Safety First Blog

Employee Safety Beyond the EHR

Posted by Caroline McBreen on Mar 3, 2026 3:39:05 PM

What are you doing to protect employees from hazardous drug exposure who don’t have access to the EHR?

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

Healthcare Affirmation Series: Audrey Kostrzewa, PharmD, MPH, BCPS

Posted by Caroline McBreen on Jan 21, 2026 3:42:18 PM

How Can We Transform Outpatient Pharmacy Safety Through Data, Culture, and Accountability? 

In this installment of our Healthcare Affirmations series, we're spotlighting Audrey Kostrzewa, PharmD, MPH, Professor of Pharmacy Practice and Medication Utilization Pharmacist, whose dual role in academia and health systems bridges the gap between teaching the next generation and tackling one of pharmacy's most pressing challenges: systematic safety in outpatient settings.

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

The Top Blogs of 2025

Posted by Laura Paxton on Dec 17, 2025 10:04:35 AM

Last year at this time, we were reflecting on one year of USP <800> enforcement. Little did we know that NIOSH would release an updated list of hazardous drugs and also a new format consisting of two main tables. Welcome to 2025!

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

Healthcare Affirmation Series: Leah, Oncology Nurse Educator

Posted by Caroline McBreen on Dec 3, 2025 7:35:27 PM

Every day, nurses make thousands of judgment calls that shape safety at the bedside. In this installment of Healthcare Affirmations, we’re spotlighting Leah, an Oncology Nurse Educator at mid-sized healthcare system on the East Coast, whose work turns complex safety policies into usable action for frontline teams. 

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

Healthcare Affirmation Series: Erica, System Medication Safety Officer

Posted by Caroline McBreen on Nov 17, 2025 3:33:38 PM

In this installment of our Healthcare Affirmations series, we’re spotlighting Erica Bane, System Medication Safety Officer at a large healthcare system, whose career journey took her from the operating room to overseeing medication safety across an entire health system. 

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

Why Nurse-Specific Training Is the Key to Hazardous Drug Safety Programs

Posted by Caroline McBreen on Oct 20, 2025 4:24:02 PM

When we first set out to reduce exposure to hazardous drugs, our work centered on our trusted PharmD partners. Over the past five years, as we’ve helped health systems comply with USP <800> and protect their workers, one truth has become clear: nurses play a critical role in keeping everyone safe.

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

How Alternative Duty Can Help Improve Staggering Oncology Nurse Retention Rates

Posted by Caroline McBreen on Sep 18, 2025 5:23:28 AM

The overall turnover rate for oncology nurses is approximately 27%, which jumps to up to a staggering 40% among early-career nurses in their first or second year, according to a podcast by the Oncology Nursing Society (ONS).

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

To Pentamidine or Not to Pentamidine - How A Peer Made this Decision

Posted by Sherlene Christen on Sep 8, 2025 4:56:21 PM

A recent Rhazdrugs implementation sparked a valuable discussion about how and why certain drugs end up on hazardous drug lists.

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

From 34 to 239: Two Decades of NIOSH Hazardous Drug Lists (And Why the Work Continues)

Posted by Sherlene Christen on Aug 26, 2025 7:46:58 AM

Remember 2004? Shrek 2 was breaking box office records, we were all singing "Yeah!" by Usher, and Facebook was just getting started. That same year, NIOSH published its first list of hazardous drugs in healthcare settings. It was a sample list of 34 drugs that would (slowly) grow into the list of 236 drugs NIOSH released in 2024.

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

Rpharmy’s Summer Shelf: Books & Podcasts We Loved

Posted by Caroline McBreen on Aug 20, 2025 4:37:30 PM

Did you catch the blog Laura wrote recently about our time in Transylvania?  If not, check it out!  One thing our long flights and car rides afforded us was the time to catch up on our reading list.

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Topics: Rhazdrugs, Policy, USP <800>, Technology, NIOSH

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