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Medication safety for pharmacy practice:
Incident analysis and prospective risk assessment

Thursday, November 5 and Friday, November 6, 2015
1.5 day workshop

This 1.5 day workshop provides pharmacists, pharmacy technicians and pharmacy assistants with background theory and hands-on practice in incident analysis (root cause analysis) and prospective risk assessment using failure mode and effects analysis (FMEA)

Day 1:
Incident Analysis - Root Cause Analysis (RCA) for Pharmacy Practice

The RCA portion of this workshop has been assigned 6.5 CEUs by the Ontario College of Pharmacists. The workshop curriculum is derived from the Canadian Incident Analysis Framework.

Program Abstract:

The program begins with an overview of the system approach in the management of error and introduction to human factors engineering principles. Root cause analysis (RCA) is a tool to help investigate adverse events and critical incidents in healthcare, identify and analyze root causes and contributing factors, and develop recommendations. Participants will learn how to conduct an RCA through interactive exercises and group work. The workshop will cover diagramming to support incident analysis, identification of contributing factor, summarizing the findings and developing and implementing recommended actions.

Day 2:
Prospective Risk Assessment in Pharmacy Practice Using Failure Mode and Effects Analysis (FMEA)

The workshop curriculum is derived from the Canadian Failure Mode and Effects Analysis Framework and a version of the Framework customized for the pharmacy setting by ISMP Canada for the Alberta College of Pharmacists.

Program Abstract:

Failure Mode and Effects Analysis (FMEA) is a technique used to identify process and product problems before they occur. This half-day workshop builds on the principles learned in Day 1, with a change in focus to prospective risk assessment and process redesign. The workshop curriculum is customized for the pharmacy practice environment.

Through interactive group work, participants will learn how to diagram a process, how to identify potential failures, and how to redesign processes with consideration of human factors principles to decrease the likelihood of a failure impacting a patient.

FMEA is a team-based, structured process. It is forward-looking, in contrast to the retrospective approach of incident analysis and techniques such as root cause analysis. FMEA is based on the premise that all systems and processes contain embedded system failures.

Dates: Day 1 (Thursday, November 5, 2015) - 8:30 am to 4:30 pm
Day 2 (Friday, November 6, 2015) - 8:30 am to 1:00 pm
Location: ISMP Canada
Medication Safety Learning Centre
4711 Yonge Street
Toronto, ON, M2N 6K8
Cost: $850 per person, plus applicable taxes
For registration information, please select the Registration’ tab near the top of the screen.
Audience: Pharmacists, Pharmacy Technicians, Pharmacy Assistants, Pharmacy Students and Interns

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Registration

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$850.00 (plus applicable taxes)
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Fax: Complete this pdf form and fax to 416-733-1146 with credit card information..
     

Mail: Complete this pdf form and mail together with cheque or credit card information to:

       ISMP Canada
       Medication Safety Learning Centre
       4711 Yonge Street
       (Procter and Gamble building)
       Toronto, Ontario
       M2N 6K8

Confirmation
Registration will be confirmed within 10 days of receipt of payment.

Cancellation Policy
Notice of all cancellations must be provided in writing at least 7 days prior to the event. A $75 administration fee will apply to all refunds. There are no refunds for registrants who cancel after the cancellation deadline.

Registrants may postpone attendance to a future workshop however a $75 administration fee will apply if notice of postponement is received less than 7 days prior to the event.

ISMP Canada reserves the right to cancel or reschedule workshops. In the event of a cancellation, fees paid will be credited towards a future workshop, or fully refunded.

For additional information, call 1-866-544-7672 ext. 0 (416-733-3131 ext.0) or email to education@ismpcanada.ca
     

Medication safety for pharmacy practice:
Incident analysis and prospective risk assessment

Thursday, November 5 and Friday, November 6, 2015
1.5 day workshop

This workshop will be conducted by Lynn Riley, RN

Lynn has 30 years of clinical, teaching and managerial nursing experience. She has a varied background that includes staff nurse in critical care, outpatient clinic and homecare. Lynn has also held positions in the Quality and Patient Safety department at Sunnybrook Health Sciences Centre in Toronto and as a Safety and Improvement Advisor with Safer Healthcare Now in Atlantic Canada.

Currently, Lynn is a Medication Safety Specialist and Educator at ISMP Canada and she continues to care for patients in her community.

Medication safety for pharmacy practice:
Incident analysis and prospective risk assessment

Thursday, November 5 and Friday, November 6, 2015
1.5 day workshop

This 1.5 day workshop provides pharmacists, pharmacy technicians and pharmacy assistants with background theory and hands-on practice in incident analysis (root cause analysis) and prospective risk assessment using failure mode and effects analysis (FMEA)

Day 1:
Incident Analysis - Root Cause Analysis (RCA) for Pharmacy Practice

Learning Objectives for RCA:

On completion of the RCA portion of the workshop, participants will be able to:

  1. Describe the impact of system factors on error potential;
  2. Apply basic human factors engineering principles in a health care environments;
  3. Describe the importance of each component of the incident management continuum;
  4. Complete a system-based analysis using a constellation diagram;
  5. Develop redesign strategies based on systems theory and basic human factors principles; and,
  6. Apply principles learned to support medication safety activities in their practice setting.

Day 2:
Prospective Risk Assessment in Pharmacy Practice Using Failure Mode and Effects Analysis (FMEA)

Learning Objectives for FMEA:

On completion of the FMEA portion of the workshop, participants will be able to:

  1. Identify processes suitable for analysis using FMEA;
  2. Describe the steps required to complete an FMEA;
  3. Map out a process and identify potential failure modes;
  4. Develop redesign strategies based on systems theory and basic human factors principles; and
  5. Apply principles learned to support medication safety activities in their practice setting.

For more information regarding RCA and FMEA, please visit: www.ismp-canada.org/rca.htm and www.ismp-canada.org/fmea.htm

Contact Us

Mail:
ISMP Canada
4711 Yonge Street, Suite 501
Toronto, ON M2N 6K8
Email:
education@ismpcanada.ca
Phone:
416–733–3131 ext.0
Toll Free:
1–866–544–7672 ext.0
Fax:
416–733–1146

Directions to ISMP Canada

4711 Yonge Street
(Procter & Gamble building)

On entry to the building, check in with Security to obtain a visitor ID badge (next to the lobby elevators).

We are located in the Procter & Gamble Building - 4711 Yonge Street - North of the 401 on the East side of Yonge Street, South of Sheppard Avenue.

(416-733-3131 - ISMP Canada)

Driving Directions:

Note that parking is NOT available in the Procter & Gamble Building. Indoor paid parking is available at the Hullmark Centre (Yonge and Anndale – enter via Anndale).

Transit:

We are located on the "Yonge Line" - please get off at the Sheppard Station.