Skip to content

Cart

Your cart is empty

Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error

Are you troubled by the criminalization of a medical error that recently occurred within a present-day healthcare organization? How do we come to the right conclusions about accountability? Are you looking for ways to prevent similar events from occurring in your own organization?

Join leaders from ISMP and The Just Culture Company for a 90-minute conversation about lessons learned in the aftermath of a fatal medication error. You'll learn more about common, yet often unresolved system vulnerabilities, as well as key strategies and priorities needed to advance your organization's safety journey.

Webinar Recording

Supporting Materials

> Download Handouts

Speakers

Judy Smetzer, BSN, RN, Publication Consultant, ISMP

Michael Cohen, RPh, MS, ScD (hon.), DPS (hon.), President Emeritus, ISMP

David Marx, BS JD, Chief Executive Officer, Outcome Engenuity, LLC, Parent of the Just Culture Company, LLC & Trajectories LLC

Barbara Olson, MS, RN, CPPS, FISMP, Senior Advisor, The Just Culture Company


CE Accreditation

No continuing education credits are available for this activity. 

This webinar is being presented in cooperation with The Just Culture Company.

RETURN TO ISMP HOMEPAGE

Click to return to the ISMP homepage.

LOG IN TO MYECRI

Log in to MyECRI to access your subscriptions and memberships.

REPORT A MEDICATION OR VACCINE ERROR

Your reports help prevent errors and patient harm from reoccurring.

About ISMP

Click to learn about the Institute for Safe Medication Practices.