Your Reports at Work: Fresenius Kabi Morphine Recall

Our July 30, 2026 article, Morphine 2 mg/mL Prefilled Syringes Contain HYDROmorphone 0.5 mg/0.5 mL, discussed how a nurse removed a prefilled syringe of what they thought was morphine 2 mg/mL from ...

Survey Shows Room for Improvement with Three New Best Practices for Hospitals

In our March 12, 2026 newsletter, we invited hospitals to participate in a short survey to establish a baseline of implementation for the three new Best Practices released in the 2026-2027 ISMP Tar...

Morphine 2 mg/mL Prefilled Syringes Contain HYDROmorphone 0.5 mg/0.5 mL!

A nurse removed a prefilled syringe of what they thought was morphine 2 mg/mL from an automated dispensing cabinet (ADC). The nurse identified that while the syringe packaging contained a tamper-ev...

Preventing the Preventable: How System Design and Safety Culture Transform Healthcare

Preventable harm remains one of the most persistent challenges facing healthcare organizations today. While many safety initiatives focus on individual performance, lasting improvement requires som...

Compounded Peptide Products Marketed as Wellness Therapies

The growing popularity of “wellness peptides” has outpaced the clinical evidence needed to support their safety and effectiveness. Marketed for benefits such as muscle growth, anti-aging, and recov...

Falling Short of Safety: Partnering with Families to Prevent Healthcare-Related Falls

Preventing falls in a healthcare facility isn’t just a clinical metric, it’s a team sport. While we have high-tech beds and sophisticated risk assessment tools, a truly resilient systems-based appr...

Have a Game Plan—Setting a Goal for Medication Safety During the World Cup

Problem With the United States, Canada, and Mexico hosting the FIFA (Fédération Internationale de Football Association [French] or International Federation of Association Football [English]) World ...

Warning! Enteral Feeding Tube Declogging System Uses a Luer Lock Syringe

A nurse reported concerns with CLOG ZAPPER, an enteral feeding tube declogging system (made by Avanos) used to clear blockages from enteral feeding formulations. According to the instructions for u...

Striking the Right Balance: Navigating the Promises and Pitfalls of Fall Prevention Technology

Patient falls are a significant and costly problem in healthcare. In the United States alone, between 700,000 and 1 million patients fall in hospitals each year. These falls can lead to serious inj...

Patient Access to Appropriately Sized Oral/Enteral Medication Syringes Is Needed

Problem: Errors with enteral medication administration can lead to complications and patient harm. The most vulnerable patients include those with feeding tubes who receive enteral liquid medicatio...

Beyond the Bundle: Why Systems Thinking is Key to Fall Prevention

In health and long-term care facilities across the country, "fall prevention bundles" have become a standard of care. These bundles—sets of evidence-based interventions applied concurrently—are de...

Preventable Acute Diseases Are Rising: What Healthcare Leaders Need to Know

ECRI has just released its Top 10 Patient Safety Concerns 2026, highlighting the most urgent patient safety challenges currently facing the healthcare industry. This report is informed by evidence-...

Navigating the AI Diagnostic Dilemma: Why Governance and Critical Thinking Matter

ECRI has just released its Top 10 Patient Safety Concerns 2026, highlighting the most urgent patient safety challenges currently facing the healthcare industry. This report is informed by evidence-...

Top 10 Patient Safety Concerns 2026

Learn how to identify and address patient safety concerns in your facilities The 2026 Top 10 reflects a shift toward broad, systemic threats that jeopardize safe, equitable, and reliable care. This...

What Will Define Patient Safety in 2026? A Look Ahead to ECRI’s Top 10 List

Every year, ECRI’s Top 10 Patient Safety Concerns report helps healthcare leaders identify and prepare for the most pressing safety challenges impacting care delivery. Backed by data, expert insigh...

Worksheet for the ISMP Targeted Medication Safety Best Practices for Hospitals

Analyze your current status with implementation.

Targeted Medication Safety Best Practices for Hospitals

Consensus-based best practices for issues that continue to cause fatal and harmful errors.

A Nationwide Milestone—And What It Means for Our Members

We are proud to share an important milestone for ECRI and the Institute for Safe Medication Practices PSO: with the recent enrollment of a participating organization from Hawaii, our PSO now includ...

Missed Recall Warnings: A Growing Safety Risk for Home Diabetes Device Users

Advances in home diabetes management technologies have transformed how millions of people manage their condition outside of traditional clinical settings. Devices such as insulin pumps, continuous ...

When Healthcare Systems Go Dark: Why Digital Outage Preparedness Is a Patient Safety Imperative

Healthcare delivery today depends heavily on digital systems. Electronic health records (EHRs), networked medical devices, clinical decision support tools, and communication platforms are deeply em...

Top 10 Health Technology Hazards for 2026 Executive Brief

ECRI’s Top 10 Health Technology Hazards for 2026 report focuses on health technology risks that warrant the greatest level of attention and describes actionable approaches that providers can use to...