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NRAC Safety Intelligence

One drug.
Every signal.
One page.

Your staff should not have to check four systems to answer one question about one medication. NRAC Safety Intelligence gathers the adverse-reaction record, the shortage picture, and interaction risk into one dossier. When any of it changes, you hear from us.

Start your 14-day trial

No contract. Cancel any time during the trial. One facility fee, plus a seat for each person who needs one.

Any setting that hands a patient a medication
alerts.nraclabs.org/drug/1547220 Live
Pembrolizumab
KEYTRUDA · Antineoplastic · PD-1 inhibitor
Watching
Reaction record 341 cases
HepatotoxicitySerious64
Colitis51
PneumonitisSerious43
Thyroiditis27
Supply status
In shortage Reported 14 Aug
Reason demand increase
Presentations 2 of 3 affected
Alternatives 4 in the same class
Interaction risk
Corticosteroids may blunt response
Live vaccines avoid during therapy
2 more flagged for review
Evidence ledger
58 reactions corroborated by two sources
60 serious of 144 published cases
Ranked by strength of evidence
Every line on this page opens the primary record it came from.

Illustrative view of the member interface

One page for each drug Alerts on what you choose to watch Every claim traced to its source Nonprofit pricing, no lock-in
The problem

The answer exists, in systems that do not talk to each other.

A nurse asks whether anyone has reported this reaction before. A pharmacist needs to know if the drug will be available next week. The committee wants to know what else that drug interacts with before it votes. All three answers exist, in three systems that do not talk to each other. None of them tell you when something changes.

Scattered

Reactions live in one system, supply status in another, interactions in a third. Nobody holds them together. No one on your staff sees the whole risk.

Late

A lookup tool answers only when someone asks it. If no one asks this week, you learn about the signal from a patient or an inspector.

Unowned

Most facilities have no drug-information desk. The job lands on whoever has a free hour, and in a bad week nobody does.

Drowned out

An untargeted feed buries the one item that touches your formulary under a hundred that do not. Your staff stops opening it by week three.

What your team sees

Everything your staff asks about a drug.

We organize everything around the nouns your staff already says out loud: a drug, a class, a supplier. Pull up the medication and you have the whole picture in front of you.

01  /  The dossier

Everything known about one medication, on one page.

Search a drug by brand name or generic name. Both land on the same dossier, where reactions, seriousness, supply status and interaction cautions sit side by side. You read the risk in one look.

  • Brand and generic names resolve to the same dossier
  • Serious outcomes stay separate from routine ones
  • Every count opens the record behind it
alerts.nraclabs.org/case/48211
Acute hepatitis after 3 cycles
Female, 61 · Onset day 47 · Outcome: recovered after withdrawal
Primary record
Summary
Hepatotoxicity reported after the third cycle, with resolution on withdrawal and no rechallenge.
Suspected pembrolizumab · Concomitant two agents listed
Assessment
Seriousness serious — hospitalization
Causality probable
Similar cases
9 comparable cases in the same class
2 in the last 90 days
Open the source record · Cite in a committee packet
1The case behind the number. Open any count and you get what happened, how serious it was, how confident the assessment is, and where the record came from. Enough to put in front of a committee.
02  /  Shortage intelligence

Know a drug is short before your shelf tells you.

A shortage forces a substitution, and substitutions are where medication errors start. We track which of the drugs you carry are constrained, why, which presentations are affected, and what else in the class could take their place.

  • One entry per drug covers every affected presentation
  • Every affected presentation named, with its supplier and current availability
  • Watch a drug and we tell you when its supply status changes
alerts.nraclabs.org/shortages Live
DrugStatusAlternatives
Pembrolizumab2 of 3 presentations affectedShortage4 in classWatched
CisplatinInjection, 50 mg/50 mLCritical2 in classWatched
Amoxicillin / clavulanateOral suspensionShortage6 in class
Heparin sodiumAll strengthsResolved
Lidocaine HClInjection, 1% and 2%Shortage3 in classWatched
Each row opens the drug's full dossier, reaction record included.
2Supply and safety in the same view. When a substitution is forced on you, one click gets you the alternative's own reaction record.
03  /  The watchlist

We tell you, so you stop looking things up.

Name the drugs and classes your facility carries. After that, a new reaction case, a change in supply status, or a supplier signal on anything you watch reaches you as a short digest covering your formulary and nothing else.

  • Watch a single drug or an entire class in one action
  • Set the recipients per facility or per person
  • Nothing sends unless it touches something you watch, unless you ask for the full feed
Your Tuesday digest · 5 items
4 changes on what you watch
NRAC Safety Intelligence · Tue 07:00 · To: pharmacy@yourfacility.org
ReactionPembrolizumab · new serious caseHepatotoxicity, hospitalization, causality probable.
SupplyCisplatin · shortage now criticalTwo presentations withdrawn, three still listed.
ClassPD-1 inhibitors · 4 new casesAcross the class you watch, none serious.
Each person sets their own digest frequency and scope.
3Short enough to read. A digest that covers only what you carry is one your staff still opens six months later.
How it gets connected

Nobody agrees on how to spell a drug name.

Plenty of services will send you more information. The reason these systems never became one is that each spells the same drug, the same supplier and the same reaction a dozen different ways. We resolve those spellings to a single identity, which is what turns separate feeds into one answer.

1

Gather

We collect safety, supply and supplier information from authoritative regulatory, clinical and industry sources, around the clock.

2

Resolve

We normalize every mention of a drug, class, supplier or reaction to one identity, so a brand name and a coded name land on the same page.

Where the work is
3

Connect

With identities lined up, you can see a reaction cluster sitting next to a supply constraint and that supplier's recent record.

What no one else puts together
4

Notify

Anything new on a drug you watch becomes an alert. The rest stays out of your inbox unless you ask for it.

We show our work. A synthesis you cannot check is worth nothing, so every claim on every page links to the record behind it. Verify a finding, quote it in a committee packet, defend it to an inspector.

Who it's for

Every facility that hands a patient a medication.

A teaching hospital has a drug-information desk. A forty-bed nursing home has the same duty of care and nobody to give it to. We built Safety Intelligence so the smaller facility gets the same answer without hiring for it.

Hospitals & health systems

One view across every campus, with alerts going to the committee that owns the decision.

Long-term care & skilled nursing

Long medication lists, frail residents, and no drug-information desk down the hall.

Ambulatory surgery centers

A short formulary at high volume, where one substitution error becomes a reportable event.

Infusion & oncology centers

The highest-consequence agents in medicine, and the ones most often in short supply.

Retail & specialty pharmacy

Counsel a patient with the reaction record in front of you, and see a shortage before the order fails.

Dialysis & clinic networks

The same protocol across dozens of small sites. A signal has to reach all of them at once.

Home health & hospice

Staff give medications far from any pharmacy and need the answer on a phone.

Physician & dental practices

A prescriber with no pharmacist down the hall, answering the same questions.

Urgent care & occupational health

Fast turnover, a short formulary, and no time to look anything up twice.

Correctional & public health

A duty of care under scrutiny, and a formulary you may have to defend on the record.

Priced for the facility you run. Each facility pays a facility fee, then a seat for every person who needs access. A twelve-bed practice and a twelve-hospital system get exactly the same intelligence. What differs is how many people need to see it.

FOR

Pharmacy & formulary

Decide, monitor and defend the formulary with the whole record in one place.

FOR

Patient safety & quality

Detect a signal early, document what you did about it, and show the work.

FOR

Nursing leadership

Answer “has this been seen before?” at the bedside, in under a minute.

FOR

Supply chain

See the shortage and its clinical consequence in the same view, before you substitute.

What joins the dossier next

What we are adding, and what we will not promise yet.

When we add a new kind of signal, it appears on the pages you already use. Each item below carries its real status.

Available now

Adverse reactions & shortages

The drug dossier, the reaction record with its primary sources, shortage status by presentation, interaction cautions, and the watchlist that alerts on what you follow.

In development

Recall intelligence

Our recall management service has protected member facilities since 1973. The next step is putting that record on the same dossier, so a recall touching a drug you carry appears beside its reaction history.

Under evaluation

Device & equipment safety

The same treatment for devices, keyed to the identifiers your staff already scans. We are scoping it now and will not announce a date we cannot hold.

For fifty-two years we have told member facilities what they needed to know before it reached a patient. This is the same job, applied to medications.

NRAC is a federally approved 501(c)(3) nonprofit. We take grants to keep the price low enough that a small facility can say yes. We sell nothing else to anyone.

National Recall Alert Center · Established 1973

Start with one drug
you already worry about.

Open a trial and look it up. Fourteen days, no contract, no salesperson. Or ask for a walkthrough and we will run it against your own formulary.

Start your 14-day trial