Med Safety Exchange

September 18, 2024

In recognition of World Patient Safety Day 2024: “Improving diagnosis for patient safety”

Webinar Outline:

• Diagnosis and Medication Safety
• A Patient’s Story
• The Prescribing Cascade
• The Best Possible Medication History and Diagnosis
• Medication Error as a Diagnosis
• Shared Learning and Discussion

May 29, 2024

Webinar Outline:

• The Canadian High-Alert Medication List: English | Francais
  • Purpose and Development
  • Acute Care perspective
  • Long-Term Care perspective: LTC High-Alert Medication Policy
  • Community Pharmacy perspective: MSSA Spotlight

• Updates from the Analysis Team
• Shared Learning and Discussion

January 24, 2024

Webinar Outline:

• [Medication Safety Initiative] Health Canada: Continuing to Work Towards the Self-Care Framework: English | Français
• [Medication Safety Initiative] Health Canada: Biosimilar Stakeholder Education Materials: Handbook | Fact Sheet | Infographic | Guide sur les médicaments biologiques biosimilaires | Fiche d’information | Infographie
• [Medication Incident Analysis] ISMP Canada: Updates from the Analysis Team
• Shared Learning and Discussion

September 20, 2023

Engaging Patients for Patient Safety Webinar – September 20, 2023, at 12:00 pm Eastern (60 min)

The Webinar is being held on September 20 to recognize the WHO World Patient Safety Day and the following objectives:

• Raise global awareness of the need for active engagement of patients and their families and caregivers in all settings and at all levels of health care to improve patient safety.
• Engage policymakers, health care leaders, health and care workers, patients’ organizations, civil society and other stakeholders in efforts to engage patients and families in the policies and practices for safe health care.
• Empower patients and families to be actively involved in their own health care and in the improvement of safety of health care.
• Advocate urgent action on patient and family engagement, aligned with the Global Patient Safety Action Plan 2021-2030, to be taken by all partners.

Speakers:

Dr. Neelam Dhingra, Unit Head, WHO Patient Safety Flagship, World Health Organization
Carolyn Hoffman, CEO, ISMP Canada
Candy-Lea Chickite and Turner Berreth, First Nations Health Authority
Monique Patterson and Leslie Froats, St. Patrick’s Home of Ottawa
Melissa Sheldrick, Patient and Family Advisor, ISMP Canada

May 31, 2023

• [Medication Incident Analysis] Reducing Serious Adverse Events Associated with SGLT2 Inhibitors
• [Medication Incident Analysis] Semaglutide-Related Medication Incidents
• [Medication Safety Initiative] Pan-Canadian Diversion Risk Assessment Tool
• Shared Learning and Discussion

January 25, 2023

• [Medication Safety Initiative] Smart Pumps: Post Implementation Findings and Lessons Learned
• [Medication Incident Analysis] NSIR Incident Data Analysis: Workload/Staffing
• [Medication Incident Analysis] Errors with Tranexamic Acid Injection: Health Canada’s Role in Prevention and Management of Medication Incidents
• Shared Learning and Discussion

September 15, 2022

Medication Without Harm for Canadians Webinar – September 15, 2022 at 11:00 am Eastern (60 min)

The Webinar is being held on September 15 to recognize the WHO World Patient Safety Day.

Speakers will:

• raise awareness of the high burden of medication-related harm due to errors and unsafe practices;
• highlight the WHO call to action through the World Patient Safety Day;
• discuss the mandate and role of ISMP Canada in reducing medication errors in Canada;
• provide strategies to empower patients and families to be actively involved in the safe use of medication; and,
• share stories of organizations across Canada partnering with patients/families to improve medication safety locally.

Speakers

Dr. Neelam Dhingra, Unit Head, WHO Patient Safety Flagship, World Health Organization

Dr. Robert Byrick, Chair & Carolyn Hoffman, CEO, ISMP Canada

Melissa Sheldrick, PFPSC, Patient and Family Advisor, ISMP Canada

Ronda Eros, Practice Consultant, College of Pharmacists of Manitoba

Alice Jyu and Raj Parmar, Bendale Acres Long-Term Care Home

May 18, 2022

Webinar Outline:

• Key Findings from a Medication-Related Death Investigation
• Medication Safety in Virtual Care: The Patient’s Journey
• Updated Medication Safety Self-Assessment for Community Pharmacy
• Observatory: Updates from the Analysis Team

January 26, 2022

Webinar Outline:

• Data Quality Review of Undertreatment Incidents
• Improving the Labelling of Mineral Supplements
• Healthcare Excellence Canada
• Observatory: Updates from the Analysis Team

September 29, 2021

Webinar Outline:

• Goodman Pediatric Formulations Centre Patient Video
• Ontario Health Medication Safety Quality Standard Resources
• Observatory: World Patient Safety Day – Safe maternal and newborn care Oxytocin Handout

May 19, 2021

Webinar Outline:

• Cannabis for Medical Purposes: Opportunities to Improve Awareness and Reduce Harms
• Failure Mode and Effects Analysis (FMEA) for Safe Delivery of COVID-19 Vaccines
• Observatory: Updates from the Analysis Team

February 3, 2021

Webinar Outline:

• Implementation of IV Smart Pumps with a Provincially Standardized Drug Library
• Improving Patient Safety Using Pareto Analysis
• Never Events with Medications – What did we learn from our national snapshot?
• Observatory: Medication Safety Updates

September 23, 2020

Webinar Outline:

• The cost of opioid losses from Canadian facilities: Article
• Health Canada’s Stop Illegal Marketing of Drugs and Devices Program: Program | Video
• Medication errors happen: The consumer voice in reporting, learning, and sharing: English | Français
• Observatory: Medication Safety Updates.
• Shared Learning and Discussion.

May 20, 2020

Webinar Outline:

• COVID-19: Learning from National Safety Organizations and Health Care Practitioners
  • Institute for Safe Medication Practices Canada
  • Health Canada – Patient Safety Section
  • Canadian Institute for Health Information
  • Canadian Patient Safety Institute
  • Patients for Patient Safety Canada
  • Hospital Pharmacist
  • Long-Term Care Pharmacist
• Shared Learning and Discussion via Chat Box

March 11, 2020

Webinar Outline:

• Medication Incident Analysis – Medication Safety Challenges in a Rural Hospital
• Medication Safety Initiative – Med Safety Exchange – The Year in Review
• Observatory – Medication Safety Update – Health Canada, CPSI
• Shared Learning and Discussion

January 15, 2020

Webinar Outline:

• Medication Incident Analysis – Preventable Adverse Drug Events in Hospital – Practitioner Resources, Patient Resources (search by catalogue numbers from presentation)
• Medication Safety Initiative – The WHO Challenge – Medication Without Harm – Transitions of Care, Polypharmacy, High-Risk Situations
• Observatory – Medication Safety Update – Health Canada Update, CPSI Update
• Shared Learning and Discussion

November 20, 2019

Webinar Outline:

• Medication Incident Analysis – Methotrexate Toxicity in a Patient Receiving Dialysis
• Medication Safety Initiative – Naming Convention for Biologic Drugs, Including Biosimilars
• Observatory – Medication Safety Update – CIHI Update, CPSI Update
• Shared Learning and Discussion

September 18, 2019

Webinar Outline:

• Medication Incident Analysis – Digoxin Overdose: How Many is Too Many?
• Medication Safety Initiative – There’s a Patient Behind Every Prescription
• Observatory – Medication Safety Update – Health Canada Update, CPSI Update
• Shared Learning and Discussion

July 17, 2019

Webinar Outline:

• Medication Incident Analysis – Blister Pack Errors in the Community
• Medication Safety Initiative – How does a hospital prevent diversion of controlled drugs? – Resources (PDF)
• Observatory – Medication Safety Update – Educational Support for Mandatory Reporting, CPSI Update
• Shared Learning and Discussion

May 15, 2019

Webinar Outline:

• Medication Incident Analysis – An Over-Sedation Event
• Topics in Medication Safety – What Medication Incidents Do You Investigate?
• Observatory – Medication Safety Update – Medication Safety-related Research, CPSI Update
• Shared Learning and Discussion

March 27, 2019

Webinar Outline:

• Medication Incident Analysis – Overdose with a Weight-based Anticoagulant Order
• Medication Safety Initiative – Vanessa’s Law: Education Support for Mandatory Reporting
• Observatory – Medication Safety Update – CPSI Update, Med Safety Exchange Evaluation
• Shared Learning and Discussion

January 23, 2019

Webinar Outline:

• Medication Incident Analysis – Miscommunication of Insulin Dosing
• Medication Safety Initiative – Opioids Harm Report from CIHI
• Observatory – Medication Safety Update – Vanessa’s Law: Education Support for Mandatory Reporting, CPSI Update
• Shared Learning and Discussion

November 28, 2018

Webinar Outline:

• Medication Incident Analysis – Safety Considerations for Sterile Compounding in Oncology
• Medication Safety Initiative – Over-reliance on Technology
• Observatory – Medication Safety Update – Topics in Med Safety, CPSI Update
• Shared Learning and Discussion

September 26, 2018

Webinar Outline:

• Medication Incident Analysis – Perpetuation of Confirmation Bias with LASA Drug Names
• Medication Safety Initiative – What Can Canada Learn about Electronic Prescribing from Other Jurisdictions?
• Observatory – Medication Safety Update – CNA Update, CPSI Update
• Shared Learning and Discussion

July 25, 2018

Webinar Outline:

• Medication Incident Analysis – Technological Gaps for Patch Removal
• Medication Safety Initiative – Standardizing Medication Administration Processes – (Resources, Training Video)
• Observatory – Medication Safety Update – Health Canada Update, CPSI Update
• Shared Learning and Discussion

May 23, 2018

Webinar Outline:

• Medication Incident Analysis – Safety Considerations of Fluid Infusions in Neonates
• Medication Safety Initiative – Minimizing Selection Error Between Long-acting Morphine Products – Resources (PDF)
• Observatory – Medication Safety Update – CPSI Update, Med Safety Exchange Webinar Update
• Shared Learning and Discussion

February 14, 2018

Webinar Outline:

• Medication Incident Analysis – Select Pediatric Dosing Concerns
• Medication Safety Initiative – Incident Reporting for Continuous Quality Improvement
• Observatory – Medication Safety Update – Health Canada Update, CPSI Update, ISMP Canada Safety Bulletins
• Shared Learning and Discussion

January 10, 2018

Webinar Outline:

• Medication Incident Analysis – Safety Considerations for the Use of Phenol
• Medication Safety Initiative – Optimizing Opioid Safety in an Acute Care Setting
• Observatory – Medication Safety Update – Select Medication Safety-related Research, CPSI Update, CSHP Update
• Shared Learning and Discussion

December 13, 2017

Webinar Outline:

• Medication Incident Analysis – Safety Considerations for Low-dose Methotrexate
• Medication Safety Initiative – ActionADE: Working together to prevent adverse drug events
• Observatory – Medication Safety Update – Health Canada Update, CPSI Update, ISMP Canada Safety Bulletins
• Shared Learning and Discussion

November 8, 2017

Webinar Outline:

• Medication Incident Analysis – Morphine Overdose due to Limitations with Pump Programming
• Medication Safety Initiative – Optimizing Insulin Safety in an Acute Care Setting
• Observatory – Medication Safety Update – CIHI Update, CPSI Update, Select Medication Safety-related Research
• Shared Learning and Discussion

October 18, 2017

Webinar Outline:

• Medication Incident Analysis – Remote Prescribing of a Chemotherapeutic Agent
• Medication Incident Analysis – A Medical Examiner’s Case
• Observatory – Medication Safety Update – Select Medication Safety-related Research, Health Canada Update, ISMP Canada Safety Bulletins
• Shared Learning and Discussion

September 13, 2017

Webinar Outline:

• Medication Incident Analysis – Clozapine May Go Unnoticed during a Medication Review
• Medication Incident Analysis – Enteral Potassium Chloride Ordering for Pediatric Patients
• Observatory – Medication Safety Update – Select Medication Safety-related Research, Health Canada Warnings, CPSI Alerts, ISMP Canada Safety Bulletins
• Shared Learning and Discussion