This series of easy-to-consume virtual webinars will highlight emerging patient safety trends and issues of critical need in the Emergency Department. The webinars will identify innovative strategies and implementation techniques to support ED teams in meeting their quality and safety goals and harm reduction.
Safety Series webinars are held from 12:00 – 1:00 pm EST and are FREE for MPSC Members. Registration fee for Non-members is $45.
Safe Tables are a shared learning forum for peers to exchange patient safety experiences, discuss best practices, network and learn from each other in an open, uninhibited and legally protected environment.
Safe Tables are open and FREE to MPSC members only and are held in-person from 1:00 – 3:00pm EST.
Many healthcare professionals, particularly quality and safety leaders, use a variety of patient safety tools and techniques daily to ensure the delivery of highly-reliable care; but these tools also offer implementable, effective, and practical applications for front-line healthcare workers to improve patient safety systems and processes.
Patient Safety Tools courses are held virtually from 12:00 – 2:00 pm EST and are FREE to MPSC Members. Registration fee for Non-members is $79.
MPSC operates a listserv for healthcare professionals with an interest in medication safety. The listserv offers a network for shared and experiential learning and is used by MPSC to share upcoming events and information specific to safety in this specialty. MPSC members may use the listserv to pose questions to the group in order to garner feedback, solutions, and gain consensus on topics related to quality of delivery, dispensing, and safe medication use. Please contact mpsc@marylandpatientsafety.org to be enrolled.
This virtual half-day conference is open to all healthcare professionals with an interest in medication safety. The expert presenters will address priority areas in medication safety, highlighting innovative ways to improve workflows that reduce medication errors and describe ways to optimize the use of your technology, including computerized clinical decision support, to prevent medication errors and adverse drug events.
For more information and a detailed agenda please visit MPSC’s Annual Medication Safety Conference page.
In a protected Safe Table environment, those involved in medication safety and/or any part of the medication use process (e.g. nurses and other providers) will discuss how relying on healthcare practitioners to follow the five rights is a low-leverage strategy– one that relies solely on the performance of an inherently fallible human being at the sharp end of the medication-use process. The participants will discuss what is needed from organizational leaders, manufacturers and supplies, who are responsible for the design, implementation, and maintenance of reliable systems to support safe medication use for all practitioners.
Human Factors, as a safety science, provides a framework for understanding medication safety failures and suggests that errors often are caused by poorly designed systems. Human Factors also offers insights on improving medication safety in time pressured, information intense, mentally challenging, interruption-laden, life-or-death environments. This two hour webinar will help participants have the tools to better explore not “why did the person make the mistake,” but rather “what caused the mistake to occur?” The Human Factors process also helps medication safety leaders take a deeper drive into root cause analyses.
The overriding of safety controls in automated dispensing cabinets (ADC) has been identified as a top technology-related medication safety issue. ADC overrides bypass the safety features of order entry and verification which increase the risk of an error occurring and potential patient harm. During this one hour webinar, medication safety leaders will discuss review of overriding trends and available medications on override. The webinar will discuss investigation of the risk of error and identification of interventions to proactively limit patient risk.
This one hour webinar is designed for those involved with medication safety and those championing safety the emergency department. The presentation will focus on medication errors in the ED that occur during the ordering/prescribing and administration stages of the medication-use process, the most common medication errors in the ED, and the medications most frequently involved in ED care. In addition, the webinar will review high-impact, achievable recommendations to improve safe medication delivery in the ED environment.
Failure mode and effects analysis (FMEA) is a prospective, team based, structured process used to identify system failures of high risk processes before they occur. The medication use system is a risky process that should be analyzed for its inherent risks using FMEA. This two hour webinar will provide the tools to apply FMEA principles to medication safety by identifying possible failure modes, their effects, and causes in the medication use process.
This one hour webinar will discuss the importance of reviewing patient falls from a medication safety perspective in order to help reduce overall fall rates in the hospital. Certain medications, such as psychoactive medications, antihistamines, muscle relaxants, blood pressure medications, and anticholinergics may increase fall risk. Participants will explore medication-related risk factors and strategies to prevent patient falls in the at risk populations.
This one hour webinar is designed for healthcare professionals who champion medication safety and those who work in labor and delivery. Participants will learn about medication errors in labor and delivery, including high-alert medications, the most common medication errors associated with labor, and the medications most frequently involved in labor and delivery, such as oxytocin and magnesium sulfate. In addition, the webinar will review high-impact, achievable recommendations to improve safe medication delivery in the labor and delivery environment, from pregnant and post partum people.
The Institute for Safe Medication Practices (ISMP) first wrote about medication errors involving oxytocin in 1999. Now 25 years later risks associated with oxytocin use continue. In a protected safe table environment participants will discuss nationwide trends in oxytocin-related adverse medication events and ISMP safe practice recommendations aimed at safeguarding against errors with oxytocin. Oxytocin checklists and how to standardize policies on oxytocin administration will be reviewed.
This one hour webinar will explore the ways in which medication safety champions might gain a better understanding of how disparities in medication safety and medication-related outcomes exist for racial/ethnic minorities and other vulnerable populations. The webinar will focus on high-impact, achievable recommendations to improve health equity in medication safety in the hospital setting.