Report a Medication Error

Report a Medication Error (11)



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thank you page

thank you page (2)

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Wednesday, 14 October 2015 15:03

Thank You!

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Thank you for reporting your error or medication safety concern to ISMP. 


Your error report has been submitted.

Tuesday, 09 September 2014 12:12

Thank you for your error submission!

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Thank you for reporting your error or medication safety concern to ISMP. 


Your error report has been submitted.

Monday, 06 February 2012 19:29

Report a Medication Error

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Thank you for reporting your error or medication safety concern to ISMP and Please answer the questions as completely and accurately as possible. Your answers will help us to better understand the type of errors that are happening, where and why they are happening, and how to help those people being affected.


Thursday, 12 May 2011 18:44

Report Submitted Successfully

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Thank you for your report. You are helping to prevent harmful medication incidents.

Wednesday, 20 April 2011 14:13

Tell Us About the Error

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Thank you for reporting your error or medication safety concern to ISMP. Please answer the questions as completely and accurately as possible. Your answers will help us to better understand the type of errors that are happening, where and why they are happening, and how to help those people being affected.

Required Information:

Please describe what happened or what could happen due to your safety concern or error. Please review such topics as What Should be Reported, Who Should Report and other links in this section.

  1. Describe the error or adverse drug reaction. What went wrong?
  2. Was this an actual medication error that happened to you or a loved one, or are you expressing concern about a potential error that was discovered before it reached the patient?
  3. Type of practice site (hospital, private office, retail pharmacy, long-term care facility, etc).
  4. The name of all drugs and/or medical products related to the error.
  5. If known, the dosage form (capsule, tablet, injection, etc), concentration or strength, etc.

Be sure to include the names of all drugs involved. *Required

Please include any product photographs, scans of doctor's prescriptions, associated records, etc. that might help us understand your report. Be sure not to include any personally identifiable information such as your name, social security number, etc.

  • Image 1:
  • Image 2:
  • Image 3:
Approximate date of the error or event or discovery of the medication safety concern: *Required
How was the error/concern discovered? *Required
What was the final outcome to the person/patient involved in the error?
If an error or event happened, what was the age of the person affected at the time of the error/event?
What do you think should have been done to avoid this type of mistake or your safety concern?
Is this the first time you have reported an error, event, or concern on this website?

If an error or event happened...
Optional Information
Did any of the following happen to the person because of the error (check all that apply):

Had you, the person involved in the error, or their caregiver been provided with specific instructions regarding how to take the medicine?

If yes, who provided this information?

If yes, how were the instructions administered?
If yes, were the instructions easy to understand?

Who discovered the event?
Were you or the person affected by the error or bad reaction told about it by a healthcare provider?

Did you or the person affected by the error receive an apology from the healthcare provider(s) for the error?

Optional Personal InformationAll communications are strictly confidential. ISMP will not disclose your identity to any individuals or outside organizations without your expressed permission. However, we need to be able to communicate with you in case we have follow-up questions. Also, you will only receive an email confirmation of this report if you provide an email address below. If you do not provide any identifying information, please print the final report page for your records.

Person Submitting Report:
Our organization shares information with the FDA, in confidence, when we receive a report. Both organizations (ISMP, FDA) utilize these reports to identify and address drug-related problems by working with drug manufacturers, scientists and others. Please indicate which of the following organizations we may not share your report with (your information will be handled 100% securely and confidentially):

Your use of this website shall be deemed as your consent to be bound to the Terms and Conditions.

Wednesday, 05 January 2011 17:05

Other Ways to Report Errors

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If you can't report your incident using our internet reporting form, you may report an incident by telephone by calling ISMP at 267-725-0055.

Wednesday, 05 January 2011 17:04

How We Maintain Your Privacy

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Welcome to, a website for consumers provided by the Institute for Safe Medication Practices (ISMP).

ISMP is committed to protecting your privacy while using our website. In general, you can visit and use most of its functionality and tools without revealing any personal, identifiable information. However, you may choose to provide personal, identifiable information if you report medication errors and to gain access to some of our services. Any personal information you choose to provide, including your name, email address, and medications you take, will not be disclosed to anyone other than the staff at ISMP unless:

  • You provide prior consent
  • ISMP enters into an agreement with an analytics company to measure how visitors use our website (ISMP retains ownership of the data and controls how the data are used)
  • ISMP and a third party are involved with the sale, assignment, or other transfer of the business of this website, in which case we will require any such buyer to agree to treat such information in accordance with this Privacy Policy
  • ISMP is required to disclose such information by applicable laws, court orders, or government regulations.

ISMP may disclose the errors reported on its website to third parties including, but not limited to, the Food and Drug Administration (FDA) MedWatch program, the manufacturer or labeler of a particular medication, or the manufacturer of a medical device. However, all personally identifiable information, including your name and email address, will be redacted or removed, unless permission is granted by you to disclose such information.

For additional information, please read our Privacy Policy, which provides additional information about our practices regarding collection, use, and disclosure of information that you may provide to us via this website.


Wednesday, 05 January 2011 17:00

What Do We Do With Your Report

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At ISMP, we review incident reports submitted by consumers and health professionals and look for ways to prevent harmful errors. For example, we may approach a manufacturer to suggest that the label of a product be changed, we may suggest safer ways for health professionals to handle medication, or we may remind consumers of things they can do to avoid making mistakes with medication.

ISMP will:

  • review your report
  • look for system problems that could cause errors to happen
  • prepare recommendations that are designed to prevent mistakes with medication
  • send recommendations about medication safety to health professionals and consumers
  • notify the US Food and Drug Administration's MedWatch Program and the manufacturer if a product issue
  • advocate throughout the healthcare system to promote changes to improve medication safety
  • provide consumer-focused information and tips about medication safety on the website

ISMP will not:

  • investigate a complaint on your behalf with an organization or health professional that is responsible for an error in care
  • investigate the actions of individual practitioners
  • report (for disciplinary purposes) the incident to professional authorities responsible for regulating the practice of health professionals
  • release or publish any information that could identify the reporter of an incident, a patient, a health professional or an organization involved in an incident


Wednesday, 05 January 2011 16:59

Who Should Report an Error?

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Patients, family members, caregivers or any other individual who may be acting for, or in support of, a patient or client receiving health care, may report medication incidents to this site. If you are reporting on behalf of someone you know, you should ask their permission to report the incident and be sure that you know all the facts about the incident.


Wednesday, 22 December 2010 19:36

What Should Be Reported

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We're interested in learning about medication errors, near misses, hazardous situations or bad drug reactions experienced by you or a loved one. These problems may be related to:

  • Issues with prescriptions
  • Pharmacy or hospital procedures, staff, and systems
  • Inadequate medication instructions
  • Poor communication of information from a health care professional
  • Medicine labels and packaging
  • Names of medications
  • The preparation and/or mixing of medications
  • The way in which you order medication (Internet, telephone, mail, etc.)
  • Unexpected reactions to a drug


Medication errors, near misses, or hazardous situations that should be reported include, as well as bad reactions, but are not limited to:

  • Receiving the wrong drug, strength, or dose of medication that was ordered for you
  • Being prescribed a drug to which you were allergic
  • Having an unexpected reaction to a drug because you were taking another drug or food that shouldn't be eaten while taking the drug
  • Taking a drug incorrectly because you did not understand how or when to take it
  • Developing an already known but unexpected side effect because the provider did not give clear or full instructions on how to properly take the drug. For example, if you got an upset stomach because you were not told to drink a full glass of water when taking your medicine or getting sunburned because you were not counseled that the drug requires you to stay out of sunlight.
  • A problem with equipment used to give the medication such as with IV (intravenous) pumps, PCA (patient controlled analgesic) pumps, and insulin pens, etc.