What Do We Do With Your Report?

At ISMP, we review incident reports submitted by consumers and healthcare 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 healthcare professionals to handle medications, or we may remind consumers of things they can do to avoid making mistakes with medications.

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 healthcare professionals and consumers
Notify the manufacturer if it is 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 ConsumerMedSafety.org website
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ISMP will not:

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

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More Safety Articles

Don’t Confuse a Product Called WartSTICK with Lip Balm!

Many people are familiar with over-the-counter wart treatments. They're typically liquid based or are packaged in an aerosol container with a special application tip. But did you know there is also a wart remover that uses a dry formulation in the form of a stick? Within the last year a company called Balassa Laboratories has repackaged an old formula of a solid stick wart remover (previously packaged under the name PediFix). The newly packaged product, called WartSTICK, is now available at popular chain drugstores such as CVS, Rite Aid and Walgreens on-line. Our concern? It looks identical to a container of lip balm. The active ingredient in WartSTICK is salicylic acid, which should NEVER come in contact with the lips or mucous membranes inside your mouth.

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This Oral Syringe Is Not Like the Others

The oral syringes that come with risperidone oral solutions are uniquely labeled and may cause confusion. Risperidone is a medicine used to treat certain mood disorders. Unlike other oral syringes, risperidone oral syringes have a barrel (the part that holds the medicine) that does not have any lines or numbers (markings). Instead, the markings appear on the plunger ( Figure 1). To measure a dose, the plunger must be pulled back until the dose marking aligns with the flange (winged end) of the barrel. Even though these syringes are different than other oral syringes, the instructions do not provide detailed, clearly illustrated information on how to read the markings when measuring a dose. We recently learned about a man who may have taken too much risperidone due to confusion with the dose markings.

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What Do We Do With Your Report?

Learn what we do with your medication error reports.

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It May Not Be Safe to Cut a Medicine Patch

Consumers as well as some health professionals may not know that most medicine patches should never be cut before being applied to the skin. Patches are designed to give a constant amount of medicine over a certain period of time, which may range from several hours to a month. The medicine reaches your body by going through the blood vessels under your skin. If the patch is cut, the medicine in each half of the patch might be released too quickly, leading to a serious overdose.

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