Midwest Medication Safety Bootcamp 101 Recording

The 6th Annual Midwest Medication Safety Symposium is an interdisciplinary regional event with a focus on improving medication safety practices and patient outcomes through education of pharmacists, pharmacy technicians, nurses, physicians and the whole interprofessional health care team. Due to the evolving nature of the COVID-19 pandemic, this event will be ALL VIRTUAL.

Launch Day: 11/10/2022

Expiration Day: 11/10/2023

1. Explain medication safety definitions and tactics for for improving medication safety practices and patient outcomes through education of pharmacists, pharmacy technicians, nurses, physicians and the whole interdisciplinary team.
2. Recognize the importance of an interdisciplinary approach to medication safety
3. Review opportunities to improve medication safety through the use of technology.

How to obtain CE credits:

Please note, you have to watch the entire video in order to receive any CE credit for this online activity.

Sign in or create a new account by clicking "Sign In" in top left corner. *If you previously participated in a CME activity accredited by IUSM  but do not know your password, please enter your email address and click on the 'Forget Your Password' link. Your password will be emailed to you.

1. Click the Tests tile > Launch Video to view the module.
2. After viewing the video go back to the Tests tile and click Post-Test to attest to completing the activity.
3. Click the MyCME button > Evaluations and Certificates
4. Find the activity name in the list and click Complete Evaluation.
5. Click Submit.
6. On the Evaluations and Certificates page, click Download Certificate or access your transcript through the Transcript tile.
   

Please note that you are not able to claim credit if you already attended the live virtual conference on September 14, 2022.

In support of improving patient care, this activity has been planned and implemented by Indiana University School of Medicine and Indianapolis Coalition for Patient Safety, Inc. Indiana University School of Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Nurses
Indiana University School of Medicine designates this activity for a maximum of 6.0 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Pharmacists and Pharmacy Technicians
Indiana University School of Medicine designates this activity for 6.0 ACPE contact hours. Pharmacists, and Pharmacy Technicians should only claim credit commensurate with the extent of their participation in the activity. Credit will be provided to NABP CPE Monitor within 60 days after the activity completion.

Physicians
Indiana University School of Medicine designates this enduring activity for a maximum of 6.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Summary
Indiana University School of Medicine (IUSM) policy ensures that those who have influenced the content of a CE activity (e.g. planners, faculty, authors, reviewers and others) disclose all financial relationships with any ineligible companies so that IUSM may identify and mitigate any conflicts of interest prior to the activity. All educational programs sponsored by Indiana University School of Medicine must demonstrate balance, independence, objectivity, and scientific rigor.

There are no relevant financial relationship(s) with ineligible companies for anyone who was in control of the content of this activity.

List of References:

1. Horn JR , Hansten PD . Sources of Error in Drug Interactions: The Swiss Cheese Model. Pharmacy Times. New Drugs of 2003; 53-54: 2008.
2. ISMP. Historical Timeline. Available at: https://forms.ismp.org/about/timeline.aspx Accessed on August 20th, 2019.
3. The Growing Role of the Patient Safety Officer: Implications for Risk Managers. Chicago, IL: American Society for Healthcare Risk Management of the American Hospital Association; 2004.
4. Benchmark Research & Safety. What is Human Factors and Ergonomics?. Available at: http://benchmarkrs.com/main/human-factors/what.aspx. Accessed on August 20^th, 2019.
5. American College of Surgeons. Most Hospitals Fail to Meet Minimum Standards of College Hospital Standardization Program. Available at: http://timeline.facs.org/1913.html. Accessed on August 20^th, 2019.
6. Makary M and Daniel M. Medical Error - The Third Leading Cause of Death in the US. BMJ 2016;353:i2139. doi: 10.1136/bmj.i2139
7. Institute of Medicine. Committee on Identifying and Preventing Medication Errors. Preventing Medication Errors, Washington, DC: The National Academies Press 2006.
8. Cina J, Gandhi T, Churchill W, et al. How many hospital pharmacy medication dispensing errors go undetected? Joint Commission Journal on Quality and Patient Safety . 2006;32(2): 73-79.
9. Campbell PJ, Patel M, Martin JR, et al. Systematic review and meta-analysis of community pharmacy error rates in the USA: 1993-2015. BMJ Open Quality . 2018: 1-7. doi: 10.1136/bmjoq-2017-000193.
10. Sarkar U, López A, Maselli JH, Gonzales R. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46:1517-1533.
11. Saine D and Larson C. (2013). Medication Safety Officer’s Handbook. Bethesda, MD. American Society of Health-System Pharmacists.  
12. The Case for Medication Safety Officers (MSO). Horsham, PA: Institute for Safe Medication Practices; 2018.

13. W. Levinston. (2017, August 5). Too Much Health Care Can Actually Hurt You. [Blog post]. Retrieved from https://www.huffingtonpost.ca/wendy-levinson/overdiagnosis_b_9849506.html

14. NCCMERP. About Medication Errors. Available at: http://www.nccmerp.org/about-medication-errors. Accessed on August 20^th, 2019.
15. Patient Safety Network. Patient Safety Primer: Medication Errors and Adverse Drug Events. Available at: https://psnet.ahrq.gov/primers/primer/23. Accessed on August 20^th, 2019.
16. McDowell S, Ferner H, Ferner R. The Pathophysiology of Medication Errors: How and Where They Arise. Br J Clin Pharmacol. 2009; 67(6): 605-613.
17. National Safety Council. Near Miss Reporting Systems. Available at https://www.nsc.org/Portals/0/Documents/WorkplaceTrainingDocuments/ Near-Miss-Reporting-Systems.pdf.  Accessed on August 17^th, 2018.

18. Otero MJ, Schmitt E. Clarifying terminology for adverse drug events. Ann Intern Med. 2005 Jan 4; 142(1): 77.
19.  Institute for Safe Medication Practices. High Alert Medications in Acute Care Settings. Available at: https://www.ismp.org/recommendations/high-alert-medications-acute-list. Accessed on August 20^th, 2019. 
20. Institute for Safe Medication Practices. High Alert Medications in Acute Care Settings. Available at: https://www.ismp.org/recommendations/high-alert-medications-long-term-care-list. Accessed on August 20^th, 2019. 
21. Institute for Safe Medication Practices. High Alert Medications in Acute Care Settings. Available at: https://www.ismp.org/recommendations/high-alert-medications-community-ambulatory-list. Accessed on August 20^th, 2019. 
22. Institute for Safe Medication Practices. List of Confused Drug Names. Available at:  https://www.ismp.org/recommendations/confused-drug-names-list. Accessed on August 20^th, 2019..
23. Aronson JK. Medication errors: definitions and classification. BJCP. 2009; 67(6): 599-604.
24. World Health Organization. Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. 2014. Available at http://apps.who.int/medicinedocs/documents/ s21625en/s21625en.pdf. Accessed August 20^th, 2019.
25. Mosby’s Medical Dictionary. 9^th edition. St. Louis, MO: Mosby Elsevier, 2013. Print.
26. Patient Safety Network. Patient Safety Primer: Reporting Patient Safety Events. Available at: https://psnet.ahrq.gov/primers/primer/13/voluntary-   patient-safety-event-reporting-incident-reporting. Accessed on August 20^th, 2019.
27. Wolf ZR and Hughes RG. Error Reporting and Disclosure. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 35. Available from: https://www.ncbi.nih.gov/books/NBK2652/
28. Griffin FA, Resar RK. IHI Global Trigger Tool for Measuring Adverse Events (Second Edition). IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2009.
29. MedMarx International Reporting. Available at: https://www.medmarx.com/. Accessed on August 20^th, 2019.
30. The Joint Commission. Sentinel Events Data – General Information. Available at: https://www.jointcommission.org/sentinel_event.aspx. Accessed on August 20^th, 2019.
31. FDA U.S. Food & Drug Administration. MedWatch: The FDA Safety Information and Adverse Event Reporting Program. Available at: https://www.fda.gov/Safety/MedWatch/default.htm. Accessed on August 18^th, 2018.
32. The Joint Commission. 2019 National Patient Safety Goals. Available at: www.jointcommission.org/standards_information/npsgs.aspx. Accessed on August 20^th, 2019.
33. The Joint Commission. Hospital: 2019 National Patient Safety Goals. Available at: https://www.jointcommission.org/hap_2019_npsgs/. Accessed on August 20^th, 2019.
34. The Joint Commission. Ambulatory Health Care: 2019 National Patient Safety Goals. Available at: http://www.jointcommission.org/ ahc_2019_npsgs/. Accessed on August 20^th, 2019
35. The Joint Commission. Sentinel Event Alert 61: Managing the risks of direct oral anticoagulants. Available at: https://www.jointcommission.org/ sentinel_event_alert_61_managing_the_risks_of_direct_oral_anticoagulants/ Accessed August 20^th, 2019. 
36. Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study.  Qual Saf Health Care. 2006;15:39-43.
37. Health Quality Onatrio. Patient Safety Learning Systems: A Systematic Review and Qualitative Synthesis. Ont Health Technol Assess Ser [Internet]. 2017 Mar; 17(3): 1-23. Available at: http://www.hqontario.ca/Evidence-to-Improve-Care/Journal-Ontario-Health-Technology-Assessment-Series. Accessed August 20^th, 2019.
38. Patient Safety Network. Patient Safety Primer: Reporting Patient Safety Events. Available at: https://psnet.ahrq.gov/primers/primer/13/voluntary-   patient-safety-event-reporting-incident-reporting. Accessed on August 20^th, 2019.
39. Wolf ZR and Hughes RG. Error Reporting and Disclosure. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 35. Available from: https://www.ncbi.nih.gov/books/NBK2652/
40. Griffin FA, Resar RK. IHI Global Trigger Tool for Measuring Adverse Events (Second Edition). IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2009.
41. MedMarx International Reporting. Available at: https://www.medmarx.com/. Accessed on August 20^th, 2019.
42. The Joint Commission. Sentinel Events Data – General Information. Available at: https://www.jointcommission.org/sentinel_event.aspx. Accessed on August 20^th, 2019.
43. FDA U.S. Food & Drug Administration. MedWatch: The FDA Safety Information and Adverse Event Reporting Program. Available at: https://www.fda.gov/Safety/MedWatch/default.htm. Accessed on August 18^th, 2018.
44. The Joint Commission. 2019 National Patient Safety Goals. Available at: www.jointcommission.org/standards_information/npsgs.aspx. Accessed on August 20^th, 2019.
45. The Joint Commission. Hospital: 2019 National Patient Safety Goals. Available at: https://www.jointcommission.org/hap_2019_npsgs/. Accessed on August 20^th, 2019.
46. The Joint Commission. Ambulatory Health Care: 2019 National Patient Safety Goals. Available at: http://www.jointcommission.org/ ahc_2019_npsgs/. Accessed on August 20^th, 2019
47. The Joint Commission. Sentinel Event Alert 61: Managing the risks of direct oral anticoagulants. Available at: https://www.jointcommission.org/ sentinel_event_alert_61_managing_the_risks_of_direct_oral_anticoagulants/ Accessed August 20^th, 2019. 
48. Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study.  Qual Saf Health Care. 2006;15:39-43.
49. Health Quality Onatrio. Patient Safety Learning Systems: A Systematic Review and Qualitative Synthesis. Ont Health Technol Assess Ser [Internet]. 2017 Mar; 17(3): 1-23. Available at: http://www.hqontario.ca/Evidence-to-Improve-Care/Journal-Ontario-Health-Technology-Assessment-Series. Accessed August 20^th, 2019.
50. Patient Safety Network. Patient Safety Primer: Reporting Patient Safety Events. Available at: https://psnet.ahrq.gov/primers/primer/13/voluntary-   patient-safety-event-reporting-incident-reporting. Accessed on August 20^th, 2019.
51. Wolf ZR and Hughes RG. Error Reporting and Disclosure. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville, MD: Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter 35. Available from: https://www.ncbi.nih.gov/books/NBK2652/
52. Griffin FA, Resar RK. IHI Global Trigger Tool for Measuring Adverse Events (Second Edition). IHI Innovation Series white paper. Cambridge, Massachusetts: Institute for Healthcare Improvement; 2009.
53. MedMarx International Reporting. Available at: https://www.medmarx.com/. Accessed on August 20^th, 2019.
54. The Joint Commission. Sentinel Events Data – General Information. Available at: https://www.jointcommission.org/sentinel_event.aspx. Accessed on August 20^th, 2019.
55. FDA U.S. Food & Drug Administration. MedWatch: The FDA Safety Information and Adverse Event Reporting Program. Available at: https://www.fda.gov/Safety/MedWatch/default.htm. Accessed on August 18^th, 2018.
56. The Joint Commission. 2019 National Patient Safety Goals. Available at: www.jointcommission.org/standards_information/npsgs.aspx. Accessed on August 20^th, 2019.
57. The Joint Commission. Hospital: 2019 National Patient Safety Goals. Available at: https://www.jointcommission.org/hap_2019_npsgs/. Accessed on August 20^th, 2019.
58. The Joint Commission. Ambulatory Health Care: 2019 National Patient Safety Goals. Available at: http://www.jointcommission.org/ ahc_2019_npsgs/. Accessed on August 20^th, 2019
59. The Joint Commission. Sentinel Event Alert 61: Managing the risks of direct oral anticoagulants. Available at: https://www.jointcommission.org/ sentinel_event_alert_61_managing_the_risks_of_direct_oral_anticoagulants/ Accessed August 20^th, 2019. 
60. Evans SM, Berry JG, Smith BJ, et al. Attitudes and barriers to incident reporting: a collaborative hospital study.  Qual Saf Health Care. 2006;15:39-43.
61. Health Quality Onatrio. Patient Safety Learning Systems: A Systematic Review and Qualitative Synthesis. Ont Health Technol Assess Ser [Internet]. 2017 Mar; 17(3): 1-23. Available at: http://www.hqontario.ca/Evidence-to-Improve-Care/Journal-Ontario-Health-Technology-Assessment-Series. Accessed August 20^th, 2019.

For questions about accessibility or to request accommodations please contact the IUSM CME office at 317-274-0104 or [email protected]. One week advance notice will allow us to provide seamless access. Please ensure to specify the accommodations you need in order to participate.

Mitigation of Relevant Financial Relationships

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Karen Arthur, PharmD, BCPS, NA
Associate Chief, Pharmacy
Richard L. Roudebush Veterans Affairs Medical Center

Faculty

Nothing to disclose

Eli Deal, PharmD, BCPS, FCCP, CPPS, Pharmacist
Director Medication Safety and Effectiveness
BJC HealthCare

Faculty

Nothing to disclose

Heather Dossett, PharmD, MHA, BCPS, CPHQ, N/A
Medication Safety Pharmacist
Ascension St. Vincent

Faculty

Nothing to disclose

Craig Felty, RN, MBA, BSN, FACHE
Vice President Patient Care & Chief Operating Officer / Chief Nursing Officer
Hancock Regional Hospital

Faculty

Nothing to disclose

Paul Milligan, PharmD
Adjunct Professor of Pharmacology
Washington University

Faculty

Nothing to disclose

Nathan Walleser, PharmD, BCPPS, Pharmacist
Medication Safety Pharmacist
Indiana University Health

Faculty

Nothing to disclose

Jessalynn White, PharmD, Pharmacist
Network Medication Safety Director
Community Health Network

Faculty

Nothing to disclose