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    Intravenous and ambulatory pump medication safety

    Panel members

    Facilitator: Ann Maree Keenan, Chief Nurse and Midwifery Officer, Safer Care Victoria

    • Connie Yin, Senior Quality Use of Medicines Pharmacist, Monash Health
    • Kate Lo Presti, Chief Nursing Informatics Officer, EMR Services, Austin Health
    • Belinda Lock, Smart Pumps Pharmacist, Ballarat Health Services


    Paediatric medication safety


    The Institute for Safe Medication Practices Canada presented on paediatric patients who, due to various patient and system-level factors, are at a greater risk of experiencing adverse events not only in but outside of hospitals as well. Understanding where and how medication incidents can occur is key to improving medication safety in this vulnerable population. This presentation discussed important safety considerations for when paediatric patients transition back home and to the care of their community pharmacy. 

    Panel members

    • Facilitator: Ed Oakley, Deputy Chief Medical Officer, Safer Care Victoria and Emergency Physician - Royal Children’s Hospital 
    • Jenny Lewis, Pharmacist, Royal Children’s Hospital
    • Vineeth Rajan, Paediatric Ambulatory Services Team Leader, Monash Children’s Hospital
    • Nadine Stacey, Team Leader, Quality, Royal Children’s Hospital

    Anti-Rejection Medications: Errors and Prevention


    The Institute for Safe Medication Practices Canada will present on Errors in the management of anti-rejection drugs in patients who have undergone organ transplant, which can lead to loss of the grafted organ or increased susceptibility to infections. This session will describe an analysis of anti-rejection medication-related errors, both quantitatively and qualitatively, with a focus on medication incident examples, potential contributing factors, and practical strategies to prevent recurrence. 

    Panel members

    • Darren Lee, Nephrologist and Kidney Transplant Lead – Eastern Health
    • Grace Shaw, Advanced Training Resident Pharmacist – Respiratory – Alfred Health
    • Lucy Stewart, Heart Transplant Nurse – Alfred Health
    • Victoria Warner, Senior Pharmacist for Cardiology – Alfred Health 
    • Susan Fisher, Renal Transplant Outpatient Pharmacist - The Royal Melbourne Hospital

    Residential aged care and transitions of care


    From the Institute for Safe Medication Practices Canada:

    • Carolyn Hoffman, Chief Executive Officer 
    • Alice Watt, Senior Medication Safety Specialist
    • Dr Michael Hamilton, Physician Lead and Medical Safety Officer

    Panel members

    Residential aged care 

    • Prof Simon Bell, NHMRC Dementia Leadership Fellow. Centre for Medicine Use and Safety, Monash University 
    • Neil Petrie, Consultant Pharmacist, PRN Consulting 
    • Amelia Crabtree, Geriatrician, Alfred Health. Clinical Lead, Older People, SCV 

    Transitions of care 

    • A/Prof Rohan Elliott, Senior Pharmacist, Austin Health; Adjunct Associate Professor, Centre for Medicine Use and Safety, Monash University
    • Brigid Mcinerney, Assistant Deputy Director of Pharmacy, Monash Health. PhD Candidate, Centre for Medicine Use and Safety, Monash University
    • Helen Maxwell-Wright, Consumer, SCV

    Analgesic and opioid stewardship

    Facilitated by Chief Medical Officer Prof Andrew Wilson, this session covers:

    • recent interest/current work in analgesic stewardship in several healthcare settings
    • analgesic stewardship strategies that may be considered across various levels and sectors in healthcare
    • strategies for ensuring patients are appropriately educated about their analgesics.


    From the Institute for Safe Medication Practices Canada:

    • Carolyn Hoffman, Chief Executive Officer
    • Sylvia Hyland, Vice President and Chief Operating Officer 
    • Dr Mike Hamilton, Physician Lead and Medical Safety Officer 
    • Alice Watt, Senior Medication Safety Specialist

    Panel members

    • Thuy Bui, Analgesic Stewardship Pharmacist, Alfred Health
    • Prof David Scott, Director, Department of Anaesthesia and Acute Pain Medicine, St Vincent’s Health and   Professor, Department of Critical Care, Faculty of Medicine, University of Melbourne
    • Prof Malcolm Hogg, Head of Pain Services, Melbourne Health, Staff Specialist, Anaesthesia and Pain Management, Royal Melbourne Hospital and Clinical Associate Professor, Division of Medicine, Dentistry and Health Sciences, University of Melbourne
    • Medication safety educational series

    Consumer engagement

    Facilitated by former SCV staff consumer lead, Belinda MacLeod-Smith, this session covers:

    • why the patient voice is critical during patient care and explain ways to involve patients in their care
    • the importance of continuous quality improvement processes including the reporting of errors and near misses as it pertains to a safety culture
    • why collaboration and communication are key factors in reducing preventable harm from medications.


    Melissa Sheldrick, Patient and Family Advisor from the Institute for Safe Medication Practices Canada will  present on the importance of medication safety throughout the dispensing process, from the point of view of a patient.

    Panel members

    • Toni Howell, Medication Safety and Strategy Pharmacist, St Vincent’s Health
    • Mary O’Reilly, Medical Director of Quality and Patient Safety, Austin Health
    • Wendy Ewing, Deputy Director of Pharmacy, Quality, Monash Health
    • Wendy Benson, Consumer Representative, SCV
    • Medication safety educational series

    Multi-incident analysis

    Facilitated by Nathan Farrow, Director, Centre for Patient Safety and Experience, SCV, this session covers:

    • steps of the multi-incident analysis process
    • how multi-incident analysis complements other medication incident analysis strategies. 

    These webinars are interactive sessions to help healthcare professionals:

    • raise the profile of medicines safety issues relating to high-risk medicines and high-risk settings
    • hear and learn from the experiences of others
    • identify and address system vulnerabilities.

    More information:

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