Follow Bar-coding Procedures to Prevent Product Mix-Ups

November 2015

Recent errors due to similar packaging for calcium gluconate and sterile water will put more focus on selecting the right product.

This mishap isn't surprising. Caps and vials for Fresenius Kabi calcium gluconate and Hospira sterile water are almost identical.

We're all familiar with reasons for these mix-ups...look-alike/ sound-alike meds, multiple dosage forms or salts, etc.

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Table of Contents

Emergency Preparedness Help Prevent Delays and Errors During Emergencies
Medication Errors Prevent MgSO4/MSO4 Mistakes
Sepsis Consider Antibiotics for Sepsis Patients to be STAT
Practice Follow Bar-coding Procedures to Prevent Product Mix-Ups
Pediatrics Look Out For Kids Getting Tramadol
Antibiotics Watch for Labeling Changes for Avycaz and Zerbaxa
Anticoagulants Don't Confuse ADD-Vantage Bivalirudin for an Antibiotic
Vaccines Avoid Mix-Ups with Prevnar 13 and Pneumovax 23
Antipsychotics Verify Your Hospital is Enrolled in the New Clozapine REMS Program
Neurology & Pain Feel Comfortable if Orders Instruct Nurses to Cut Lidocaine Patches
Epinephrine Keep IntraCARDIAC Epinephrine Syringes Out of Crash Carts