2011 Summer Meeting
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Putting a Face on Medication Errors: The Patient Perspective and How Humans Factor into Safety
Track:
Education Sessions (CE)
Program Code: 115-L05
Date: Monday, June 13, 2011
Time: 9:10 AM to 11:10 AM MST
Location:
401
PRESENTER(S):
Mary Burkhardt
Mike Cohen, RPh, MS, FASHP
Rollin Fairbanks
Joanne Kowiatek,
RPh, MPM, Pharmacy Manager Medication Patient Safety,
UPMC Presbyterian Hospital
Joanne G. Kowiatek, R.Ph., M.P.M., is Pharmacy Manager, Medication Patient Safety at the University of Pittsburgh Medical Center Presbyterian Hospital in Pittsburgh, Pennsylvania. Her 31 years of hospital pharmacy experience involves all aspects of pharmacy operations management, including centralized and decentralized pharmacy services, and operating room pharmacy satellites. Ms. Kowiatek has expertise in medication patient safety, regulatory compliance, medication control and security, policy preparation and review, and emergency medication distribution. In her current role, of the past 8 years, she is responsible to identify and implement best practices for medication safety, analyze current practices that contribute to medication errors and take proactive steps to prevent errors before they occur. She manages medication error reporting, investigates to determine root cause and recommends process and system improvements working closely with Risk Management/Patient Safety Department, physicians, administrators, nursing, and the Patient Safety Committee.
Ms. Kowiatek is an adjunct Assistant Professor in the Department of Pharmacy and Therapeutics at the University Of Pittsburgh School Of Pharmacy where she teaches medication safety and regulatory compliance. Ms. Kowiatek has authored three book chapters. Ms. Kowiatek is a member of ASHP Foundation's Award for Excellence in Medication-Use Safety Advisory/Selection Panel. She is a member of Institute for Safe Medication Practices (ISMP) Advisory Board for the Nurse Advise-ERR, a monthly nursing newsletter. Ms. Kowiatek is a 2005 award recipient of the Institute for Safe Medication Practices (ISMP) Annual Cheers Award, which honors individuals, organizations, and
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James Padilla
Robert Weber
PROGRAM CHAIR:
Joanne Kowiatek, M.P.M., R.Ph., Pharmacy Manager, Medication Patient Safety, University of Pittsburgh Medical Center, UPMC Presbyterian, Pittsburgh, PA, Pharmacy Manager Medication Safety, Pharmacy Administration
Description
Although we live with medication errors and near-misses every day, we often forget their lifelong impact on patients. To shed light on the human side of medication errors, we’ll hear directly from those who’ve experienced it – but we’ll also focus on how human factors engineering helps ensure medication safety, and how "mistake proofing" can be applied in your organization.
- Apply the concepts of human factors engineering in your practice as it relates to medication safety and use.
- Apply the lessons learned and shared experiences to your daily medical practice in a health system.
- Describe the concepts of human factors engineering as it relates to medication safety and use in your practice.
- Describe the impact of medication errors and harm caused to patients and their families.