- Toolkit
- Published June 2012
High-Alert Medication Modeling and Error-Reduction Scorecards (HAMMERS) for Community Pharmacies.
Horsham, PA: Institute for Safe Medication Practices; 2012.
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Topics
Resource Type
Approach to Improving Safety
Safety Target
Setting of Care
Clinical Area
Target Audience
Error Types
Origin/Sponsor
This toolkit was developed to help community pharmacies identify risks associated with dispensing high-alert medications, assess how these risks may affect patients, and implement strategies to prevent errors.
Related Resources
Journal Article › Commentary
Our other prescription drug problem.
Lembke A, Papac J, Humphreys K. N Engl J Med. 2018;378:693-695.
Journal Article › Study
Washburn NC, Dossett HA, Fritschle AC, Degenkolb KE, Macik MR, Walroth TA. J Patient Saf. 2017 Dec 12; Epub ahead of print].
Newspaper/Magazine Article
High-alert medications: the safeguards that you should put in place to reduce risks.
Blank C. Drug Topics. October 13, 2017.
Tools/Toolkit › Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for High-Alert Medications.
Horsham, PA: Institute for Safe Medication Practices; 2017.
Cases & Commentaries
Failed Interpretation of Screening Tool: Delayed Treatment
Casey A. Cable, MD; David J. Murphy, MD, PhD; and Greg S. Martin, MD, MSc
Journal Article › Commentary
Administering and monitoring high-alert medications in acute care.
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Journal Article › Study
A randomized controlled trial on the effect of a double check on the detection of medication errors.
Douglass AM, Elder J, Watson R, et al. Ann Emerg Med. 2018;71:74-82.e1.
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Tyynismaa L, Honkala A, Airaksinen M, Shermock K, Lehtonen L. J Patient Saf. 2017 Jun 1; [Epub ahead of print].
Journal Article › Study
Thorpe JM, Thorpe CT, Gellad WF, et al. Ann Intern Med. 2017;166:157-163.
Journal Article › Study
High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing?
Blachman NL, Leipzig RM, Mazumdar M, Poeran J. J Am Geriatr Soc. 2017;65:603-607.
Tools/Toolkit › Fact Sheet/FAQs
ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings.
Horsham, PA: Institute of Safe Medication Practices; 2016.
Journal Article › Study
Pharmacist medication reviews to improve safety monitoring in primary care patients.
Gallimore CE, Sokhal D, Zeidler Schreiter E, Margolis AR. Fam Syst Health. 2016;34:104-113.
Journal Article › Study
Safer prescribing—a trial of education, informatics, and financial incentives.
Dreischulte T, Donnan P, Grant A, Hapca A, McCowan C, Guthrie B. N Engl J Med. 2016;374:1053-1064.
Journal Article › Study
Double checking: a second look.
Hewitt T, Chreim S, Forster A. J Eval Clin Pract. 2016;22:267-274.
Newspaper/Magazine Article
Preventing high-alert medication errors in hospital patients.
Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23.
Journal Article › Study
Impact of computerized physician order entry alerts on prescribing in older patients.
Lester PE, Rios-Rojas L, Islam S, Fazzari MJ, Gomolin IH. Drugs Aging. 2015;32:227-233.
Journal Article › Study
Mehta RH, Chen AY, Alexander KP, Ohman EM, Roe MT, Peterson ED. Circulation. 2015;131:980-987.
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Emergency hospitalizations for unsupervised prescription medication ingestions by young children.
Lovegrove MC, Mathew J, Hampp C, Governale L, Wysowski DK, Budnitz DS. Pediatrics. 2014;134:e1009-e1016.
Book/Report
National Action Plan for Adverse Drug Event Prevention.
Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014.
Newspaper/Magazine Article
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2014;19:1-3,5-6.
Tools/Toolkit › Measurement Tool/Indicator
ISMP Survey on High-Alert Medications in Hospitals and Other Inpatient Healthcare Settings.
Horsham, PA: Institute for Safe Medication Practices; 2014.
Journal Article › Study
Effects of patient-, environment- and medication-related factors on high-alert medication incidents.
Manias E, Williams A, Liew D, Rixon S, Braaf S, Finch S. Int J Qual Health Care. 2014;26:308-320.
Journal Article › Review
Identifying high-risk medication: a systematic literature review.
Saedder EA, Brock B, Nielsen LP, Bonnerup DK, Lisby M. Euro J Clin Pharmacol. 2014;70:637-645.
Journal Article › Study
Khoo AL, Teng M, Lim BP, Hons B, Tai HY, Lau TC. Jt Comm J Qual Patient Saf. 2013;39:205-212.
Newspaper/Magazine Article
Your high-alert medication list—relatively useless without associated risk-reduction strategies.
ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.