The Institute for Safe Medication Practices (ISMP) has heard from three hospitals about occasional instances of medication leaking from syringes. Leaks have extended past the first and second rib on the black stopper on the parenteral syringe plunger rod into the surface of the syringe barrel that is exposed to air. The situation appears to occur as liquid is drawn into the syringe rather than after the syringe has been filled. In some cases, personnel said that it has happened rarely, and they may not have realized the situation was out of the ordinary,so instances may have gone unreported.
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