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Look Alike Due to BACKORDER

June 11 , 2018

Issue:
Due to a backorder of Pfizer Sterile Water for Injection vials, Teligent Sterile Water for Injection 10 mL polyamps will be used as an alternative for an undetermined period of time. A look-alike risk has been identified because of the similar polyamp formats of Teligent Sterile Water for Injection and multiple lidocaine injection formulations.

2018-06-06 NEW Sterile Water Amp2018-06-06 LIDOcaine HCl Polyamps

Actions:

  • Review site inventory to determine local applicability of this look-alike risk
  • Check storage areas to ensure the correct medications are stocked in their
  • respective containers/bins.
  • Consider modifying processes (e.g. read the name of the medication out loud when
  • selecting or restocking the product).
  • Consider implementation of one or more safety strategies, if applicable.

Recommended Safety Strategies to Mitigate Look-Alike Risks:

  • Ensure medication storage areas are orderly, segregated and clearly labeled.
  • Separate the two look-alike products. This could be achieved by placing an empty bin between products on the storage shelf.
  • Move one of the medications to a new/different location. Use signage to redirect staff if appropriate.
  • Label the look-alike products and/or storage areas with auxiliary warning labels.
  • Consider local communication of identified risk to clinical program/site/zone if applicable (notifications via email or newsletters, highlighting in safety huddles, etc).

Contact Information:
Please contact your site pharmacy department with any questions or concerns.

*Adapted from AHS Medication Posting June 2018\\healthy.bewell.ca\groups\MCH_Medication_Management\ADMINISTRATION\Safer Practice Notice and MM updates\2018\Lookalike ‐ Sterile Water and Lidocaine Amps ‐ June 6 2018v2.docx

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