Medication Safety Panel Discussion and Workshop UofT’s IHI Open School Chapter The Problem: There are more deaths each year due to patient safety incidents than deaths from breast cancer, motor vehicle accidents and HIV combined. Between 9,000 and 24,000 people die each year as a result of PREVENTABLE adverse events or harm in Canadian hospitals. Canadian Patient Safety Week is a national annual campaign started in 2005 by the Canadian Patient Safety Institute(CPSI) to inspire extraordinary improvement in patient safety and quality. The theme for this year is Medication Safety. The University of Toronto’s IHI(Institute for Healthcare Improvement) Open School Chapter would like to invite you to attend the following events for CPSW. Important Facts: More than 50 per cent of patients experience discrepancies in their medications, which can led to potential cause of harm or adverse drug events One in nine adults visit the emergency department as a result of drug-related adverse events Each year, drug non-compliance is the cause of 10 % of all Hospital Admissions

Medication Safety Panel Discussion UofT’s IHI Open School Chapter PANEL DISCUSSION 'Medication Safety: Problems, Solutions and Advice to Future Healthcare Professionals' Monday, October 28th. 6-8pm Room 103, Fitzgerald Building, 150 College Street Speakers: Olavo Fernandes, “Medication Reconciliation and Safety in the Hospital and during Transition of Care” Patricia Trbovich, “Medication Safety and the need for Human Factors informed design and training to provide the optimum balance between capability and ease of use.” Margaret Colquhoun, “Medication System Safety and Resources from the Institute for Safe Medication Practices(ISMP).” Olavo is Pharmacy Clinical Site Leader at Toronto General Hospital, University Health Network, Co- coordinator of the UHN Hospital Pharmacy Residency Program. Member of the National Faculty of Safer Health Care Now! and is affiliated with the Institute for Safe Medication Practice Canada Patricia is Assistant Professor of Clinical Engineering in the Institute of Biomaterials and Biomedical Engineering, and of Health Informatics in the Department of Health, Policy, Management and Evaluation, Faculty of Medicine, University of Toronto. Marg is a Project Leader at the Institute for Safe Medication Practices Canada. She leads the World Health Organization High-5’s medication reconciliation intervention at an international level, supporting teams in 5 countries and has consulted in various settings, including the Mayo Clinic.

Medication Safety User Centered Design Workshop UofT’s IHI Open School Chapter User Centered Design Workshop : Medication Safety Theme Tuesday, October 29th. 5:30-7:30pm Room 129, Fitzgerald Building, 150 College Street An Interactive Workshop where you will : 1)Learn the principles of Human Centered Design taught by Alvita Chan, a Human Factors Specialist. 2) Work in a Group of Interprofessional Students to Apply those Principles to Develop your Own Solutions for a Medication Safety Problem The prototype solutions developed will be posted on the UTIHI website and the members of the team with the best solution will receive a reward.