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Medication labeling and packaging

Overview

Medication labeling and packaging

January 10, 2013
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CHPSO Patient Safety Alert: Insulin and Influenza Vaccine Switched
50 Hospital Employees in Brazil Given Insulin Instead of Influenza Vaccine

May 6, 2016

On April 30, 2016, fifty employees at a Brazilian hospital received a dose of insulin instead of the influenza vaccine.

The vaccine and the insulin were stored in the same refrigerator, and were retrieved by a staff member who confused the two similar-looking vials. The staff member took the wrong box from the refrigerator.

Those who received the incorrect, influenza-portioned injection of insulin were hospitalized. No adverse events have been reported.

Always separate look-alike vials and clearly label. Differentiation is key.

  • Safety Alert
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Newsletter

Reducing Errors in Electronic Prescriptions

January 1, 2011

A new regulation effective January 2011, Patient-Centered Labels for Prescription Drug Containers (Title 16 Section 1707.5), includes among other provisions a standardized set of patient instructions expected to cover about 90 percent of prescriptions. While the regulation affects labels on drug containers dispensed to patients, the standardized text can also provide a method for reducing discrepancies on other documents such as discharge instructions and prescription slips.

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  • Title 16 Section 1707.5
Post

United States Pharmacopeia (USP)
Medication Safety & Labeling

August 27, 2012

To assist healthcare professionals in the delivery of optimal patient care, USP establishes standards in the United States Pharmacopeia and the National Formulary (USP–NF) for labeling and physical environments that promote safe medication use (e.g., procurement, prescribing, transcribing, order entry, preparation, dispensing, administration, and monitoring of medications).

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Safer naming, labeling and packaging

June 21, 2012

The Food and Drug Administration (FDA) is developing guidance on naming, labeling and packaging practices to reduce medication errors: (edocket.access.gpo.gov/2010/2010-8233.htm), and held a public workshop June 24–25, 2010, in Bethesda, MD, to discuss the guidance. Documents and minutes from the meeting can be reviewed at www.regulations.gov/search/Regs/home.html#docketDetail?R=FDA-2010-N-0168.

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Medication safety

  • Pain management and sedation
  • Anticoagulation
  • General medication safety
  • Infusion pumps
  • Labeling and packaging
  • Small Bore Connectors
  • Storage

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August 22, 2012
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CHPSO is a division of the Hospital Quality Institute

July 11, 2014
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August 22, 2012
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August 22, 2012
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