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ACMT Pre-Meeting Symposium, October 17, 2014

At the Precipice of Quality Health Care: The Role of the Toxicologist in Patient and Medication Safety

The ACMT Pre-Meeting Symposium will be an introduction to patient safety with the use of didactics, case discussions, and simulations of medication events. Speakers from the National Center for Patient Safety, the Institute for Safe Medication Practices, the Food and Drug Administration, AAPCC, and ACMT will discuss ways to improve medication safety and mitigate risk. The concepts of Just Culture, Crew Resource Management, high reliability, use of simulation, and safety rounds will be explored.
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Organizers and Moderators: Brenna Farmer, MD, FACMT; Silas Smith, MD;  Luke Yip, MD, FACMT

8:00-8:15 Introduction

8:15-8:45 An Anesthesia Event: The Case for Patient Safety

Silas Smith, MD, Chief, Quality, Safety, and Practice Innovation, Assistant Professor, Department of Emergency Medicine, New York University School of Medicine


1. Describe how an anesthesia event led to systemic response to improve patient and medication safety.

8:45-9:30 Just Culture and Building a Culture of Safety

Robin Hemphill, MD, Veteran’s Health Affairs Chief Safety and Risk Management Officer, Director, National Center for Patient Safety


1. Define and describe the concept of Just Culture

2. Define the difference between human error, at-risk behavior, and reckless behavior in a Just Culture.

9:30-9:45 BREAK 

9:45-10:15 High Reliability Organizations and Patient Safety

Luke Yip, MD, FACMT, Denver Health, Rocky Mountain Poison and Drug Center, Department of Medicine, Section of Medical Toxicology


1. Define high reliability organizations/industries.

2. Understand how Crew Resource Management concepts (i.e. checklists) apply to medication and patient safety in all clinical settings.

10:15-11:00 The Institute for Safe Medication Practices' Efforts to Improve Medication Safety

Allen Vaida, Pharm D., Executive Vice President, Institute for Safe Medication Practices


1. Understand ISMP’s organization and mission to improve medication safety

2. Describe how ISMP investigates medication errors and adverse drug events

3. Describe how ISMP creates their recommendations for medication management best practices and distributes them.

11:00-11:30 The Food and Drug Administration’s Efforts to Improve Patient and Medication Safety 

Keith Burkhart, MD, FACMT, Senior Advisor for Medical Toxicology, FDA Center for Drug Evaluation and Research, Office of Translational Sciences, Office of Clinical Pharmacology


1. Describe some FDA efforts to improve medication safety throughout the drug life cycle from an IND (Investigational New Drug), through an NDA (New Drug Application) and then post-market pharmacovigilance.

2. Describe databases and tools used at the FDA to enhance medication safety.

11:30-12:45 LUNCH - on your own

12:45-1:15 The Surveillance and Management of Medication Events Reported to Poison Control Centers

Alfred Aleguas Jr., PharmD, DBAT, Managing Director, Florida Poison Information Center-Tampa


1. Discuss the surveillance of medication events by Poison Control Centers.

2. Discuss how Poison Control Centers manage medication events.  

1:15-2:15 Communicating About Errors: The Role of Simulation

Brenna Farmer, MD, FACMT; Silas Smith, MD; Luke Yip, MD, FACMT


1. Apply specific communication techniques in difficult conversations when giving recommendations for treatment related to medication errors report to poison control centers.

2:15-2:30 BREAK

2:30-3:00 Go Team! Innovative Approaches to Medication Safety 

Brenna Farmer MD, FACMT, Director of Patient Safety, Weill-Cornell Medical Center, Division of Emergency Medicine and Assistant Residency Director, NY Presbyterian Hospitals Emergency Medicine Residency


1. How multidisciplinary teams can improve medication safety

2. How safety rounds in clinical areas can improve medication safety

3:00-3:45 Panel Discussion: Looking at Safety Through the Eyes of a Toxicologist

Moderators/Speakers: Brenna Farmer, MD, FACMT; Silas Smith, MD; Luke Yip, MD, FACMT


1. Understand and apply patient safety concepts as they apply to actual medication events.

 3:45-4:30 Building a Career in Patient Safety

Panelists: Keith Burkhart, MD, FACMT; Erica Liebelt, MD,  FACMT; Jeanmarie Peronne, MD, FACMT; Luke Yip, MD, FACMT

Moderator: Lewis S. Nelson, MD, FACMT


1. Discuss different approaches to starting a career in patient safety

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