1. iDoseCheck Visualize Safety Jacqueline Ellis, RN, PhD Stephanie Langford, RN, MEd Powered by Clinical Evaluation Online (CEO) Inc

2. Problem Drug calculation errors common and deadly – 5 and 10- fold errors range from 6% to 15% of reported pediatric drug errors – morphine most commonly associated with error Specialty pediatric hospitals not immune to errors – 6,000 medication incident reports from SickKids (2004-2009) – 4% were 10-fold errors (240 errors) – patient harm noted in 22 cases – 18 errors were 100-fold overdoses Wrong dose errors occur in a global context – UK-study 5,000 incidents involving chemotherapy were analyzed (2003-2008) – 32% were wrong dose, including wrong strength (1600 errors) – 7 fatalities, 9 episodes of moderate harm and 9 episodes of severe harm resulted from errors Clinical Evaluation Online Inc. 2

3. Problem Drug errors end lives and careers Drug errors cost money Lack of confidence with calculations wastes valuable time Clinical Evaluation Online Inc. 3

4. Solutions Clinical Evaluation Online Inc. 4 Typical text based calculator

5. iDoseCheck Clinical Evaluation Online Inc.5

6. 6 Value Added Solutions

7. Clinical Evaluation Online Inc.7 Value Added Solutions

8. Clinical Evaluation Online Inc.8 Research Program Study 1 A human factors approach to understanding medication errors related to intravenous morphine administration in a pediatric hospital (2009) Study 2 Preventing Medication Errors with High Alert Drugs: Testing a Computerized Double Check (2009-211) Research Team

9. Business Team connected networks relevant experience contextual knowledge manage information people, money Clinical Evaluation Online Inc. 9 Vivian Joseph Mathews, BEng Jacqueline Ellis, RN, PhD Stephanie Langford, RN MEd

10. Thank You Questions?