2012 Midyear Clinical Meeting
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The Emily Jerry Story: Lessons Learned from a Fatal Medication Error
Track:
Education Sessions (CE)
Program Code: 214-L05
Date: Monday, December 3, 2012
Time: 2:00 PM to 3:30 PM EST
Location:
South Seas D, Level 3, South Convention Center
PRESENTER(S):
Click the plus sign to see more detailed information about each speaker.
Michael Cohen,
RPh, MS, ScD (hon), President,
Institute for Safe Medication Practices
Michael R. Cohen, RPh, MS, ScD (hon.), DPS (hon.), is president of The Institute for Safe Medication Practices, a non-profit healthcare organization that specializes in understanding the causes of medication errors and providing error-reduction strategies to the healthcare community, policy makers, and the public. He is editor of the textbook, Medication Errors (2007 American Pharmaceutical Association) and serves as co-editor of the ISMP Medication Safety Alert! publications that reach over 2 million health professionals and consumers in the US, as well as regulatory authorities and others in over 30 foreign countries. He is editor for the ISMP consumer website, www.consumermedsafety.org and writes a weekly blog for the Philadelphia Inquirer website, Philly.com (www.philly.com/philly/health_and_science/97905324.html) that which also appears occasionally in the newspaper. Dr. Cohen currently serves as Vice Chair of the Patient Safety Advisory Group for the Joint Commission (which creates the National Patient Safety Goals). He has also served as a member of the National Quality Forums Voluntary Consensus Standards Maintenance Committee (CSMC) on Safe Practices and serves as a consultant to the US Food and Drug Administrations Drug Safety and Risk Management Committee. In 2005 he was recognized as a MacArthur Fellow by the John D. and Catherine T. MacArthur Foundation.
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Mr. Eric Cropp, BS Pharm, Patient and Caregiver Advocate, The Emily Jerry Foundation
Christopher Jerry lost his beautiful two-year-old daughter, Emily, after a fatal medication error in March of 2006. After the tragic loss, he created The Emily Jerry Foundation to increase public awareness of the systemic aspects of medicine, as well as, addressing key patient safety related issues by identifying technology and best practices that are proven to minimize the human error component of medicine. Mr. Jerry is a relentless patient safety advocate who spreads a message of hope, change, forgiveness, compassion, collaboration, and how to turn a tragedy into honoring Emily by inspiring positive change in our nations medical facilities.
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Douglas Scheckelhoff,
MS, Vice President, Professional Development,
American Society of Health-System Pharmacists
Douglas Scheckelhoff is Vice President of Professional Development at the American Society of Health-System Pharmacists in Bethesda. In this role, he oversees divisions responsible for education provided at ASHP meetings and conferences, accreditation of pharmacy residencies and pharmacy technician training programs, development and implementation of practice standards, and quality initiatives. He also coordinates activities related to the pharmacy workforce.
Mr. Scheckelhoff graduated from the Ohio State University with a BS in pharmacy and completed a Master of Science and an ASHP-accredited residency in Hospital Pharmacy at the Ohio State University Hospitals. Prior to joining ASHP in 2002, he served as a pharmacy director and in other management and leadership roles for nearly 20 years.
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PROGRAM CHAIR:
JoAnn Harris
Description
The Emily Jerry Story, Christopher S. Jerry
The Events of February 26, 2006, Eric J. Cropp, BS Pharm
Lessons Learned: Analysis of Contributing Factors and Response to Errors, Michael R. Cohen, RPh, MS, ScD (hon)
- Define just culture and the influence that culture can have on improving the safety of patient care.
- Describe how poorly designed medication systems can contribute to serious, even fatal, errors.
- Distinguish ways institutions can respond to errors and how it influences patients, caregivers, future error reporting, and system improvements.