Free Newsletter From ISMP for Long Term Care

October 17, 2013    |   By: Calevir

The Institute for Safe Medication Practices (ISMP) began publishing a newsletter for long-term care providers in July, outlining LTC’s special issues and solutions for medication safety.   If you don’t already get the newsletter, you can find the October edition at and find past editions or subscribe here.     The October edition addresses “wrong resident” events.

The ISMP’s expertise comes from events reported by providers, and it is a great example of the value that can come from a reporting and learning culture.

Providers can report medication events to ISMP (instructions are in the newsletter).   ISMP is a listed Patient Safety Organization (PSO), and so the information providers send them is protected IN ISMP’s HANDS.   However, the information in the PROVIDERS‘ hands may still lack protection if the provider does not have a contract with a PSO and a policy defining its Patient Safety Evaluation System.   Participants who report to the Center for Patient Safety’s PSO can also share medication event information with ISMP.   There is more information about the CPS long-term care PSO at



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A recent Pennsylvania case shows how courts narrowly interpret the PSQIA, ignoring the D & A pathway and the clear language of the Final Rule. (Ungurian v. Beyzman, et al., 2020 PA Super 105). The cour

Joint Commission New Sentinel Event Alert 61: Managing the Risks of Direct Oral Anticoagulants:

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CPS Safety Watch/Alert – Culture Can Improve the Control of Multi-Drug Resistant Organisms:

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The Center for Patient Safety believes that collaboration and sharing are the best ways to drive improvement. We strive to provide the right solutions and resources to improve healthcare safety and quality.