Low Vs. High Strategies for Safety

Monday, November 3, 2025, 12:00 PM - Monday, November 2, 2026, 1:00 PM

The Midwest Medication Safety Symposium (M2S2) is an annual 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.

Launch Date: 11/3/2025

Expiration Date: 11/2/2026

A copy of the slides are available by reaching out to Jaida Speth at [email protected].

1. Recognize the importance of an interdisciplinary approach to medication safety.
2. Review opportunities to improve medication safety through the use of technology.
3. Explain medication safety strategies for frontline staff, students, new and experienced practitioners.

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 October 24th, 2025.

In support of improving patient care, this activity has been planned and implemented by Indiana University School of Medicine and the Indianapolis Coalition for Patient Safety. 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.

Physicians
Indiana University School of Medicine designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurses
Indiana University School of Medicine designates this activity for a maximum of 1.0 ANCC contact hours. Nurses should claim only the credit commensurate with the extent of their participation in the activity.

Pharmacists
Indiana University School of Medicine designates this activity for 1.0 ACPE contact hours. Pharmacists 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.

American Board of Surgery (ABS)
Successful completion of this CME activity enables the learner to earn credit toward the CME of the American Board of Surgery's Continuous Certification Program. It is the CME activity's provider's responsibility to submit learner completion information to ACCME for the purpose of granting ABS credit. 

References

Lambert BL, et al. BMJ Qual Saf. Does Tall Man lettering prevent drug name confusion errors? Incomplete and conflicting evidence suggest need for definitive study. 2015;0:1-5.

Darker IT, et al. Ergonomics. The influence of “Tall Man” lettering on errors of visual perception in the recognition of written drug names. 2011;54(1):21-33.

Zhong W, et al. BMJ Qual Saf. Tall Man lettering and potential prescription errors: a time series analysis of 42 children’s hospitals in the USA over 9 years. 2015;0:1–8.

Hewitt T, et al. J Eval Clin Practice. Double checking: a second look. 2015; 1-8.

Alsulami Z, et al. Arch Dis Child. Double checking the administration of medicines: what is the evidence? A systematic review. 2012;97:833-837.

Crawford CL. Double Checks for Medications: A Summary of the Evidence. Kaiser Permanente, SCAL Regional Nursing Research Program, January 30, 2013.

ISMP. Medication Safety Alert. Independent double checks: undervalued and misused. 2013;18(12).

ISMP. Medication Safety Alert. ISMP updates its list of drug name pairs with TALL man letters. 2010;15(23).

Heck J. Am J Health-Syst Pharm. Challenging patriarchic nomenclature: Is the term “tall man” lettering still appropriate? 2022;79(12):933–934.

Children’s Hospital of Philadelphia Research Institute. Tall Man Lettering Falls Short as Error Prevention Strategy. January 5, 2016.

Koyama AK, et al. BMJ Qual Saf. Effectiveness of double checking to reduce medication administration errors: a systematic review. 2020;29(7):595-603.

Larmené-Beld K, et al. Eur J Clin Pharmacol. A systematic literature review on strategies to avoid look-alike errors of labels. 2018;74(8):985-993.

Pfeiffer Y. BMJ Qual Saf. What are we doing when we double check? 2020;29:536–540.

Flynn, et al. AJHP. Using name overlap analysis to understand medication name search safety. 2024.

2019 ISMP Guidelines for the Safe Use of Automated Dispensing Cabinets.

Shaw, G. Pharmacy Practice News. Med Safety Experts Urge Using Range Of High- and Low-Impact Interventions. September 26, 2025. Accessed 10.5.25: https://www.pharmacypracticenews.com/Clinical/Medication-Safety/Article/09-25/Med-Safety-Experts-Urge-Using-Range-Of-High-and-Low-Impact-Interventions/78262.

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.

AMA PRA Category 1 Credits™ (1.00 hours), ABS CC (1.00 hours), ACPE Contact Hours (1.00 hours), ANCC Contact Hours (1.00 hours), Non-Physician Attendance (1.00 hours)

Mitigation of Relevant Financial Relationships

Indiana University School of Medicine, Continuing Medical Education adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.