A Call to Action: Dedicated Medication Safety Transformation in the Perioperative Setting


A midday symposium conducted at the 2021 ASHP Midyear Clinical Meeting and Exhibition.

In the perioperative setting, medication errors frequently occur in all phases of perioperative care and are a common cause of morbidity and mortality. When medication errors occur, they are often the result of the complexity of care combined with the fast-paced and fragmented nature of perioperative service delivery. 

This symposium will focus on the daily challenges of ensuring medication safety in the high-risk perioperative or procedural setting, highlighting the national aggregate findings and practice gaps identified using ISMP's Medication Safety Self Assessment for Perioperative Settings, and providing highlights of the draft consensus best practice statements developed at ISMP's national perioperative summit.  This program will discuss challenges faced during the implementation of best practices and advancing technologies in the perioperative setting, as well as resources and plans for addressing these obstacles.

Intended Audience:

  • Pharmacists
  • Pharmacy Technicians

Learning Objectives:

Following completion of this activity, participants will be able to:

  1. Identify current national safety challenges with medication management in U.S. perioperative and procedural settings
  2. Highlight the practice risks discovered by inpatient and ambulatory surgical and procedural sites participating in the ISMP Medication Safety Self Assessment for Perioperative Settings 
  3. Examine the ISMP best practice guidance draft, action plans, and resources developed for hospitals and ambulatory surgical centers to begin the transformation towards meaningful medication safety improvements 
  4. Recognize first-hand barriers and challenges faced during the early adoption and implementation of safe medication practices in perioperative and procedural settings

Introduction and Overview: 

Christina Michalek, BSc Pharm, RPh, FASHP, Medication Safety Specialist, ISMP


Behind the Closed Doors: The Status of Medication Safety in Perioperative Settings

Julie Boytim, DNP, CRNA, Performance Anesthesia Services

Understanding the National Aggregate Results from the 2021 Perioperative Assessment

Judy Smetzer, RN, BSN, FISMP, Vice President, ISMP

Advancing Technologies for the Safe Use of Medication in the Perioperative Setting: The Future is Now

Gee Mathen, Director, Pharmacy Clinical Applications & Technical Services, Texas Children's Hospital



This activity is supported by Pfizer.

CE Accreditation

Pharmacists and Pharmacy Technicians

This CE activity is jointly provided by ProCE, LLC and the Institute for Safe Medication Practices (ISMP). ProCE is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. ACPE Universal Activity Number 0221-9999-21-277-L05-P/T has been assigned to this knowledge-based live CE activity (initial release date 12-7-21). This activity is approved for 1.5 contact hours (0.15 CEU) in states that recognize ACPE providers. This CE activity is provided at no cost to participants. Successful completion of the online post-test and evaluation at no later than January 7, 2022 is required to receive CE credit. CE credit will be automatically uploaded to NABP/CPE Monitor upon completion of the post-test and evaluation. No partial credit will be given. Conflict of interest disclosures are required of all faculty and shall be provided to participants at the conference.

This activity has been approved for up to 1.5 California State Nursing contact hours by the provider, Debora Simmons, who is approved by the California Board of Registered Nursing, Provider Number CEP 13677. Credit will only be issued to individuals that are individually registered and attend the entire program.

Director Application and Technical Services, Texas Children's Hospital - Pharmacy Department

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