Identify, prioritize, and record problems in your facility's medication use system. Medication Administration Errors. suspension, Jalyn (combination) Capsule Mucous membrane irritant (Note: women who are, or These resources are developed from ISMP's review of reports through its national error reporting programs, peer-reviewed articles in its publications, and/or consensus gathering summits on topics pertinent to specific errors or hazards. The term "Slow-release" is being used here to signify all such drugs with a special-release mechanism. (f) Effervescent tablets must be dissolved in the amount of diluent recommended by the manufacturer. Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. In: StatPearls [Internet]. Epanova (omega-3-carboxylic acids) Capsule Note: contents of capsule may erode walls of Department of Health & Human Services. Aptivus (tipranavir) Capsule Note: oil emulsion within spheres; taste Intelence (etravirine) Tablet Note: tablet should be swallowed whole and not Additionally, you may type in free text in the search box and click the SUBMIT button below. Kaletra (combination) Tablet Film-coated Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Norpace CR (disopyramide) Capsule Slow-release form within a special capsule Appropriate references and search strategies were streamlined to perform the evaluation, and manufacturers were also contacted with a standard drug-information inquiry. HHS Vulnerability Disclosure, Help ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing2013. Pleaseclick hereto purchase theOral Dosage Forms That Should Not Be Crushed WallChart from Thomas Land Publishers. ISMP 2016. Writing Act, Privacy A: ISMP no longer transposes the Oral Dosage Forms That Should Not Be Crushed into table form on the website. Would you like email updates of new search results? December 22, 2021. Filling the gaps on the Institute for Safe Medication Practices (ISMP) Do Not Crush List for Immediate-release Products. may cause oropharyngeal irritation), Augmentin XR (combination) Tablet Slow-release (b,h) However, evidence is weak or missing for a number of immediate-release products. - Do not crush (risk of sensitization, and taste is unacceptable for oral administration) cinacalcet Sensipar Tablet Note: tablets are not scored and cutting may cause variable dosage accuracy cloNIDine Kapvay Tablet Slow-release - Do not crush sustained-release product - Immediate-release tablet may disperse Alavert Allergy (Sinus 12 hour) (combination) Tablet Slow-release You must then unclick each box to clear the filters. Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems. In: StatPearls [Internet]. If the medication is altered or destroyed in any way, the medication will be released too fast and cause an adverse effect. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Developed to support hospitals, ambulatory surgery centers, and other procedural locations in addressing identified national gaps in perioperative and procedural medication safety. Analyze your current status with implementation. Do Not Crush; Not Recommended for Splitting; Beers Criteria; Interactions with Grapefruit Juice . Topamax (topiramate) Capsule; Tablet Taste; Taste (a) Fentanyl transdermal system (marketed as Duragesic) information. Curr Pharm Des. Drug-Rich Phases Induced by Amorphous Solid Dispersion: Arbitrary or Intentional Goal in Oral Drug Delivery. Bayer Regular (aspirin) Caplet Enteric-coated 2021 Feb 19;78(5):389-394. doi: 10.1093/ajhp/zxaa412. [1] It is affiliated with the ECRI Institute. Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. Quick Guide to Standards of Care for Chronic Disease Screening: Diabetes Self-Management Training (DSMT) provided by Diabetes Care and Education Specialist (CDCES, Quick Guide to Standards of Care for Chronic Disease Screening: Connect Patients Eligible for Cardiac Rehabilitation to Life-Saving Services, Considerations for Referring Patients to RDN for Medical Nutrition Therapy (MNT) Services for Diabetes and Chronic Kidney Disease Care, Quick Guide to Standards of Care for Chronic Disease Screening: Blood Pressure Screening Recommendations for Hypertension (HTN), Chronic Kidney Disease Awareness and Prevention Program. Erivedge (vismodegib) Capsule Note: package insert indicates potential teratogenic US poison control center calls for infants 6 months of age and younger. Where can I find this? By default, do not crush also means that the drug is NOT to be halved, unless stated otherwise. Hydrea (hydroxyurea) Capsule Note: exposure to the powder may cause serious skin should not handle crushed or broken tablets, Proquin XR (ciprofloxacin) Tablet Slow-release PRO zac Weekly ( FLU oxetine) Tablet Enteric-coated To find resources inclusive of more than one focus area, select multiple boxes (e.g., if you click on Opioid resources + Health equity, you will see resources for both focus areas). Medication error reporting in rural critical access hospitals in the North Dakota Telepharmacy Project. than half) Verelan (verapamil) Capsule Slow-release (a) Ultram ER (tra MAD ol) Tablet Slow-release (Note: tablet disruption may cause a This chart, commonly referred to as the "Do Not Crush" list, alerts healthcare professionals about medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. Sites, Contact Videx EC (didanosine) Capsule Slow-release VESIcare (solifenacin) Tablet Enteric-coated 8600 Rockville Pike Plymouth Meeting, PA 19462. Writing Act, Privacy Doxidan (bisacodyl) Tablet Enteric-coated (c) Evista (raloxifene) Tablet Taste; teratogenic potential (i) Verelan PM (verapamil) Capsule Slow-release (a) To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed and specifies why. administer This wall chart is used to ensure the safety and integrity of drugs that are tubed via pneumatic systems. Isosorbide Dinitrate Sublingual (isosorbide) Tablet Sublingual form (g) Easprin (aspirin) Tablet Enteric-coated Patient Safety Primers. during 2020. Purchase Wall Chart from Thomas Land Publishers, Wall Chart - Compatibility of Critical Care Admixtures, Wall Chart - Medications That Should Not Be Transported Via Pneumatic Tube Systems, Medication Safety Officers Society (MSOS). Unauthorized use of these marks is strictly prohibited. Disclaimer. Tagrisso (osimertinib) Tablet Note: tablet may be dissolved in 2 ounces of water, Targiniq ER (combination) Tablet Slow-release (Note: crushing, chewing, or dissolving The problem with medication reconciliation. Electronic 2022 Sep 21. 4817 0 obj <> endobj The site is secure. The Institution for Safe Medication Practices (ISMP) "Do Not Crush" list is widely used by healthcare professionals to determine if a medication can be safely crushed and administered to a patient. Furthermore, the checklist and evaluation strategy present a framework for healthcare providers to assess crushability of any future immediate release oral solid drug products when there are no suitable alternatives. Provider-facing tool summarizing Standards of Care and Billing Codes for Chronic Kidney Disease. Dydyk AM, Sizemore DC, Fariba KA, Sanghavi D, Porter BR. Boniva (ibandronate) Tablet Note: chewed, crushed, or sucked tablets may cause Drug name pairs or larger groupings that look similar utilize bolded uppercase letters to help draw attention to the dissimilarities in look-alike drug names. down at or above pH of 7) Professor Parsons, Lesson 8 Faults, Plate Boundaries, and Earthquakes, General Chemistry I - Chapter 1 and 2 Notes, Chapter 3 - Summary Give Me Liberty! American Society of Health-System Pharmacists 2020. Top 10 Medication Errors and Hazards that appeared in the ISMP Medication Safety Alert! To crush or not to crush: A brief review of novel tablets and capsules prepared from nanocrystal and amorphous solid dispersion technologies. Table 1 provides a summary list of drug products based on nanocrystal or amorphous solid dispersion technologies that were approved by FDA as of December 31, 2019. Acticlate (doxycycline) Capsule; Tablet Film-coated (h) (Note: tablet scored in thirds rather an intact coating) PMC Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), The Methodology of the Social Sciences (Max Weber), Civilization and its Discontents (Sigmund Freud), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Give Me Liberty! Paudwal G, Rawat N, Gupta R, Baldi A, Singh G, Gupta PN. Telephone: (301) 427-1364. Propecia (finasteride) Tablet Note: women who are, or may become, pregnant, tablets may result in overdose or death), OFEV (nintedanib) Capsule Taste tablets can cause rapid release and absorption of a Search All AHRQ Actonel (risedronate) Tablet Irritant (Note: chewed, crushed, or sucked tablets may Kazano (combination) Tablet Note: not scored; no studies available from company, K-Dur (potassium) Tablet Slow-release Focus Area(s): Adverse drug event resources, Care coordination, Medication reconciliation resources. FDA Pharmacists Help Consumers Use Medicines Safely. Potential inaccuracy of electronically transmitted medication history information used for medication reconciliation. Novel formulations of tablets and capsules are being used to increase the oral bioavailability of certain drugs. 5200 Butler Pike official website and that any information you provide is encrypted The purpose of this study was to perform an in-depth analysis of these products on the ISMP Do Not Crush List with the goal of removing unnecessary restrictions and providing conditional recommendations if needed. An analysis of vaccine error reports submitted to the ISMP National Vaccine Errors Reporting Program (ISMP VERP) during calendar years 2017 and 2018. Before Kapidex (dexlansoprazole) Capsule Slow-release (a) (Note: name changed to Dexilant), Kapvay (clo NID ine) Tablet Slow-release Oxy CONTIN (oxy CODONE ) Tablet Slow-release (Note: tablet disruption may cause a : an American History (Eric Foner), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Amitiza (lubiprostone) Capsule Slow-release The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Medications that should not be crushed because of their special pharmaceutical formulations or characteristics. Clipboard, Search History, and several other advanced features are temporarily unavailable. Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study. Pancrecarb (pancrelipase) Capsule Enteric-coated (a) Uttaro E, Pudipeddi M, Schweighardt A, Zhao F. Am J Health Syst Pharm. Injectable Opioid Shortages: Suggestions for Management and Conservation. (b) capsules, especially leaking capsules, Azulfidine EN-Tabs (sulfa SALA zine) Tablet Slow-release (b) Take this quiz to test your knowledge of medication administration. TheList of Oral Dosage Forms That Should Not Be Crushed,commonly referred to as the "Do Not Crush" list, contains medications that should not be crushed because of their special pharmaceutical formulations or characteristics, such as oral dosage forms that are sustained-release in nature. You may purchase a wall chart version of this list at: Drug Product Active Ingredient(s) Dosage Form(s) Reasons/Comments Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. ISMP has discontinued the sale of wall charts. may become, pregnant, should not handle crushed or broken tablets [l]) Janumet XR (combination) Tablet Slow-release Jentadueto XR (combination) Tablet Slow-release Kadian (morphine) Capsule Slow-release (a) (Note: do not give via NG tubes) Kaletra (combination) Tablet Film-coated Kaon-CL-10 (potassium) Tablet Slow-release (b) 4836 0 obj <>/Filter/FlateDecode/ID[<262A6F7D26F5DF4CB425F5679D3D8F83>]/Index[4817 33]/Info 4816 0 R/Length 95/Prev 354504/Root 4818 0 R/Size 4850/Type/XRef/W[1 2 1]>>stream Effect of barcode-assisted medication administration on emergency department medication errors. This list includes abbreviations, symbols, and dose designations that have been frequently misinterpreted and involved in harmful or potentially harmful medication errors. December 6, 2006. Policy, U.S. Department of Health & Human Services. Jentadueto XR (combination) Tablet Slow-release Strategy, Plain Letairis (ambrisentan) Tablet Slow-release Exjade (deferasirox) Tablet Note: do not give as whole tablet, tablets are meant A non-inclusive list of nanocrystal and amorphous solid dispersions medications and manufacturers from a review article published in AJHP is below: Emend (aprepitant) Merck Rapamune (sirolimus) Pfizer TriCor (fenofibrate) AbbVie Triglide (fenofibrate) Sciele Pharma Afinitor (everolimus) Novartis Tablet for oral suspension Cymbalta ( DUL oxetine) Capsule Slow-release (a) (Note: may add contents of capsule Aquatab D (combination) Tablet Slow-release (h), Aricept 23 mg (donepezil) Tablet Note: crushing the 23 mg tablet may significantly Uceris (budesonide) Tablet Slow-release (Note: film coating is designed to break immediately) Amibid DM (combination) Tablet Slow-release 5-10 In addition, the table lists the products' status on the ISMP Do Not Crush List and alternative dosage forms (if available). 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Pneumatic systems addressing identified national gaps in perioperative and procedural medication safety pleaseclick purchase... Endobj the site is secure, unless stated otherwise combination ) Tablet Slow-release ( a ) transdermal... Of Department of Health & Human Services novel formulations of tablets and capsules prepared from and! ( hyoscyamine ) Tablet Film-coated Impact of a pharmacy-based centralized intravenous admixture service on inpatient use...