Resource Library

These resources are developed from ISMP's review of reports through its national error reporting programs, peer-reviewed articles in its publications, and/or consensus gathering summits on topics pertinent to specific errors  or hazards. ISMP offers a wide range of downloadable and easy to use resources. Many are free.

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Award-winning DVD introduces viewers to “Just Culture".
Video - Beyond Blame Documentary (DVD): $47.00
Commonly referred to as the "Do Not Crush" list, healthcare professionals are alerted about medications that should not be crushed.
Wall Chart - Oral Dosage Forms that Should Not be Crushed: $24.95
An analysis of vaccine error reports submitted to the ISMP National Vaccine Errors Reporting Program (ISMP VERP) during calendar years 2017 and 2018.
Crushing or splitting some oral medications may alter the intended effect and possibly result in patient harm. This poster provides a checklist of questions that healthcare practitioners should ask before they consider crushing or splitting medications.
Poster - Ask Before You Crush: $3.75
Healthcare practitioners should use the exact metric weight when writing drug orders. This poster discourages prescribing only by volume or dosage limit, which can be ambiguous, and provides a correct sample order.
Poster - Be Exact!: $3.75
Healthcare practitioners should always prepare liquid oral medications in oral syringes. This poster emphasizes that the tips on oral syringes make it more difficult or impossible to accidentally administer the oral medication intravenously.
Poster - Choose The Correct Syringe: $3.75
Verbal and telephone medication orders can be misheard, misunderstood, or mistranscribed. This poster gives healthcare practitioners a checklist for safe order communication.
Poster - Now Hear This!: $3.75
Counsels healthcare practitioners to always spell out drug names.
Poster - Never Abbreviate Drug Names: $3.75
Unlabeled syringes, basins, bowls, and cups can be dangerous.
Poster - Positive Identification: $3.75
This poster provides examples of medication orders with ambiguous or difficult-to-read abbreviations as well as how they should be written out.
Poster - You Can't Abbreviate Safety: $3.75
It is essential that healthcare practitioners place a zero in front of decimal points in drug dosages to help prevent ten-fold overdoses. This poster emphasizes that without the zero, the decimal point is often overlooked, and provides an example.
Poster - Caution! Zero Is Not Beside The Point: $3.75