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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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Take Charge of Your Medicines

Are you taking charge of your medicines? If not, you can be putting your health at risk. Proper administration of medicine is a three tier effort that includes your doctor, your pharmacist, and you. Knowing about the medicine you take today can save you a lot of grief tomorrow.

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Replace Bottle Adapter with Childproof Cap after Using Liquid Medicine

Liquid medicines, especially those required for small children and pets, are often measured using oral syringes. Sometimes, there is a device that comes with the syringe called an adapter. This allows the oral syringe to directly attach to the bottle, eliminating the step of pouring the liquid into a cup for withdrawal by an oral syringe.Using a syringe adapter is a convenient way to accurately measure and administer liquids. However, depending on the actual product, parents should be aware they are not always childproof.

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Taking Your Medicine Correctly After Discharge from the Hospital

If you or a family member has been hospitalized, the first few days after returning home can be confusing. You may have prescriptions to fill for new medicines. You may need to restart some medicines or stop others that you were taking before your hospitalization. Or you may need to take these medicines in different doses, or at different times. These changes may cause you to make a mistake as you try to figure out what medicines to take or how to take them now that you are home.

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Pain Relief Pumps: Don’t Push the Button for Patients

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