Subscription. Available for free download.
    Access to the Danish Patient Safety Authority’ Thematic reports: Read on...

    What are the last Thematic reports?

    2014 - Insulin use - identification of adverse events and proposals for preventive measures Read on...
    2014 - Thematic Report on the observation of patients in hospitals Read on...
    2013 - Thematic Report on dose dispensing Read on...
    2013 - Medication in housing and other services for people with disabilities Read on...

Hong Kong Hospital Authority

  • Medication Safety Bulletin
    The Medication Safety Bulletin (MSB) is published biannually (May and November) to serve as an educational publication to share issues related to medication safety.
    Periodicity: twice a year
    Publication langage: English
    No subscription. Available for free download.
    Access to Medication Safety Bulletin: Read on...

    What's new in the last issue?

    - Update of Medication Safety Guidelines issued by Medication Safety Committee HAHO
    - Look-alike & Sound-alike medications: From incident to improvement
    - Corporate system enhancement to facilitate structured input of Clinical Management System alert
    - New Territories East Cluster’s experience on Near Miss reporting

  • Risk Alert
    A risk management newsletter for Hong Kong Hospital Authority healthcare professionals
    Periodicity: four issues by year
    Publication langage: English
    No subscription. Available for free download.
    Access to Risk Alert: Read on...

    What's new in the last issue?

    - Risk Mitigation Strategy: Surgical instrument / material removal
    - Sentinel Events (SEs) (Q3 2016): Asymmetry of medical knowledge between doctors and patients: incidents are no exemption. Retained instruments / material, Inpatient suicide, Gas embolism
    - Serious Untoward Events (SUEs) (Q3 2016): Known drug allergen cases; Ketorolac is a non-steroidal anti-inflammatory drug (NSAID); Colchicine was prescribed for prolonged duration
    - Global Sharing: Withdrawing insulin from pen devices (on the basis of the 16 November 2016 NHS England Patient Safety Alert)
    - Local Sharing: Specimen container with NEW security seal

Irish Medication Safety Network

  • IMSN Safety Alerts
    IMSN medication safety briefings and alerts are published in the Pharmacy Journal and Clinical Indemnity Scheme Newsletter
    Periodicity: as needed
    Publication langage: English
    No Subscription. Available for free download.
    Access to IMSN Safety Alerts: Read on...

    What's the last alert?

    October 2016 - IMSN Safety Alert on Allergy and Anaphylaxis to Known Drug Allergens (update of original alert published in October 2012) Read on...
    July 2016 - IMSN Safety Alert: Risk of Cross-contamination with Insulin Pens (update of original alert published in November 2013) Read on...
    July 2016 - IMSN Safety Alert: Confusion Risk with trastuzumab EMTANSINE (Kadcyla®) and trastuzumab (update of original alert published in July 2014) Read on...
    October 2015 - IMSN Safety Alert: IV Magnesium Sulphate in Obstetrics Read on...
    May 2015 - IMSN Safety Alert on Novel Oral Anticoagulants (NOACs) Read on...

ISMP Brasil

  • Boletim ISMP Brasil
    The ISMP Brasil Newsletter aims to disseminate relevant information on medication errors at all levels of health care. In each edition, topics of interest for institutions, health professionals and society are addressed.
    Periodicity: four to five issues by year
    Publication langage: Portuguese
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to Boletim ISMP Brasil: Read on...

    What's new in the last issue?

    Drug related falls

  • Safety Alerts
    Periodicity: as needed
    Publication langage: Portuguese
    No Subscription. Available for free download.

    What's the last alert?

    April 2017 - Mix-up risk between vaccine vials Read on...
    August 2016 - Mix-up risk with vials of injectable potassium chloride Read on...
    28 April 2016 - Mix-up risk with flu vaccine vials Read on...

ISMP Canada

  • ISMP Canada Safety Bulletin
    The purpose of the bulletins is to confidentially share the information received about medication incidents which have occurred and to suggest medication system improvement strategies for enhancing patient safety. The bulletins will also share alerts and warnings specific to the Canadian market place.
    Periodicity: 10 to 13 issues by year
    Publication langages: English and French
    No Subscription (excepted for commercial corporations or Government agencies).
    Available for free download or sent by e-mail to registered users.
    Access to the ISMP Canada Safety Bulletin: Read on...
    Access to the Bulletin de l’ISMP Canada: Read on...

    What's new in the last issue?

    - Acetaminophen: Preventing Harm through Safe Use
    - Updated Paper to Electronic MedRec Implementation Toolkit Now Available
    - SafeMedicationUse.ca Newsletter Synopsis: Suddenly Stopping a Medication Can Be Harmful
    - Updated Medication Reconciliation Getting Started Kits
    - More than 100 Endorsements for 5 Questions to Ask

  • ISMP Canada Alerts
    Periodicity: as needed
    Publication langage: English and French
    Available for free download or sent by e-mail to registered users.
    Access to ISMP Canada Alerts: Read on...

    What's the last alert?

    9 September 2015 - ALERT: Methylene Blue Interaction Leads to Serotonin Syndrome Read on...
    31 March 2015 - ALERT: Shortage of Topical Epinephrine 1:1000 Poses Safety Risks Read on...

  • SafeMedicationUse.ca Safety Newsletter for Consumers
    SafeMedicationUse.ca provides a better way for consumers to report medication incidents and to get information about using medication safely.
    Periodicity: 8 to 10 issues by year
    Publication langages: English and French
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to the SafeMedicationUse.ca Safety Newsletter for Consumers: Read on...
    Access to the Bulletin de Médicamentssécuritaires.ca: Read on...

    What's new in the last issue?

    - Suddenly Stopping a Medication Can Be Harmful

  • SafeMedicationUse.ca Safety Alert for Consumers
    SafeMedicationUse.ca provides a better way for consumers to report medication incidents and to get information about using medication safely.
    Periodicity: 8 to 10 issues by year
    Publication langages: English and French
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to SafeMedicationUse.ca Safety Alert for Consumers: Read on...
    Access to Médicamentssécuritaires.ca Alerte: Read on...

    What's the last alert?

    31 March 2014 - More Reports of Eye Injuries Involving Clear Care Read on...

  • Ontario Critical Incident Learning Bulletin
    Funding for this bulletin and the associated knowledge translation project is provided by the Ontario Ministry of Health and Long-Term Care.
    Periodicity: four to five issues by year
    Publication langage: English
    No subscription. Available for free download.
    Access to Ontario Critical Incident Learning: Read on...

    What's new in the last issue?

    - Strengthening Medication Reconciliation (MedRec) at Discharge

  • Regular columns in professional journals
    From 1999 to 2010, ISMP Canada articles were published in regular columns that appear in the Canadian Journal of Hospital Pharmacy (CJHP), in Hospital News, and less frequently in the Canadian Pharmacists Journal, the official publication of the Canadian Pharmacists Association.

    CACCN Dynamics

    CACCN Dynamics is a journal published by the Canadian Association of Critical Care Nurses.
    Publication langage: English
    Access to ISMP Canada column in CACCN Dynamics: Read on...

    Healthcare Quarterly

    Healthcare Quarterly' objectives are to document and disseminate leading practices in health service delivery and policy development and to help Canadian health system managers anticipate and respond to changing environments, demands and mandates. Healthcare Quarterly’s target audience is decision and policy makers in governments, regions, networks, hospitals and facilities across Canada and internationally.
    Publication langage: English
    Access to ISMP Canada articles in Healthcare Quarterly: Read on...

    Pharmacy Connection

    Pharmacy Connection is the official publication of the Ontario College of Pharmacists.
    Publication langage: English
    Access to ISMP Canada column in Pharmacy Connection: Read on...

ISMP España

    The list of confused drug names in Spain has been updated. Read on...
  • ISMP España Boletin
    The contents of this newsletter with recommendations for prevention of medication errors have been made from the reports sent by health professionals to the medication errors reporting and learning programme financed by the Spanish Ministry of Health, Social Services and Equality.
    Periodicity: 1 to 6 issues by year
    Publication langage: Spanish
    No subscription. Available for free download.
    Access to ISMP España Boletin: Read on...

    What's new in the last issue?

    - Prevention of medication errors with oral anticoagulants
    With references to the recommendations from a recent consensus document published by the Ministry of Health, Social Services and Equality:
    “Prácticas seguras para el uso de anticoagulantes orales” Madrid: Ministerio de Sanidad, Servicios Sociales e Igualdad; 2016 (Read on (in Spanish)…)

  • ISMP España Alertas
    Periodicity: as needed
    Publication langage: Spanish
    No subscription. Available for free download.
    Access to ISMP España Alertas: Read on...

    What's the last alert?

    April 2016 - Change in the presentation of Methotrexate Wyeth° 2.5 mg tablets to prevent medication errors Read on...
    12 July 2012 - Risk of error in the preparation of cabazitaxel (Jevtana°) Read on...

  • Labeling/packaging prone to errors
    Periodicity: as needed
    Publication langage: Spanish
    No subscription. Available for free consultation.
    Access to ISMP España Labeling/packaging prone to errors: Read on...

    What are the last alerts?

    16 February 2017 - Risk of confusion between ampuls of Ropivacaine GES° 2 mg/mL 10 mL and Magnesium Sulfate Genfarma° 1.5 g/10 mL
    26 January 2017 - Confusion between 10 mL plastic ampoules of Lidocaine B Braun° and Glucocemin° 33% Braun
    22 December 2016 - Confusion of Diclofenac Llorens° ampuls 75 mg / 3 mL with those of Metamizol Normon° 2 g / 5 mL and Flumil® 300 mg / 3 mL (acetylcysteine)
    12 October 2016 - Risk of dosage errors with Aspegic° injectable
    26 August 2016 - Risk of dosage errors with Nexavar° (sorafenib) tablets 200 mg
    5 August 2016 - Risk of inappropriate storage of vials Zerbaxa° 1 g / 0.5 g (ceftozolane / tazobactam)
    2 August 2016 - Continuing confusion between Alkeran° 2 mg (melphalan) and Leukeran° 2 mg (chlorambucil)
    1 August 2016 - Confusion between packages of Remifentanil Sala° vials 1 and 5 mg
    21 July 2016 - Risk of incorrect conservation Mekinist° 0.5 mg, 1 mg and 2 mg coated tablets (trametinib)
    8 June 2016 - Risk of confusion between ampuls of Fentanest° 0.15 mg / 3 mL (fentanyl) and Normon° ondansetron 4 mg / 2 mL or GES° pethidine hydrochloride 100 mg / 2 mL
    18 April 2016 - Confusion between the ampules of Solinitrina Fuerte° 5 mg / mL 10 mL and Noradrenalina Normon° 1 mg / mL 10 mL
    5 April 2016 - Change in the labeling of vials of Sodium Acetate 1 M Fresenius Kabi° to prevent confusion with Potassium Acetate B. Braun 1 mEq / mL°
    22 March 2016 - Confusion between Berinert® 500 U (C1 inhibitor esterase), Beriate° 500 IU (factor VIII) and Beriplex° 500 IU (prothrombin complex)
    22 February 2016 - Confusion between the ampules 10 mL Bupivacaine 2%, Midazolam 50 mg and levobupivacaine 2.5 mg / mL Normon

ISMP USA

  • ISMP Medication Safety Alert! Acute Care edition
    The Acute Care edition newsletter has been in circulation since 1996. It is a compilation of medication and device related errors, prevention recommendations and editorial content. It alerts practitioners and managers in a timely fashion to potentially hazardous situations that may contribute to adverse drug events.
    Periodicity: biweekly
    Publication langage: English
    On subscription only. Sent by e-mail to subscribers.
    Access to ISMP Medication Safety Alert! Acute Care edition: Read on...

    What's new in the last issue?

    - QuarterWatch (2016 Quarter 3 Data) Depression and suicidal behaviors: Exploring the link with certain drugs; Serious injuries from aspirin
    - Device-related kits may have medications that aren't FDA-approved
    - Safety briefs: Can wholesaler totes be a source of fungal contamination? Baxter makes smart pump library guide available; Don't leave "Meds to Beds" prescription bags at beside; "Ellipta" - it's not a drug

  • National Alert Network (NAN) Alert
    ISMP joined with the other members of the National Coordinating Council on Medication Error Reporting and Prevention (NCC MERP) to create a National Alert Network (NAN) that broadens the reach of alerts. The NAN warns healthcare providers through several national distribution channels of the risk for medication errors that have recently caused serious harm or death.
    Periodicity: as needed
    Publication langage: English
    No Subscription. Available for free download or sent by e-mail to ISMP bulletins subscribers.
    Access to National Alert Network (NAN) Alert: Read on...

    What's the last alerts?

    15 September 2016: Observe for possible fluid leakage when preparing parenteral syringes Read on...
    30 June 2015 - Move toward full use of metric dosing: Eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL Read on...
    23 March 2015 - Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection Read on...

  • ISMP Medication Safety Alert! Community/Ambulatory Care edition
    The Community/Ambulatory Care edition is targeted toward pharmacists, pharmacy technicians, nurses, physicians and other community health professionals. This newsletter provides timely information about medication-related errors and adverse drug reactions and their implications for community practice sites, and offers recommendations on how to improve medication safety within the community setting.
    Periodicity: montly
    Publication langage: English
    On subscription only. Sent by e-mail to subscribers.
    Access to ISMP Medication Safety Alert! Community/Ambulatory Care edition: Read on...

    What's new in the last issue?

    - Using information from external errors to signal a "clear and present danger"
    - New International Fellowship at ISMP
    - Safety briefs: Barcode your return to stock process; Are patients who are allergic to antibiotics at risk for reactions to vaccine ingredients? Poison prevention—it's about protecting your own kids, too!

  • ISMP Medication Safety Alert! Long-Term Care Advise-ERR
    The Long-Term Care Advise-ERR is a newsletter specifically tailored to the long-term care setting, which provides timely medication safety information to staff working with resident populations that are often elderly, frail, dependent, complex in nature, and fraught with many different illnesses and dysfunctions.
    Periodicity: monthly
    Publication langage: English
    On subscription only
    Access to ISMP Medication Safety Alert! Long-Term Care Advise-ERR: Read on...

    What's new in the last issue?

    - Crushing or splitting the wrong tablet can be a deadly error
    - Safety wire: "Ellipta" - it's not a drug
    - Worth Reading… Safe Handling of Oral Chemotherapy

  • ISMP Medication Safety Alert! Nurse Advise-ERR
    The Nurse Advise-ERR is designed to meet the medication safety information needs of nurses who transcribe orders, administer medications, and monitor the effects of medications on patients. The newsletter offers detailed error reports and checklists of evidence-based error reduction strategies.
    Periodicity: monthly
    Publication langage: English
    On subscription only
    Access to ISMP Medication Safety Alert! Nurse Advise-ERR: Read on...

    What's new in the last issue?

    - What's in a generic name? Clues about the drug's use and possible adverse effects
    - Worth repeating... Possible reason for hyperglycemia in patients using an insulin pen
    - Safety wires: Chlorhexidine mixed up with lidocaine oral solution; IVFE confused with IV iron (IVFe); FentaNYL diversion alert; Educate fluorouracil home infusion patients about accidental overinfusion

  • ISMP Safe Medicine
    Safe Medicine is the US consumer health education newsletter that focuses specifically on the prevention of medication errors. This ISMP newsletter teaches consumers to become active partners with their healthcare providers and assume a leading role in ensuring safe medication use.
    Periodicity: bimonthly
    Publication langage: English
    On subscription only
    Access to ISMP Safe Medicine: Read on...

    What's new in the last issue?

    - If your blood glucose levels are high, you might be using your insulin pen wrong
    - Advice from FDA: Medication safety tips for older adults
    - Safety tips: Poison prevention; Does ClariSpray look familiar? Know the meaning of "take as needed."

  • Pennsylvania Patient Safety Advisory
    The Pennsylvania Patient Safety Advisory is published by the Pennsylvania Patient Safety Authority operating the The Pennsylvania Patient Safety Reporting System (PA-PSRS). This publication is produced by ECRI Institute and the Institute for Safe Medication Practices under contract to the Authority.
    Periodicity: quarterly, with periodic supplements
    Publication langage: English
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to Pennsylvania Patient Safety Advisory: Read on...

    What's new in the last issue?

    - Medication Errors Attributed to Health Information Technology
    - Handoff Communications: A Systems Approach

  • Regular columns in professional journals
    Hospital Pharmacy

    Hospital Pharmacy is an independent, peer-reviewed journal, practitioner-focused and dedicated to the promotion of best practices and medication safety. This seminal column hosted since 1975 by Hospital Pharmacy was the first regular publication on medication errors analysis and prevention.
    Periodicity: monthly with the exception of a combined July/August issue
    Publication langage: English
    Access to ISMP Medication Error Report Analysis in Hospital Pharmacy: Read on...
    What's new in the last issue?
    Betaine Anhydrous Versus Betaine Hydrochloride; Look-Alike Generic Names; Don't Give Zurampic Without Allopurinol; Lantus Overdose Tied to Confusing Vial Label; More on Lipid Rescue

    Journal of Emergency Nursing

    The Journal of Emergency Nursing is the official peer-reviewed journal of the Emergency Nurses Association (ENA), reaching emergency nurses, emergency/trauma departments and emergency department managers.
    Publication langage: English
    Access to Danger Zone column in Journal of Emergency Nursing: Read on...

    P&T° Pharmacy & Therapeutics

    P&T° is a peer-reviewed journal for managed care and hospital formulary management, aiming to provide pharmacy and therapeutics committee members with the latest information to help them manage their formularies and establish medication-related policies.
    Periodicity: monthly
    Publication langage: English
    Access to Medication errors column in P&T°: Read on...

    Pharmacy Times

    Pharmacy Times is a clinically-based, monthly journal providing practical information pharmacists can use in their everyday practice.
    Periodicity: monthly
    Publication langage: English
    Access to Medication Safety column in Pharmacy Times: Read on...

    Michael Cohen's Check-up blog

    Periodicity: weekly
    Publication langage: English
    Access to Michael Cohen's Check-up blog on Philly.com: Read on...

New Zealand Medication Safety Programme

  • Medication Safety Watch
    Medication Safety Watch is a bulletin for all health professionals and health care managers working with medicines or patient safety. Medication alerts and safety signals provide information and actions about high-risk medicines and situations. They are issued to health care staff, managers and organisations.
    Periodicity: four issues by year
    Publication langage: English
    No subscription. Available for free download.
    Access to Medication Safety Watch: Read on...

    What's new in the last issue?

    - Reducing the risk of error and patient harm with low-dose oral methotrexate
    - What’s new? Update on the safe use of opioids collaborative; Making strong opioids safer for patients
    - What to do with patients' own medicine in hospital?
    - Incidents and cautions: Sodium citrate or sodium chloride?
    - Upcoming alert: a draft alteplase/tenectaplase alert will be sent out in the near future

  • Alerts & Patient Safety Signal
    The alerts produced by the Commission are recommendations relating to either internationally recognised or locally identified high risk medicines or situations. Alerts are sent out directly to relevant health care providers with the latest information and advice on particular topics of concern.
    Periodicity: as needed
    Publication langage: English
    No Subscription. Available for free download or sent by e-mail to registered users.
    Access to Alerts & Patient Safety Signal: Read on...

    What's the last Alert or Safety Signal?

    30 September 2015 - Safety Signal: Risk of serious adverse drug reactions Read on...
    3 September 2014 - ALERT: Transdermal patches Read on...
    5 August 2014 - ALERT: Metoprolol Read on...

NHS England

  • Patient Safety Alerts
    Patient safety alerts are issued via the Central Alerting System (CAS), a web-based cascading system for issuing alerts, important public health messages and other safety critical information and guidance to the NHS and other organisations, including independent providers of health and social care.
    Periodicity: as needed
    Publication langage: English
    No subscription. Available for free download.
    Access to NHS England Patient Safety Alerts: Read on...

    What are the last medication safety alerts?

    6 April 2017 - Supporting the safety of girls and women being treated with valproate Read on...
    16 November 2016 - Risk of severe harm and death due to withdrawing insulin from pen devices Read on...
    9 November 2016 - Risk of death and severe harm from error with injectable phenytoin Read on...
    3 October 2016 - Reducing the risk of oxygen tubing being connected to air flowmeters Read on...
    7 September 2016 - Restricted use of open systems for injectable medication Read on...
    17 August 2016 - Resources to support the care of patients with acute kidney injury Read on...
    20 April 2016 - Patient safety incident reporting and responding to Patient Safety Alerts Read on...
    8 February 2016 - Risk of severe harm or death when desmopressin is omitted or delayed in patients with cranial diabetes insipidus Read on...
    26 October 2015 - Support to minimise the risk of distress and death from inappropriate doses of naloxone Read on...
    18 August 2015 - Addressing antimicrobial resistance through implementation of an antimicrobial stewardship programme Read on...
    27 May 2015 - Risk of death or severe harm due to inadvertent injection of skin preparation solution Read on...
    1st April 2015 - Managing risks during the transition period to new ISO connectors for medical devices Read on...
    19 January 2015 - Harm from using Low Molecular Weight Heparins when contraindicated Read on...

Prescrire


Prescrire provides independent information, by and for healthcare professionals, about drugs and therapeutic and diagnostic strategies. A non-profit organisation, Prescrire is wholly financed by its subscribers, and accepts no advertising or other outside support.

  • Prescrire's "Non merci" Charter: saying "No thank you" to conflicts of interest
    Prescrire's pioneering "Non merci..." Charter guarantees that Prescrire's editors and managers are free from any conflicts of interest. Read on...
  • Prescrire International
    Periodicity: 11 times a year
    Publication langage: English
    On subscription only, offering full access online to the entire database of reviews in English going back to the first issue of Prescrire International in 1992.
    Access to Prescrire International: Read on...
    From the editors of Prescrire International: Top texts of 2015-2016 Free Special Edition
    Already subscriber? Refer a friend or colleague Become an ambassador

    What's new in the last issue?

    - No thank you. Being able to say "no thank you" to firms seeking to influence healthcare professionals is crucial Read on…
    - Unborn children still exposed to NSAIDs. Authorities need to send out a stronger message: "NEVER USE NSAIDs DURING PREGNANCY". Read on…
    - Ispaghula: allergic reactions from dose preparation too. Serious allergic reactions reported in healthcare professionals who inhaled ispaghula powder while preparing doses for patients.
    - Digoxin. In heart failure with atrial fibrillation. When digoxin is used, the risk of overdose requires particular attention, and patients should be taught how to recognise the first signs of overdose

  • La revue Prescrire
    Periodicity: monthly plus a yearly supplement in French devoted to drug interactions
    Publication langage: French
    On subscription only, offering full access online to the entire database of reviews going back to the first issue of La revue Prescrire in 1981.
    Access to La revue Prescrire: Read on (in French)...

    What's new in the last issue?

    - Vaccination errors: analyze them to avoid them. Thanks to reports to the Prescrire Programme Éviter l’Évitable (Preventing the Preventable), this methodical synthesis on immunization errors goes as close as possible to the reality experienced by the caregivers. It thus appears that many practical difficulties are not taken into account by decision makers of all kinds: firms, agencies, health authorities, who would benefit from referring to the IMSN Position Statement (a French summary is provided) Read on (in French)...
    - Tolvaptan (Jinarc°) Complex regimen, tablets of different dosages in the same blister pack and pictogram causing too late intake: a packaging prone to errors
    - Raltégravir (Isentress °) in infants. Handling for the preparation of doses is prone to errors
    - Colchicine: specified dosages for this drug at risk of serious poisoning. The recurrence of preventable overdoses, sometimes fatal, led to a revision of dosages in search of the lowest dose possible: the occurrence of diarrhea evoking the toxicity of colchicine is to be taken into account Read on (in French)...
    - Metformin in patients with moderate renal impairment: reduce dosage. Be concerned about the interactions and renal function of patients to avoid the risk of metformin overdose and prevent preventable metabolic acidosis
    - Pharmacists are committed to the development of the profession. Together with other "twittos" pharmacists, a subscriber claims to provide pharmaceutical care and offers proposals to support pharmaceutical interventions to prevent the risks of error

    Updated on April 28, 2017