Posted in Alerts, Patient Safety Posted January 25, 2013
The National Alert Network (NAN) has released a warning regarding the potential for severe patient burns and scarring from “accidental application of ‘glacial’ acetic acid (less than or equal to 99.5%) to skin or mucous membranes instead of a much more diluted form. Glacial acetic acid is the most concentrated form of acetic acid available.” The article recommends replacing current stocks of glacial acetic acid with vinegar or a commercially available diluted acetic acid, educating staff about the differences between glacial acetic acid and diluted acetic acid, and put safety guards in place to restrict purchasing. Read the full alert
The NAN bases alert information on errors reported to the National Medication Errors Reporting Program and is operated by the Institute for Safe Medication Practices.
Posted in Alerts, Falls, PSO Posted November 28, 2012
PSO Alert: The Center for Patient Safety is issuing an alert to all healthcare providers that may currently be using Ambien as a sleep aid for their patients. This includes but is not limited to hospitals, long term care, and nursing home affiliates.
The Mayo Clinic announced last week in “Health Day News” that a study involving 16,000 inpatients showed the fall rate for those taking Ambien as a sleep aid quadrupled, compared with patients not taking the drug.
Read the full PSO Alert.
Posted in Alerts, HAI Posted October 15, 2012
Meningitis from steroid injection medication continues to be a concern with 205 cases in 14 states, resulting in 15 deaths thus far. The medications were distributed to 23 states. The CDC provides the details and the latest information: http://www.cdc.gov/HAI/outbreaks/meningitis.html
“Multistate Fungal Meningitis Outbreak Investigation.” Centers for Disease Control and Prevention; dated 15 Oct, 2012. Web. http://www.cdc.gov/HAI/outbreaks/meningitis.html
The Joint Commission has issued a new sentinel event alert: Safe Use of Opioids in Hospitals. Although hospital patients may need the strong pain relief that only opioids can provide, a Sentinel Event Alert issued yesterday by The Joint Commission urges hospitals to take specific steps to prevent serious complications or even deaths from opioid use. MORE
Posted in Alerts, Patient Safety Posted September 2, 2011
The FDA has initiated the recall of all lots of Povidone Iodine Swabsticks, Povidone Iodine Prep Solutions, Povidone Iodine Scrub Solutions, and Povidone Iodine Prep Gel. To determine if you are using any of these items and information on return arrangements, check the full press release.