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Disasters Averted

Disasters Averted are stories submitted by our readers and medical editors from direct experience in the field. Do you have a story? If your story is used, we will send you a $25 Amazon Gift Card! Submissions can be anonymous.

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High-alert Medications Lists

From the Institute for Safe Medication Practices (ISMP): High-alert medications are drugs that bear a heightened risk of causing significant patient harm when 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. Use …

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ISMP: Similar Names But Different Actions: Potential Premix Insulin Prescription Errors

From the Institute for Safe Medication Practices (ISMP: Recently there have been reports of a mix up of mixed insulins.   The insulins involved were: NovoLog® Mix (analog) 70/30 (70% insulin aspart protamine suspension and 30% insulin aspart injection, [rDNA origin]) Novolin® 70/30 human insulin. Be prepared to address these potential …

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A Review of Insulin Errors

This week we have a review adapted from information provided by Novo Nordisk of the most common insulin errors which include: Clinician errors Self-administration errors Self-monitoring errors Improper insertion techniques Bad drawing-up procedure Insulin timing Using the wrong insulin Miscalculating insulin sensitivity factor Using an incorrect carbohydrate ratio Not checking …

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