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May 2002
- ISMP Canada welcomes our new board director. The board of ISMP Canada in its March 27, 2002 meeting unanimously approved the appointment of Carolyn Hoffman as a new board member. Carolyn has been a strong patient safety advocate. Presently she is the Provincial Quality of Care Coordinator, Saskatchewan Health, Saskatchewan.
- Analyze-ERR, the Medication Error Reporting and Analysis Software, is now available from ISMP Canada. An information page is posted in the Analyze-ERR section. Please contact ISMP Canada (info@ismp-canada.org) for license fee structure and other information.
- The medication safety intervention project funded by Ontario Ministry of Health and Long Term Care is entering into Phase 4 where medication error prevention tools and strategies are being introduced to the "Study Group". Please see details under the Project section.
- ISMP Canada has been working with AstraZeneca to make packaging and labelling improvement on Potassium Chloride concentrate polyamps which have caused some concerns for its potential mix-ups with Normal Saline and Distilled Water.
- ISMP Canada is also working with Baxter Canada Inc. to make labelling improvement on Sterile Water for Injection USP one litre bag which has been reported being mixed up with Sodium Chloride 0.9 % one litre bag.
ISMP Canada is very pleased to receive very positive responses from manufacturers when they were called to discuss their product issues. Many of these issues were brought to the attention of ISMP Canada from medication errors (and near-miss) reports. We encourage hospitals and practitioners to continue sending reports so lessons can be learned and shared with the other healthcare organizations.
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