On March 29, 2017, Wyndie Tse, PharmD, the Medication Safety Pharmacist and Residency Program Coordinator at City of Hope, gave a presentation about "Medication Safety". She started out with an interesting video experiment (The Monkey Business Illusion) about looking out for a gorilla in a video while watching people pass balls to each other. As the class looked out for the gorilla, the background of the curtains changed and one of the people left the stage as well. This highlighted her point which was that when looking out for one possible medication error, there may be many more that occur unnoticed. She gave some examples of past medication errors that called for the presence of a medication safety officer including one where a woman received four times the amount of cyclophosphamide that should have been given. She used the analogy of wearing different hats in her job. This meant that her job consisted of many duties including being a detective, supervisor, compliance officer, educator and expert. Overall, Wyndie gave a very interesting new perspective on pharmacy and inspired me to look into medication safety further.
Reflection #2: Roberta Garibyan, PharmD Candidate 2020
This presentation is about medication errors occurring because of unintentional blindness. Some things to avoid is to take a time out, increase communication among coworker, and flag dangerous medications by putting a high alert sticker. The guest speakers’ role started with a lot of data analysis and audits in the hospital to make sure there was progress in safety overtime. The skills needed for a medication safety pharmacist includes being an educator, auditor, ambassador and more. As an ambassador, it is important to report directly to P&T committees, with collaborative efforts among nurses or doctors. As a supervisor, she implements the changes that should happen. High level changes are large system changes, such as taking high concentration KCl from the floors or making all drips standardized. All hospitals need to have a medication error reduction plan and she needs to review it, in many elements this is where she acts as a compliance officer. There are lots of bar code scanning involved in order to make sure the wrong medication is not given. As an educator she has the opportunity to get creative with fun ways to teaching staff. She also plays a role as a systems expert, right now is involved in switching to a new pharmacy program called EPIC. Practicing these methods will make me as a student pharmacist avoid mistakes.