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Do not swallow the capsule. 57 0 obj<>stream
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Wall Chart - Oral Dosage Forms that Should Not be CrushedAlso known as the Look-alike and sound-alike (LASA) list. 0000014142 00000 n
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Institute for Safe Medication Practices 200 Lakeside Drive, Suite 200 Horsham, PA 19044 (215) 947-7797 ISMP Canada in writing. 0000036826 00000 n
NAN ALERT! ISMP’s List of Error-Prone Abbreviations, Symbols, and Dose Designations Abbreviations Intended Meaning Misinterpretation Correction µg Microgram Mistaken as “mg” Use “mcg” AD, AS, AU Right ear, left ear, each ear Mistaken as OD, OS, OU (right eye, left … 21 37
Med Errors in the Prescribing Phase • Not initiating appropriate therapies ... Allegra Viagra Amiloride Amlodipine Bicillin C-R Bicillin L-A Bupropion Buspirone Cycloserine Cyclosporine Guaifenesin Guanfacine ... What kind of dispensing errors could have caused this? %PDF-1.6
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All rights reserved. Implementation of preventative strategies and system safeguards to decrease the risk for error … 0000053907 00000 n
Medications that should not be crushed because of their special … 0000033413 00000 n
Medications requiring special safeguards to reduce the risk of errors and minimize harm. 0000000016 00000 n
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Do not chew or crush the contents of the capsule. Dangerous Wrong-Route Errors with Tranexamic Acid 0000001339 00000 n
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This list has been adapted with permission from Echaiz, T. A. ISMP Canada is a national voluntary medication incident and ‘near miss’ reporting program founded for the purpose of sharing the learning experiences from medication errors. 0000007388 00000 n
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Unless noted, reports were … 0000036082 00000 n
Note: Sublingual tablet; do not suck, chew, or swallow whole.Slow-release; Note: contents are intended to be sprinkled on food or liquid but should not be chewed or crushed.Film-coated; tablet is scored and may be split; Note: 150 mg tablets can be broken into two-thirds or one-third to provide a 100 mg and 50 mg strength, respectivelySlow-release; Note: this lollipop delivery system requires the patient to slowly allow dissolution. 0000006564 00000 n
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ISMP. 0000004505 00000 n
Contact Us ICP, Inc. 1815 W County Road 54 - Tiffin, Ohio 44883 e-mail: icp@icppharm.com phone: 800.228.8278 0000004441 00000 n
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Other reproduction is prohibited without written permission. 0000011313 00000 n
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the medication use system and result in medication errors – ISMP and the Joint Commission, among others, collect data on medication errors, analyze the data to uncover the causes of errors, and then alert pharmacists and prescribers so that errors can be prevented Causes (continued) • Abbreviations (Ed.). (a)Mucous membrane irritant; Note: accidentally opened or damaged capsules require rigorous precautions to avoid inhalation or contact with the skin or mucous membranes (i)Note: swallow whole; local anesthesia of the oral mucosa; choking could occurSlow-release; Note: contains beads that dissolve throughout the GI tractNote: women who are, or may become, pregnant, should not handle crushed or broken tabletsNote: unique drug matrix enhances rapid drug absorptionNote: see package insert for instructions on crushing administrationSlow-release; Note: film coating is designed to break down at or above pH of 7.0Slow-release; Wax-coated; prevents upper GI releaseNote: crushing significantly increases the AUC and TmaxSlow-release (Note: crushing, chewing, or dissolving tablets can cause rapid release and absorption of a potentially fatal dose)Slow-release; Note: crushing, chewing, or dissolving capsules can cause rapid release and absorption of a potentially fatal doseNote: irritant; avoid contact with skin or mucous membranes; avoid contact with crushed or broken tabletsNote: crushed powder may cause mucous membrane irritation©2020 Institute for Safe Medication Practices.