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NOVEMBER 13, 2023

Methotrexate a Case Study in Proactive Risk Assessment

By Karen Blum

It’s a situation that could happen anywhere, medication experts from the Institute for Safe Medication Practices (ISMP) said while describing a fictitious scenario at the NASP 2023 Annual Meeting & Expo, in Grapevine, Texas. How many errors can you spot?

Mrs. B, a patient with rheumatoid arthritis, visited her rheumatologist’s office complaining of worsening morning stiffness in her knees and hands, swelling of her thumb joints, and increased fatigue. Her doctor