U.S. Pharmacopeia issued the following directive regarding a solution to improve medication labeling in the OR:

“Institutions and professional organizations should call upon manufacturers to produce drug products in ready-to-use packaging with sterile, duplicate labels to avoid errors with labeling.”

Refer to this page often for updates on the need for adoption of a solution like that provided now from rightMEDlabel.


U.S Pharmacopeia (USP)

The United States Pharmacopeia is the official public standards-setting authority
for all prescription and over-the-counter medications, dietary supplements, and other
healthcare products manufactured and sold in the United States.

About USP–An Overview


MEDMARX ® Data Report

A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005
MEDMARXreport (This is a PDF Document)


QTS-SS-Medmarx (This is a PDF document)

Massachusetts General Hospital, Harvard Medical School,
Partners Health Care Systems, Inc., Brigham and Women’s Hospital

Evaluation of Perioperative Medication Errors and Adverse Drug Events (This is a PDF Document)

Karen C. Nanji, M.D., M.P.H., Amit Patel, M.D., M.P.H., Sofia Shaikh, B.Sc., Diane L. Seger, R.Ph., David W. Bates, M.D., M.Sc.


Key Vulnerabilities in the Surgical Environment: Container Mix-ups and Syringe Swaps
(This is a PDF Document)

The Joint Commission (Formerly JCAHO)

An independent, not-for-profit organization, The Joint Commission accredits
and certifies more than 15,000 health care organizations and programs
in the United States. Joint Commission accreditation and certification is
recognized nationwide as a symbol of quality that reflects an organization’s
commitment to meeting certain performance standards.

2016 National Patient Safety Goals Hospital Accreditation Program

HAP NPSG Chapter 2016 (This is a PDF Document)

2014 National Patient Safety Goals Hospital Accreditation Program

(See NPSG .03.04.01)
HAP_NPSG_Chapter_2014 (This is a PDF Document)

2014 National Patient Safety Goals Office Based Surgery

OBS_NPSG_Chapter_2014 (This is a PDF Document)

Frequently Asked Questions for National Patient Safety Goals Requirement NPSG.03.04.01 (3D)

FAQ_NPSG_03.04.01 (This is a PDF Document)

National Patient Safety Goal compliance trends Hospital Accreditation
Program (2006-2008)

NPSG Compliance (This is a PDF Document)

ISMP Institute for Safe Medication Practices


The Institute for Safe Medication Practices (ISMP), based in suburban Philadelphia, is the nation’s only 501c (3) nonprofit organization devoted entirely to medication error prevention and safe medication use. ISMP represents over 30 years of experience in helping healthcare practitioners keep patients safe, and continues to lead efforts to improve the medication use process. The organization is known and respected worldwide as the premier resource for impartial, timely, and accurate medication safety information.

Medication Safety Alert

Errors with injectable medications: Unlabeled syringes are surprisingly common! (This is a PDF Document)

Recent findings from the 2004 ISMP Medication Safety Self-Assessment for Hospitals, which represent data from more than 1,600 respondents, show that less than half of our nation’s hospitals (41%) always label containers on the sterile field, including syringes, basins, or other vessels used to store drugs. Eighteen percent do not label medications and solutions on the sterile field at all, and another 42% apply labels inconsistently. Although this represents an improvement from the 2000 medication safety self-assessment findings (25% reported full labeling, 24% reported no labeling), it still points to an area that needs significant improvement.

Medication Safety Alert
Loud Wake-Up Call: Unlabeled Containers Lead to Patient’s Death

Loud Wake-Up Call Unlabeled Containers Lead to Patient’s Death(This is a PDF Document)

ISMP Institute for Safe Medication Practices – Canada


The Institute for Safe Medication Practices Canada is an independent national non-profit agency committed to the advancement of medication safety in all healthcare settings. ISMP Canada works collaboratively with the healthcare community, regulatory agencies and policy makers, provincial, national and international patient safety organizations, the pharmaceutical industry and the public to promote safe medication practices.

ISMP Canada Safety Bulletin December, 2004

Risk of Tragic Errors Continues in Operating Rooms

ISMP Canada – Tragic Errors (This is a PDF document)

CMS Centers for Medicare & Medicaid Services


Eliminating Serious, Preventable, and Costly medical Errors – Never Events Clearly, paying for “never events” is not consistent with the goals of these Medicare payment reforms. Reducing or eliminating payments for “never events” means more resources can be directed toward preventing these events rather than paying more when they occur. The Deficit Reduction Act represents a first step in this direction, allowing CMS, beginning in FY 2008, to begin to adjust payments for hospital-acquired infections. CMS is interested in working with our partners and Congress to build on this initial step to more broadly address the persistence of “never events.”

CMS Never Events(This is a PDF Document)

FDA U.S. Food and Drug Administration


A medication error is any preventable event that may cause or lead to inappropriate medication use or harm to a patient. Since 2000, the Food and Drug Administration (FDA) has received more than 95,000 reports of medication errors. FDA reviews reports that come to MedWatch, the agency’s adverse event reporting program.

FDA 101: Medication Errors

FDA 101 Medication Errors (This is a PDF Document)

The National Academies of Sciences (Engineering – Medicine), Health and Medicine Division (HMD)


HMD previously was the Institute of Medicine (IOM) program unit of the Academies. On March 15, 2016, the division was renamed HMD, building on the heritage of the IOM’s work in medicine while emphasizing its increased focus on a wider range of health matters.

The Institute provides a vital service by working outside the framework of government to ensure scientifically informed analysis and independent guidance. The IOM’s mission is to serve as adviser to the nation to improve health. The Institute provides unbiased, evidence-based, and authoritative information and advice concerning health and science policy to policy-makers, professionals, leaders in every sector of society, and the public at large.

To Err is Human – Building a Safer Health System

To Err is Human (This is a PDF Document)

Medication Errors Injure 1.5 Million People and Cost Billions of Dollars Annually

Medication Errors Injure 1.5 Million People (This is a PDF Document)

Preventing Medication Errors

Preventing Medication Errors (This is a PDF Document)

AORN Association of periOperative Registered Nurses


AORN is a professional association that empowers the OR nurse with education, standards of practice, and peer networking.
AORN supports The Joint Commission National Patient Safety Goal-Requirement 3D

AORN Guidance Statement: Safe medication practices in perioperative practice settings (This is a PDF Document)

Complying With the 2008 National Patient Safety Goals

Complying With the 2008 National Patient Safety Goals (This is a PDF Document)

Medication Safety: just a label away

Medication Safety just a label away (This is a PDF Document)

AORN guidance statement: Safe medication practices in perioperative settings across the life span

AORN guidance statement: Safe medication practices in perioperative settings across the life span
(This is a PDF Document)

U.S. Department of Veterans Affairs National Center for Patient Safety


Patient Safety Assessment Tool

This assessment tool allows patient safety managers to complete a detailed assessment of the status of their facility’s program. The questions relate directly to the Joint Commission’s requirements.

Patient Safety Assessment Tool (Note: This is an Excel File)

Topics In Patient Safety (TIPS)

TIPS is our bimonthly newsletter that offers readers a wide range of topics on patient safety and suggestions on actions that can improve patient safety. Our objective for TIPS is to provide useful and timely topics concerning patient safety.

U.S. Department of Defense Patient Safety Program


The Department of Defense Patient Safety Program is a comprehensive program with the goal of establishing a culture of patient safety and quality within Military Health System (MHS). The program encourages a systems approach to create safer patient environment; engages MHS leadership; promotes collaboration across all three Services; and fosters trust, transparency, teamwork, and communication.

Every non-compliant label places the patient at unnecessary risk.

With the rightMEDlabel the solution is already in your hand.