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Reporting a Medication Error

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

What to Expect When a Pharmacy Makes a Mistake

Most people realize human error can happen, including when getting a prescription filled at the pharmacy. Although pharmacists do their best, mistakes sometimes happen. Thanks to safer medicine labels and technologies like barcode scanning, mistakes of the past are rapidly declining. The few pharmacy errors that do slip by usually do not cause serious or permanent harm. Still, that’s little consolation to a consumer who is harmed or could have been harmed if a more serious error had happened.

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Errors Can Happen with Pharmacy’s Automatic Refill Service

People who take medicines to treat chronic diseases, such as high blood pressure, asthma, or diabetes, need to fill their prescriptions regularly. Many pharmacies allow people to sign up for an automatic refill service so they don't run out of their medicines because they forget to call for refills. Once you sign up for this service, all your prescriptions for ongoing medicines are automatically refilled until there are no more refills left on the prescription. Each month, the pharmacy then notifies you when they are ready to be picked up.

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What is a "Dropperful"?

Medications for children are frequently ordered by the "dropperful". There are several problems with these orders. First there is too much room for misinterpretation of what might constitute a dropperful. One individual might consider it to be a dropper filled to the upper calibration mark.

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Mom Hopes Son’s Overdose Spurs Prevention Efforts

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