Hidden Perioperative Medication Safety Risks: A Time for Pharmacy Involvement


Space is limited and pre-registration is encouraged. Pre-registration is for planning purposes only and seating will be available on a first-come, first-served basis. Doors open at 10:45 am.

The types of procedures performed in the perioperative setting are technical and complex, and the patient acuity is more severe. Typically, there is less direct pharmacy involvement in the medication use process in this setting, resulting in the lack of standard checks and balances. Many perioperative areas do not report medication errors. As a result, few are aware of the types of medication safety issues prevalent in this high-risk setting. Our presentation will familiarize attendees with a variety of risk reduction strategies that can be effectively employed to help institutions improve medication safety in this setting.

Intended Audience:

  • Pharmacists
  • Pharmacy Technicians

Learning Objectives:

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

  1. Describe how medications are ordered, stored, prepared, and utilized in the perioperative setting.
  2. Identify system-based causes of medication errors associated with the use of medications in the perioperative setting. 
  3. Describe practical approaches currently used by hospitals and health systems to improve medication safety. 
  4. Discuss how to prioritize selected strategies to prevent harm and improve medication safety in the surgical setting.
  5. Identify three improvements that can be made by organizations to optimize medication safety efforts in the perioperative setting.

Introduction and Overview: 

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


Medication Risk in Perioperative and Procedural Areas: An Anesthesiologist's Perspective

Ronald S. Litman, D.O., Professor of Anesthesiology and Critial Care at the Hospital of the University of Pennsylvania and the Children's Hospital of Philadelphia, University of Pennsylvania School of Medicine, Medical Director, ISMP

Unique Challenges and Recommended Strategies to Improve Medication Safety in the Perioperative Setting

Matthew Grissinger, RPh, FISMP, FASCP, Director of Error Reporting Programs, ISMP

A Health System Experience: Pharmacist Involvement in Improving Medication Use

Elizabeth Wade, PharmD, BCPS, Medication Safety Officer, Concord Hospital


Anaheim Convention Center (ACC North)
Room 261, 200 Level



This activity is supported by Hikma.

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Food and beverages are not provided at Midday Symposia. This ASHP policy considers the varied internal policies of commercial supporters related to the Physician Payments Sunshine Act. You are welcome to bring your lunch to the session.

CE Accreditation

This CE activity is jointly provided by ProCE, Inc. 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 0221-9999-18-374-L05-P/T  has been assigned to this knowledge-based live CE activity (initial release date December 3, 2018). This CE 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 4, 2019 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 all participants at the conference.


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