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Articles by MICHAEL R. COHEN, BS, RPh

Medication Errors

Cohen, Michael R.

Nursing2019. 49(7):72, July 2019.

Avoid delegating vaccine preparation...vancomycin powder: do not confuse the diluent with the drug...new FDA naming convention for biological medications

Medication Errors

Cohen, Michael R.

Nursing2019. 49(4):72, April 2019.

Confusing label invites a twofold overdose of oral potassium solution...avoid abbreviating drug names...lower dosage is not always a “junior” with epinephrine autoinjectors

Medication Errors

Cohen, Michael R.

Nursing2019. 49(2):72, February 2019.

Near-miss mix-up of nebulizer solutions...patients need more education to use pen needles correctly...tool available to mitigate the risk of tubing misconnections

Medication Errors

Cohen, Michael R.

Nursing2019. 48(11):72, November 2018.

Beware of nonstandard labels on foreign potassium chloride injection products...concentration confusion on DOBUTamine overwraps...leave slang terms out of verbal orders

Medication Errors

Cohen, Michael R.

Nursing2019. 48(4):72, April 2018.

Volumen confused with Voluven...“hang time” interpreted as a dose...watch for outdated instructions accompanying this antiretroviral drug

Medication Errors

Cohen, Michael R.

Nursing2019. 48(3):72, March 2018.

The lowercase letter “l” at the end of drug names can be confused with the number 1...survey reveals alarming safety lapses in injection practices

Medication Errors

Cohen, Michael R.

Nursing2019. 48(2):72, February 2018.

Encourage patients to double-check e-prescriptions...discard stabilizers packaged with prefilled morphine syringes...liraglutide pen injectors confuse mL and mg

Medication Errors

Cohen, Michael R.

Nursing2019. 47(4):72, April 2017.

Lipid rescue therapy reverses local anesthetic toxicity...poorly placed bar code interferes with scanning...don't confuse sound-alike drugs Tarceva and Tresiba

Medication Errors

Cohen, Michael R.

Nursing2019. 47(3):72, March 2017.

Too-sticky label disguises tampering and drug diversion...blister packaging can help protect kids from accidental poisonings...don't let patients confuse Claritin and ClariSpray...mini-bag volumes of 0.9% sodium chloride solutions aren't clearly labeled

Medication Errors

Cohen, Michael R.

Nursing2019. 47(1):72, January 2017.

Disoriented syringe label poses risks...tamper-evident ring on this ointment tube could cause an eye injury...never bring controlled substances to the bedside before needed

Medication Errors

Cohen, Michael R.

Nursing2019. 46(12):72, December 2016.

Fake prescriptions shouldn't be used to check for insurance coverage...make sure vial labels face up...“kwik” refers to a device, not a drug...barcode missing from bottle's label

Medication Errors

Cohen, Michael R.

Nursing2019. 46(11):72, November 2016.

Dangerously misleading label for potassium chloride...beware of packaging errors on over-the-counter products...speak up about unlabeled syringes

Medication Errors

Cohen, Michael R.

Nursing2019. 46(10):72, October 2016.

Ask older patients about safety caps...megestrol and metoclopramide mixup tied to similar packaging...address patient confusion about dosing with insulin pens

Medication Errors

Cohen, Michael R.

Nursing2019. 46(8):72, August 2016.

Minimize the use of disinfecting caps on pediatric I.V. catheter hubs and ports...beware confusing labeling on blister pack for cystic fibrosis medication...keep vaccines in storage units dedicated exclusively to vaccines

Medication Errors

Cohen, Michael R.

Nursing2019. 46(5):72, May 2016.

Paregoric mislabeled as “opium tincture”...AHRQ streamlines its patient safety portal...fatal overdose tied to a common but high-risk practice

Medication Errors

Cohen, Michael R.

Nursing2019. 46(4):72, April 2016.

New enteral syringe design eliminates syringe dead space...bubble in fentanyl patch leads to problems...potassium nearly dispensed in error

Medication Errors

Cohen, Michael R.

Nursing2019. 46(3):72, March 2016.

Travelers, beware of name-brand confusion...say farewell to ratio expressions on single-entity drug products...improvements in worldwide vaccine packaging and labeling needed

Medication Errors

Cohen, Michael R.

Nursing2019. 46(2):72, February 2016.

Completely remove tamper-resistant seals...don't cover medication label bar codes with pharmacy labels...avoid mixing up cytarabine and vinorelbine...tiny print on similar package labels poses risks

Medication Errors

Cohen, Michael R.

Nursing2019. 45(12):72, December 2015.

Beware the similar navy blue syringes of Relistor and generic enoxaparin...Brintellix and Brilinta cause name confusion...unnecessary numbering leads to dosage errors

Medication Errors

Cohen, Michael R.

Nursing2019. 45(10):72, October 2015.

Extraneous numbers on EHR program cause insulin dosage errors...dual scales in dosing cup lead to patient's death...don't measure doses in teaspoons...teach patients to cap their inhalers after every use

Medication Errors

Cohen, Michael R.

Nursing2019. 45(8):72, August 2015.

Beware look-alike vials...fentaNYL patches pose suicide risk...immune globulin confused with albumin...update your list of confused drug names

Medication Errors

Cohen, Michael R.

Nursing2019. 45(7):72, July 2015.

Solvent in oral vitamin D product triggers infant's AKI...unlabeled solutions mixed up on a sterile field...beyond-use date needed on multiple-use vials

Medication Errors

Cohen, Michael R.

Nursing2019. 45(6):72, June 2015.

Baclofen prefilled syringe isn't sterile...keep transdermal patches away from heat sources...demonstration I.V. solution mixed up with the real thing

Medication Errors

Cohen, Michael R.

Nursing2019. 45(4):72, April 2015.

Beware misprinted oral syringes...sharing insulin pens in the hospital still a problem...unclear emergency kit instructions cause confusion

Medication Errors

Cohen, Michael R.

Nursing2019. 45(2):72, February 2015.

Look-alike syringes cause confusion...compounded analgesic creams create hazards for kids...water for inhalation mistaken for I.V. fluid

Medication Errors

Cohen, Michael R.

Nursing2014. 44(12):72, December 2014.

Turn vials to read labels...severe eye injuries reported from misuse of contact lens cleaning solution...neuromuscular blocker confused with influenza vaccine

Medication Errors

Cohen, Michael R.

Nursing2014. 44(11):72, November 2014.

Misleading instructions for EpiPen Jr Auto-Injector...updated high-alert drug list available...sloppy handwriting leads to a near-miss error

Medication Errors

Cohen, Michael R.

Nursing2014. 44(8):72, August 2014.

Misaligned labels on unit-dose packaging...injectable influenza vaccines must be shaken...beware of this nasal decongestant's confusing label...handwritten prescription hazard

Medication Errors

Cohen, Michael R.

Nursing2014. 44(6):72, June 2014.

Discard “demo” doses after class…don't confuse look-alikes Cardene and Cardizem…prevent mixups of imported drugs Glycophos and Peditrace

Medication Errors

Cohen, Michael R.

Nursing2014. 44(3):72, March 2014.

Errors from using grains as units of measure…avoid computerized confusion with Spiriva dosage…camphor product mistakenly given by mouth

Medication Errors

Cohen, Michael R.

Nursing2014. 44(1):72, January 2014.

Misplaced drug in an automated dispensing cabinet...label without a drug name...one vial, ten doses...dosing directions change for liquid acetaminophen

Medication Errors

Cohen, Michael R.

Nursing2013. 43(11):72, November 2013.

Not all Allegra OTC products contain the same ingredients...confusing handwriting...prevent fentaNYL patch tragedies with face-to-face education

Medication Errors

Cohen, Michael R.

Nursing2013. 43(10):72, October 2013.

Don't confuse new OTC Fastin with generic phentermine products...dispensing drug samples can put children at risk...ophthalmic solutions' colored caps can lead to mix-ups

Medication Errors

Cohen, Michael R.

Nursing2013. 43(9):72, September 2013.

Misleading heparin label…new oral formulation of niMODipine reduces the risk of wrong-route mistakes…bar code bypass leads nurses to mix up nalbuphine and naloxone

Medication Errors

Cohen, Michael R.

Nursing2013. 43(8):72, August 2013.

Multidose vials without preservatives create confusion…did workplace intimidation play a role in this chain of errors?…don't use “IT” as an abbreviation for drug routes

Medication Errors

Cohen, Michael R.

Nursing2013. 43(7):72, July 2013.

Null symbol for zero is easily misread…I.V. acetaminophen dose: ten times too much for a child…don't confuse risperiDONE and rOPINIRole

Medication Errors

Cohen, Michael R.

Nursing2013. 43(6):72, June 2013.

Poor bar code placement causes scanning problems…handwritten look-alike drug names mixed up…alarm fatigue linked to patient death…decoding transdermal patches

MEDICATION ERRORS

Cohen, Michael R.

Nursing2013. 43(4):72, April 2013.

Acetaminophen dose not right for kids…spell out drug names…similar packaging, different concentrations…OTC drops and sprays may be hazardous if ingested

Medication Errors

Cohen, Michael R.

Nursing2018. 43(3):72, March 2013.

New and improved heparin labels...don't confuse these look-alike opioid vials...mysterious sedation linked to dispensing error...new tool to help keep injection skills sharp

MEDICATION ERRORS

Cohen, Michael R.

Nursing2013. 43(2):11, February 2013.

Measure liquid oral medications metrically...insulin dosage and concentration mix-up...keep intraocular injections cool...don't draw heparin into insulin syringes

Medication Errors

Cohen, Michael R.

Nursing2013. 43(1):12, January 2013.

Drug label missing critical information…burn injury from topical analgesic…FentaNYL overdose risk…don't send unused medication home with the patient

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(12):12, December 2012.

Overdose from improper insulin pen use...look-alike labels and bottle caps invite trouble...Fleet enemas for those with renal failure: don't underestimate the risk

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(11):12, November 2012.

Young patient harmed when methadone and methylphenidate are confused…be alert for nonstandard medication abbreviations…orange syringe caps solve one problem, create another

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(9):17, September 2012.

Acetaminophen overdose linked to nonstandard dosage cup...similar packages for different doses of enoxaparin...expiration date confusion

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(8):10, August 2012.

Arista AH/Arixtra confusion...no margin for error with high-alert drugs...misinterpreted handwriting...don't confuse Bio-T-Gel with OTC T-Gel shampoo

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(6):16, June 2012.

Wrong route, fatal results...similar labels lead to mix-ups of calcium gluconate and cupric sulfate...misleading package insert for DACTINomycin

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(5):10, May 2012.

Misleading heparin vial label...nurses say mistakes held against them...electronic database shortcomings for documenting allergies...stay away from multidose vials

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(4):11, April 2012.

Never use insulin pens on multiple patients...teach patients that APAP means acetaminophen...an I.V. syringe isn't a toy... eribulin confused with epirubicin

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(3):17, March 2012.

Mistaking a letter for a numeral...design flaw in rabies immune globulin label...misleading tablet markings...safety caps don't help if they're not used

MEDICATION ERRORS

Cohen, Michael R.

Nursing2012. 42(2):16, February 2012.

Liquid medication label error...acetaminophen formulation change could harm kids...dangerous clutter...CMS revises the “30-minute rule”...don't confuse Plavix and Pradaxa

MEDICATION ERRORS

Cohen, Michael R.

Nursing2011. 41(12):14, December 2011.

Misleading carton label...near-miss with epidural analgesic...educating patients to check labels...new guidelines for medication reconciliation

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