What is an ISMP alert?
In addition to a full suite of medication safety newsletters for healthcare professionals and consumers, ISMP makes available urgent medication advisories. These Safety Alerts address serious medication errors or information requiring immediate attention by healthcare practitioners.
Is bupivacaine a high alert medication?
For example, after fatal wrong route errors were identified as a potential threat with the new drug EXPAREL (bupivacaine [liposomal] used for local anesthesia into surgical sites) due to its similar appearance to propofol,6 hospitals that added this drug to their formulary should have considered it for addition to …
How safe is EXPAREL?
EXPAREL should not be injected into the spine, joints, or veins. The active ingredient in EXPAREL can affect the nervous system and the cardiovascular system; may cause an allergic reaction; may cause damage if injected into the joints; and can cause a rare blood disorder.
How long does EXPAREL block last?
Exparel (bupivacaine liposome) is a non-opioid postsurgical analgesic used in the management of postsurgical pain. Exparel provides prolonged postsurgical analgesia for up to 72 hours with a single-dose local administration at the surgical site.
Who sponsors Nan alerts?
The Institute for Safe Medication Practices (ISMP) and the American Society of Health-System Pharmacists (ASHP) publish the alerts from the National Medication Errors Reporting Program, operated by ISMP. The alerts are incident driven.
How is EXPAREL given?
Exparel is given as an injection placed into an area near your surgical incision. You will receive this injection in a hospital or surgical setting. Exparel can have long-lasting or delayed effects.
Is EXPAREL the same as bupivacaine?
Exparel is an extended-release formulation of bupivacaine that can produce local pain relief for up to 72 hours. Studies have shown it to provide better post-operative pain control and decreased use of opioid medications when compared to patients who did not receive any local numbing agents.
Which is the best strategy for preventing errors with IV high alert medications?
Rationale: The goal of this best practice is to utilize dose error-reduction technology to prevent infusion-related medication errors, which can cause harm to patients, especially when high-alert medications are administered.
What is do not crush or chew list?
Slow-release (b,h) aspirin. Aspirin EC.
What are high alert medications?
igh-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error. Although mistakes may or may not be more common with these drugs, the consequences of an error are clearly more devastating to patients.
What are the top 6 high alert medications?
In addition, the summary information from the MedMarxSM 2002 report found that the top seven medications involved in events involving harm (comparable to Harm Score Categories E thru I in PA-PSRS) are high-alert medications including insulin, morphine, heparin, intravenous concentrated potassium chloride, warfarin.