Prevent MgSO4/MSO4 Mistakes

November 2015

Drug name abbreviations have a history of mistaken identity...and can cause serious patient harm if misread.

We're hearing that the common abbreviation for tranexamic acid, "TXA," is being mistaken for tenecteplase, or "TNK."

This is a big deal...since tenecteplase can CAUSE bleeding and tranexamic acid is used to STOP bleeding.

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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