March 2004, Volume 34 Number 3 , p 20 - 21
© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(3) March 2004 p 20–21 Give me an “s” … [MEDICATION ERRORS: ABBREVIATION MIX-UP]
COHEN, MICHAEL R. RPH, DSC, FASHP
Michael R. Cohen is president of the Institute for Safe Medication Practices (ISMP), a nonprofit organization that derives its reports from the USP-ISMP Medication Errors Reporting Program. To report medication errors, call the USP at 1-800-23-ERROR (233-7767). You can reach the ISMP at 215-947-7797 or via e-mail at email@example.com.
A prescriber ordered bedside blood glucose monitoring for a patient with relatively stable diabetes. Below the order, she wrote “If no insulin required x 48h, d/c SSRI,” meaning discontinue sliding scale regular insulin . The patient didn't require insulin for 2 days, so a nurse transcribed the order on her chart as “SSRI to ...