Welcome to the ISMP Medication Safety Alert! Nurse Advise-ERR, a medication safety newsletter designed specifically to meet the needs of nurses who transcribe medication orders, administer medications, and monitor the effects of medications on patients. This monthly, two-four page newsletter will be offered FREE in 2016 to acute care hospitals, behavioral health facilities, community health clinics, surgical centers, and birthing centers, and to faculty at academic settings thanks to restricted grants from Baxter, Novartis, and Fresenius Kabi. Those who work in other settings can still purchase an individual subscription for $15 or a reduced-rate organizational subscription for $50. Regular features include detailed anonymous accounts of reported errors, checklists of evidence-based error reduction strategies, and short 'safety wires' that offer quick tips regarding safe medication practices. Free CEUs are available in July and January.

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June 2017

In this month's issue:

  • Despite technology, verbal orders persist, read back is not widespread, and errors continue
  • Oral chloral hydrate still used for pediatric procedural sedation
  • ISMP Releases Guidelines on Safe Subcutaneous Insulin Use (
  • Don't leave "Meds to Beds" prescription bags at bedside.
  • VinCRIStine extravasation unlikely with minibags.
  • What's in a name? The "-mab" drug name stem

Special announcements:

  • ISMP webinars
    • July 11: Safe Use of Opioids in the Acute Care Setting: Within Our Reach *FREE*
    • July 27: 2017 Update on The Joint Commission Medication-Related Standards
    • For details and to register, please visit:
  • Just Culture Certification Course
    • Attend our 3-day Just Culture Certification Course and leave with the confidence to work and lead in a Just Culture.
    • Program dates: August 2-4
    • Location: Wilmington, DE (30 minutes from the Philadelphia International Airport)
    • For details and to register, contact:

Nurse Advise-ERR® is offered free in 2016 to nurses who work in US acute care hospitals, behavioral health facilities, community health clinics, surgical centers, and birthing centers; and faculty at academic settings to allow for free redistribution to students, thanks to educational grants from Baxter, Novartis, and Fresenius Kabi.

Back issues of the newsletter are available at:
NOTE: To open, read, and print the PDF file, you will need Adobe Acrobat Reader installed on your computer. If you do not have the Reader, or you need to update it, click on this link ( for a free download. 

ATTENTION CANADIAN NURSES: ISMP Canada is pleased to distribute this newsletter to Canadian nurses. Please subscribe via this link:

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