*** Deadline extended to March 16, 2018  ***
Welcome to the ISMP Medication Safety Self Assessment® for High-Alert Medications. This tool offers hospitals, long-term care facilities, and outpatient facilities a unique opportunity to assess the safety of systems and practices associated with up to 11 categories of high-alert medications. ISMP defines high-alert medications as those drugs that bear a heightened risk of causing significant patient harm when used in error.

Not all the targeted high-alert medications may be used in every inpatient or outpatient facility; thus, each facility can choose one or more of these high-alert medications upon which to focus its assessment. However, we strongly encourage all facilities to complete the assessment for every high-alert medication category used in their facility, including the General High-Alert Medications section. ISMP also encourages facilities to anonymously submit their findings to ISMP online.

Click here to access on-demand webinar

The Workbook

Click on the links below to access the entire workbook or various sections of the workbook, which will be needed to complete the assessment.*

Online Self-Assessment Form

Click the button above to get started on any of the following:
  • Create a new user account
  • Reset your password
  • Enter and submit your demographic and self-assessment information to ISMP anonymously
  • View and print your submitted demographics and self-assessment results

Frequently Asked Questions

Click here to view and print frequently asked questions (FAQs)

EXCEL Spreadsheet

Click here to access an Excel spreadsheet of the self-assessment items. See the Workbook for the complete assessment material. Demographic and self-assessment information must be entered into the online self-assessment form in order to submit to ISMP.
* You will need a current version of Adobe Acrobat Reader (FREE download at: on your computer to read, download, and/or print the assessment and associated documents. Older versions may not allow you to view or print some pages.
The assessment tool, which was developed by the Institute for Safe Medication Practices (ISMP), was funded and supported by the US Food and Drug Administration (FDA) under contract # HHSF223201510136C. All materials associated with this research effort represent the position of ISMP and not necessarily that of FDA.
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