IMSN members publications

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

Centrale Medicatie-incidenten Registratie (CMR)

  • 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?

    18 September 2017 - Wrong choice of medicine product after generic prescribing
    20 July 2017 - Results of the survey on who is in charge of gentamicin dose adjustment in hospitals (launched 13 March 2017)
    26 June 2017 – Results of the survey on the overdose risk with Dipiperon°-drops (launched 27 March 2017)
    12 June 2017 - Amiodarone: Avoid Repeating High Start Dose!
    28 May 2017 - Again reported: dispensing 100 overdose Atropine eye drops
    8 May 2017 – Prescription Code (PRK) Depo-Provera° as of April 1, 2017, adjusted in G-Standard (Change of standardized names used in electronic prescribing)
    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 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?

    1st November 2017: - Possibility of merging two different medicines in supply software : risk of persistent use of not intended medicine for patients using automated dose dispensing Read on ...
    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 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 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?

    - Annual Report 2016: Stable number of reported unintended events
    - Ombudsman Decision
    - Visit from the IT Provider of the Danish Patients Safety Database
    - Regional meetings on mandatory reporting
    - Law change regarding patient data
    - New employees in Knowledge Communication and Learning

  • 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?

    12 September 2017 - Bupivacaine must not be given intravascularly Read on...
    7 September 2017 - Observe correct dosage of methotrexate Read on...
    30 June 2017 - Be aware of the interaction between warfarin and miconazole oral gel Read on...
    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...

  • Other publications
    Other publications are 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: not applicable
    Publication langage: Danish
    No Subscription. Available for free download.
    Access to the Danish Patient Safety Authority’ other publications: Read on...

    What are the last other publications?

    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 the poster of HA Do Not Use List
    - Medication Safety in OUR hands: The Annual Medication Safety Forum 2016
    - NSAID cross-hypersensitivity: Medications for Attention
    - Positive impacts of Initiatives on Free-text drug allergy records
    - Hong Kong East Cluster - Near Miss Learning and Sharing for Continuous Quality Improvement

  • 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: Important steps for drug administration
    - The Power of Storytelling
    - Sentinel Events (SEs) (Q2 2017)
    - Serious Untoward Events (SUEs) (Q2 2017): Known drug allergen cases; Delayed prescription of antiviral drug to an HBV carrier given high-dose corticosteroid therapy; Patient on Warfarin given thrombolytic therapy

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?

    7 April 2017 - Safety Alert: Risks associated with High-Strength Insulin Preparations Read on...
    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?

    Potentially inappropriate medications for elderly

  • 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?

    - The Second Victim: Sharing the Journey toward Healing

  • 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?

    - Keep Your Vaccinations Up to Date

  • 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?

    - Verbal prescriptions and medication errors
    - Miconazole oral gel and acenocoumarol or warfarin: a rarely known potentially serious interaction

  • 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?

    18 November 2017 - Risk of confusion between the packages of Etoposide Tevagen° 100 mg / 5 mL and Fludarabine Teva° 50 mg / 2 mL
    10 November 2017 – Risk of confusion between vials of CellCept° 500 mg (mycophenolate mofetil) and Meropenem Aurovitas° 1000 mg
    28 October 2017 - Confusion between oral ampoules of Hydroferol° (calcifediol) 0.266 mg and injectable ampoules of Furosemide Gesfur° 20 mg
    30 June 2017 - Confusion between the packs and the blisters of Misofar° vaginal tablets of 25 and 200 micrograms
    22 June 2017 - Risk of dosing errors with Sprycel (dasatinib) coated tablets 50 and 70 mg
    6 June 2017 - Confusion between IV Minibags Levobupivacaine Normon° 0.625 mg/mL 100 mL and Levofloxacin Normon° 5 mg/mL 100 mL
    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)

ISMP USA

    • ISMP launches the first high-alert medication safety self assessment for inpatient and outpatient facilities. Deadline extended to February 28, 2018. Obtaining the

free assessment tool

  • 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?

    - ISMP survey shows provider text messaging often runs afoul of patient safety
    - Safety briefs: Labeling and scanning confusion; AFLURIA influenza vaccine labeling needs improvement; Beware of drug names ending with the letter L; Drug shortage meeting held; Liraglutide dosage unit confusion
    - ISMP Survey on Smart Infusion Pumps in healthcare organizations across the US

  • 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?

    12 October 2017: Severe hyperglycemia in patients incorrectly using insulin pens at home Read on...
    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?

    - Telling stories is an ISMP hallmark: Here’s why you should tell stories, too…
    - Safety briefs: CycloSPORINE oral solution error; Don’t leave “Meds to Beds” prescriptions at bedside; ISMP launches first high-alert medication safety self assessment
    - ISMP Ambulatory Care Action Agenda (May – August 2017)

  • 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?

    - ISMP launches the first high-alert medication safety self assessment for inpatient, outpatient and long-term care facilities
    - What's in a Name? The "-olol" drug name stem
    - Safety Wires: Concentrated insulin pens and the visually impaired; Drug shortages and single-dose vials; Years and years of confusion for this name pair
    - HealthAlert! Oral liquid products from PharmaTech
    - Worth reading... Optimal use of antibiotics for urinary tract infections in long-term care facilities

  • 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?

    - ISMP launches the first high-alert medication safety self assessment for inpatient and outpatient facilities
    - Safety wires: Patients should not swallow ACIPHEX SPRINKLE capsules! Don't abbreviate drug names. Unsafe procainamide packaging
    - what's in a NAME? The "-ciclovir" drug name stem

  • 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?

    - Don't confuse a side effect from a medicine as having an allergy to that medicine
    - This sounds fishy!
    - Confusion with "Use as directed" instructions
    - Advice from FDA: Products claiming to "Cure" cancer are a cruel deception
    - Safety tip: Question teaspoon doses

  • 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?

    - Treating Hyperkalemia: Avoid Additional Harm When Using Insulin and Dextrose
    - Data Snapshot: Dislodged Tubes and Lines
    - Workarounds: Trash or Treasure?
    - Saves, System Improvements, and Safety-II: Collaborating To Catch Inaccuracies

  • 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?
    Potential Issues with New Basal Insulin/GLP-1 Fixed Combinations; Hydroxyzine–Hydroxyurea Mix-up; Concomitant Use of Entresto and ACE Inhibitors Can Lead to Serious Outcomes; More Outpatient Oral Cancer Drugs Should Be in Blister Packs

    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...

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?

    19 July 2017 - Open Book ALERT: Prescribing error – dabigatran and enoxaparin Read on...
    6 July 2017 - Transdermal patches and burns: Commission’s transdermal patch medication Alert 15 published in 2013, updated list of transdermal patches available in New Zealand (June 2017) Read on...
    6 July 2017 - Injectable phenytoin incidents – risk of death and severe harm Read on...
    12 June 2017 - ALERT 17: Alteplase or tenecteplase? Read on...
    24 February 2017 – Pharmacy Council Safety Alert - Caution Required with Compounded Oral Liquid Formulations Read on…
    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?

    9 November 2017 - Confirming removal or flushing of lines and cannulae after procedures Read on...
    27 September 2017 - Risk of severe harm and death from infusing total parenteral nutrition too rapidly in babies Read on...
    11 August 2017: Resources to support safe transition from the Luer connector to NRFit for intrathecal and epidural procedures, and delivery of regional blocks Read on...
    5 July 2017 - Risk of death and severe harm from ingestion of superabsorbent polymer gel granules Read on...
    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. Read on...

  • 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 2017: new sampling of texts selected to introduce to Prescrire International Free Special Edition
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    What's new in the last issue?

    - Tolvaptan and polycystic kidney disease. Too many adverse effects, uncertain efficacy. Make sure that patients with polycystic kidney disease have understood how to take tolvaptan and how to handle the drug’s packaging, both of which are complicated and could potentially cause medication errors
    - Asfotase alfa and hypophosphatasia. Increased chance of survival for very young children. Two concentrations (40 mg/mL and 100 mg/ml): a source of error when calculating the volume to be injected
    - Death of a child from a colchicine overdose. The dosage expression "mg per day" was confused with "mg per kg per day";

  • 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?

    - Methotrexate injection - Ledertrexate ° or other. Ectopic pregnancy: an alternative to surgery but with the risks of a cytotoxic, teratogenic in case of close pregnancy
    - Abiraterone (Zytiga °) 500 mg tablets. Extra large tablets to avoid in patients with swallowing difficulty
    - Dexketoprofen + tramadol - Skudexum ° and acute pain. A band name masking the composition of this fixed dose combination
    - INN common stem: -piprazole. Do not confuse with –prazole, -rozole, or –conazole
    - Pneumovax° vaccine: this vial replaces Pneumo 23° a pneumococcal vaccine in ready to use syringe, one more case of packaging safety regression
    - Put an end to the opacity on the quantity and the risks of the excipients: summary of Prescrire’s response to a public consultation of the European Medicine Agency. Read on (in French)...
    - Making the prescription a tool for safer medicine use: a pharmacist calls not to forget the clearance of creatinine to systematically check the dosages of patients with renal insufficiency

    Updated on November 20, 2017