Table 1. Examples of action steps at Palmetto Health to prevent medication errors resulting from drug shortages.

Drug/agent impacted by shortage	Action taken
Dobutamine vials	Dobutamine premix bag use during a vial shortage and education on its SALAD potential with dopamine premix bags
	TPN software template changes and staff education regarding any parenteral nutrition preparation changes
Multitrace-4 for parenteral nutrition	Addamel N substitution for multitrace-4 adult concentrate with highlighted education on the dosing difference of 10 mL vs 1 mL per adult parenteral nutrition preparation
Epinephrine abboject	Preparation of “epinephrine kits” for emergency boxes that contained appropriate supplies and preparation instructions during the epinephrine Abboject shortage

Note: SALAD = sound-alike/look-alike drugs; TPN = total parenteral nutrition.