Measurement Tool/Indicator ISMP National Vaccine Errors Reporting Program. Citation Text: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL December 18, 2013 Institute for Safe Medication Practices. This reporting program collects data on errors and concerns associated with vaccines. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Institute for Safe Medication Practices. Copy Citation Related Resources From the Same Author(s) FDA and ISMP Lists of Look-Alike Drug Names With Recommended Tall Man Letters. January 26, 2023 2012 ISMP International Medication Safety Self Assessment for Oncology. April 18, 2012 ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Dangerous wrong-route errors with tranexamic acid. September 30, 2020 EPINEPHrine pre-filled syringe shortage. June 30, 2010 Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. February 6, 2013 Medication safety issues with newly authorized PAXLOVID. January 12, 2022 10 Medication Safety Tips for Hospitalized Patients. September 25, 2019 Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020 ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 26, 2021 - October 26, 2021 Age-related COVID-19 vaccine mix-ups. December 15, 2021 Disrespectful behavior in your workplace. April 13, 2022 Diversion is a Threat to Patient Safety: Adopting Best Practices. April 6, 2022 - April 6, 2022 ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 ISMP Survey on the 2024-2025 Targeted Medication Safety Best Practices for Hospitals. February 29, 2024 ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Judy Smetzer Just Culture Champion Scholarships. August 16, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 - May 6, 2022 ISMP Targeted Medication Safety Best Practices for Community Pharmacy. April 19, 2023 Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020 ISMP Survey on Drug Shortages. September 13, 2017 ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. December 5, 2018 Draft Guidelines for the Safe Communication of Electronic Medication Information. September 16, 2015 Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. April 1, 2015 Guidelines for Adult IV Push Medications. February 11, 2015 Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. March 23, 2016 Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. July 8, 2015 ISMP Survey on the Common Use of Medication-related Metrics. May 13, 2015 ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 ISMP's Guidelines for Standard Order Sets. March 31, 2010 ISMP's List of Confused Drug Names. July 26, 2023 2011 ISMP Medication Safety Self Assessment for Hospitals. May 4, 2011 SafeMedicationUse.ca. July 28, 2010 Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. February 26, 2014 Targeted Medication Safety Best Practices for Hospitals. February 22, 2024 ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 High-Alert Medication Learning Guides for Consumers. December 5, 2012 ISMP Long-Term Care Advise-ERR. July 24, 2013 ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. October 1, 2021 ISMP Statement on Use of Metric Measurements to Prevent Errors with Oral Liquids. December 14, 2011 ISMP Medication Safety Intensive. March 12, 2024 ISMP Follow-up Survey on Smart Pump Data Usage. March 21, 2018 ISMP Survey on IV Push Medication Practices. August 15, 2018 The Case for Medication Safety Officers (MSO). August 22, 2018 Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. June 13, 2018 Medication Safety Certificate Program. August 24, 2022 Severe hyperglycemia in patients incorrectly using insulin pens at home. October 25, 2017 ISMP Medication Safety Self Assessment for High-Alert Medications. October 4, 2017 ISMP Survey on Verbal Orders. January 25, 2017 ISMP Survey on Texting Medical Orders. July 19, 2017 ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Institute for Safe Medication Practices International Mentorship Program. February 1, 2022 - March 8, 2022 FDA/ISMP Safe Medication Management Fellowship Program. February 8, 2023 ISMP QuarterWatch Reports. January 28, 2009 Pathways for Patient Safety. February 11, 2009 Consumermedsafety.org September 8, 2022 Fluorouracil Incident Root Cause Analysis Report. June 6, 2007 ISMP's List of High-Alert Medications in Acute Care Settings. January 14, 2024 Fellowships and Mentorships Program. February 8, 2023 Guidance for the Safe Use of Automated Dispensing Cabinets. May 7, 2019 ISMP Announces 10th Annual Cheers Awards Recipients. November 21, 2007 ISMP Medication Errors Reporting Program. November 30, 2005 2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals. May 11, 2017 ISMP Medication Safety Alert. Community/Ambulatory Care Edition. April 3, 2005 ISMP Medication Safety Alert® Acute Care Edition. April 3, 2005 Leading a Strategic Planning Effort. March 6, 2005 How to Prevent Medication Errors. March 6, 2005 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. March 6, 2005 Looking Collectively at Risk. March 6, 2005 ISMP Medication Safety Alert!® Nurse-Advise ERR. March 6, 2005 Consumer Safe Medicine. March 6, 2005 ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. April 17, 2024 ISMP Cheers Awards. November 20, 2023 ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. May 17, 2021 Oral Dosage Forms that Should Not Be Crushed. December 6, 2006 Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. August 24, 2022 One & Only Campaign. March 2, 2011 A Framework for Safe, Reliable, and Effective Care. February 15, 2017 Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. August 26, 2020 Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. October 27, 2021 Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. March 31, 2021 Association between Leapfrog safe practices score and hospital mortality in major surgery. November 30, 2011 A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. January 25, 2023 Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. October 28, 2020 Exploring nurses' attitudes, skills, and beliefs of medication safety practices. August 24, 2022 Adverse health events related to self-medication practices among elderly: a systematic review. May 31, 2017 Best practices in medication administration: preventing adverse drug events in perinatal settings. March 7, 2007 The effect of the fit between organizational culture and structure on medication errors in medical group practices. February 7, 2007 Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021 Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. November 22, 2017 Mail service and community pharmacies must work in tandem. November 30, 2005 Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. December 12, 2018 Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. February 15, 2023 Hand Hygiene in Healthcare Settings. March 27, 2005 In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. November 25, 2020 Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. May 11, 2022 Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. December 21, 2022 View More Related Resources National Healthcare Quality and Disparities Report Chartbook on Patient Safety. March 22, 2024 Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? June 21, 2023 Medical errors kill thousands of people each year. But are hospitals getting any safer? May 17, 2023 Events that inspired change: the importance of sharing what happened to stop it from happening again. May 3, 2023 Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023 An examination of Leapfrog safety measures and Magnet designation. April 5, 2023 Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Perspective Primary Care and Patient Safety: Opportunities at the Interface September 28, 2022 Interview In Conversation With... Jack Westfall, MD, MPH September 28, 2022 Interview In Conversation With... Freya Spielberg, MD, MPH September 28, 2022 Allergic adverse drug events after alert overrides in hospitalized patients. September 21, 2022 Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. August 24, 2022 Who killed patient safety? July 20, 2022 Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022 Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. July 6, 2022 Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. June 15, 2022 Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022 Annual Perspective Annual Perspective: Topics in Medication Safety March 31, 2022 Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. March 23, 2022 National Patient Safety Board Advocacy Coalition. December 8, 2021 Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. October 27, 2021 Quality and safety in surgery: challenges and opportunities. September 8, 2021 Medical Office Survey on Patient Safety Culture. September 1, 2021 The Child Health PSO at 10 years: an emerging learning network. August 18, 2021 Drive to Deprescribe. June 23, 2021 Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021 Clinical data sharing improves quality measurement and patient safety. March 24, 2021 The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. February 3, 2021 Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021 View More See More About The Topic Physicians Safety Scientists Policy Makers Allergy and Immunology Pediatric Allergy and Immunology View More
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically. February 6, 2013
Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020
Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 26, 2021 - October 26, 2021
ISMP Survey on the 2024-2025 Targeted Medication Safety Best Practices for Hospitals. February 29, 2024
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 - May 6, 2022
Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. June 23, 2020
Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. April 1, 2015
Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. July 8, 2015
Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. February 26, 2014
ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022
Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. June 13, 2018
Institute for Safe Medication Practices International Mentorship Program. February 1, 2022 - March 8, 2022
Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. August 24, 2022
Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. August 26, 2020
Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. October 27, 2021
Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. March 31, 2021
Association between Leapfrog safe practices score and hospital mortality in major surgery. November 30, 2011
A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. January 25, 2023
Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. October 28, 2020
Adverse health events related to self-medication practices among elderly: a systematic review. May 31, 2017
Best practices in medication administration: preventing adverse drug events in perinatal settings. March 7, 2007
The effect of the fit between organizational culture and structure on medication errors in medical group practices. February 7, 2007
Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. May 19, 2021
Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative. November 22, 2017
Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. December 12, 2018
Intended and unintended consequences: changes in opioid prescribing practices for postsurgical, acute, and chronic pain indications following two policies in North Carolina, 2012-2018 - controlled and single-series interrupted time series analyses. February 15, 2023
In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. November 25, 2020
Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. May 11, 2022
Strategies for a safe interhospital transfer with an intubated patient or where readiness for intubation is needed: a critical incidents study. December 21, 2022
Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? June 21, 2023
Events that inspired change: the importance of sharing what happened to stop it from happening again. May 3, 2023
Using a learning system approach to improve safety for prone-position ventilation patients. April 26, 2023
Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. August 24, 2022
Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022
Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. July 6, 2022
Allergy safety events in healthcare: development and application of a classification schema based on retrospective review. June 15, 2022
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022
Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. March 23, 2022
Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. October 27, 2021
Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021
The association between health care staff engagement and patient safety outcomes: a systematic review and meta-analysis. February 3, 2021
Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative. February 3, 2021