Skip to Main Content
TABLE 2

Scenarios Involving Increased Risk for Medication Error

Regimens involving: 
• Medications with a narrow therapeutic window, including warfarin and tacrolimus 
• “High-alert” medications (see Institute for Safe Medication Practices’ High-Alert ambulatory list: https://www.ismp.org/recommendations/high-alert-medications-community-ambulatory-list
• Complex instructions (eg, multiple medications, multiple administrations in a day, nonwhole number doses, or more than one unit of measurement used), including medications that require compounding in which standard concentrations may not exist 
• Medications requiring special preparation (eg, mixing and diluting) 
• OTC medications (eg, caregiver confusion related to age restrictions, active ingredient information, and dosing chart interpretation) 
• Regimens involving alternating acetaminophen/ibuprofen dosing 
• Cough/cold medications, especially in young children 
Populations at risk: 
• Children with chronic health conditions and special needs 
• Multiple caregivers are involved 
• More than one child in the family is taking the same medication 
• Adolescents 
• Caregivers/patients with low health literacy 
• Caregivers/patients with limited English proficiency 
Regimens involving: 
• Medications with a narrow therapeutic window, including warfarin and tacrolimus 
• “High-alert” medications (see Institute for Safe Medication Practices’ High-Alert ambulatory list: https://www.ismp.org/recommendations/high-alert-medications-community-ambulatory-list
• Complex instructions (eg, multiple medications, multiple administrations in a day, nonwhole number doses, or more than one unit of measurement used), including medications that require compounding in which standard concentrations may not exist 
• Medications requiring special preparation (eg, mixing and diluting) 
• OTC medications (eg, caregiver confusion related to age restrictions, active ingredient information, and dosing chart interpretation) 
• Regimens involving alternating acetaminophen/ibuprofen dosing 
• Cough/cold medications, especially in young children 
Populations at risk: 
• Children with chronic health conditions and special needs 
• Multiple caregivers are involved 
• More than one child in the family is taking the same medication 
• Adolescents 
• Caregivers/patients with low health literacy 
• Caregivers/patients with limited English proficiency 
Close Modal

or Create an Account

Close Modal
Close Modal