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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

Demonstration Devices Mixed Up with Real Devices

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Using a Household Spoon to Give Liquid Medicine Is Inaccurate

It has been almost 50 years (1978) since the American Academy of Pediatrics pointed out that using a household spoon to give liquid medicine is inaccurate. Studies indicate, however, that 3 out of 4 Americans still rely on teaspoons in their kitchen drawers to measure medicine doses.

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Herbals Act Like Medicines in the Body

Herbal products are a type of dietary supplement made from an herb (a plant). They are used to treat symptoms of an illness and improve health. In general, experts agree that herbal products are milder and safer than prescription drugs. But herbals act like medicines in the body. They can cause problems if too much is taken, if used too long, or if taken along with other medicines.

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Mix-Ups Between Five Different Inhalers that All Include “Ellipta” as Part of Their Brand Names

The name of a unique inhaler device included in five different brand name medicines has led to multiple mix-ups, not only by consumers but by doctors, pharmacists, and nurses as well. In 2013, the global drug company, GlaxoSmithKline, introduced Ellipta, a new type of inhaler device. It is circular in shape, about the size of a hockey puck, and can combine several different medicines together. The company has packaged combinations of one, two, or three of the medicines listed below using this unique inhaler device:

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