- Please provide as much detail as possible when telling us the story of what went wrong or could go wrong, the causes or contributing factors, how the event or condition was discovered or intercepted, and the actual or potential outcome of the involved patient(s).
- Be sure to include the names, dosage forms, and dose/strength of all involved products. For product-specific concerns (e.g., labeling and packaging risks), please include the manufacturer.
- Share your recommendations for error prevention.
If possible, submit associated materials (e.g., photographs of products, containers, labels, de-identified prescription orders) that help support the report being submitted.
Please complete the form below and click on the “Submit” button to report the error or hazard to the ISMP National Medication Errors Reporting Program.