Med Safety Exchange

REPORT · SHARE · LEARN · IMPROVE
Join your colleagues across Canada for complimentary 50-minute webinars to share, learn and discuss incident reports, trends and emerging issues in medication safety!

We want to hear from you!

Please email any questions or comments you may have about what was presented in these webinars. We’d also appreciate you sending any learnings from medication incidents that will help others prevent similar errors.

Background Info

Most healthcare organizations providing patient care in Canada independently collect and analyze medication incident data; and many of these organizations develop and implement recommendations arising from their investigations. The reporting and analysis of medication incidents, is one way stakeholders can become aware of medication safety risks, as well as the factors that may contribute to harmful incidents.

The valuable knowledge gained from a local analysis could benefit other healthcare providers and organizations at the provincial, national, and international levels. A cohesive, formal information-sharing strategy would facilitate a better understanding of reported medication incidents and would support the development of robust strategies for preventing patient harm, as well as creating a dynamic and supportive mechanism for shared learning.

The development of an online platform for sharing and learning from medication incident data analyses will increase participants’ awareness of key findings and recommendations from incident data, as well as current medication-related safety research and Health Canada warnings. This increased knowledge and awareness will inform system improvements within each healthcare setting. Additionally, participation in the webinar will validate the benefits of error reporting in optimizing patients’ medication safety, thereby promoting the reporting systems themselves.

White Paper:

2022

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
Webinar Recording
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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
Webinar Recording
Comments
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2021

September 29, 2021

Webinar Outline:

Webinar Recording
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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2020

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.
Webinar Recording
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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
Webinar Recording
Comments
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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
Webinar Recording
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January 15, 2020

Webinar Outline:

Webinar Recording
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2019

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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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2018

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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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July 25, 2018

Webinar Outline:

  • Medication Incident Analysis – Technological Gaps for Patch Removal
  • Medication Safety Initiative – Standardizing Medication Administration Processes – (ResourcesTraining Video)
  • Observatory – Medication Safety Update – Health Canada Update, CPSI Update
  • Shared Learning and Discussion
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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2017

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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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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
Webinar Recording
Comments
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