Revised guidelines from the Institute for Safe Medication Practices (ISMP) address new technologies and safety strategies for sterile compounding. Among the key additions is a call for hospitals to adopt systems that incorporate barcoding and other technologies to augment manual processes for preparing and verifying compounded sterile products. According to data submitted to the ISMP National Medication Errors Reporting Program, manual inspection of I.V. admixture ingredients by pharmacy technicians and pharmacists is not enough to avoid preparation and dispensing errors. "ISMP believes that barcode scanning of base solutions and ingredients should now be considered the minimum requirement for pharmacy I.V. admixture services, and that hospital leadership should support acquisition of technologies such as gravimetric verification of drug and diluent volumes and/or robotic image recognition," the group said. The complete updated guidelines are available here.