Description: This session provides an overview of medication safety through the lens of high reliability principles, Just Culture, and applied error science. Participants will explore how human error, system design, and event reporting contribute to patient safety, and learn how to differentiate error types and respond using the Just Culture framework. The program emphasizes practical strategies such as the use of the Institute for Safe Medication Practices (ISMP) Hierarchy of Effectiveness to design safer systems and reduce the risk of harm.

Watch recording until 11/01/26 for live CE credit. Text code for claiming attendance is shared during presentation recording. If you attended the live activity on 09/02/26, you cannot claim credit again.

Link to recording:  Live-Medication Safety- 9.02.26.mp4

NOTE:

• Please note that the live session will be restricted to Advocate Health Pharmacy Residents ONLY. 
• Once the recording of the live activity is posted to this page (~9/3), all pharmacy teammates may view for up to 60 days after and receive live CE credit. 
• A home study version of the activity will become available to all pharmacy teammates for home study credit in late September 2026. 

Speakers: Jennifer Dodda, PharmD, BCPS, CPPS- Medication Safety Program Coordinator- Enterprise Pharmacy

Michelle Papala, PharmD, BCPS- Medication Safety Program Coordinator- Enterprise Pharmacy

Objectives: ​​ 

1. Define the five core principles of High Reliability Organizations (HROs)
2. Explain how Just Culture and the Just Culture Decision Guide distinguish between human error from unsafe behavior
3. Describe how reporting safety events supports system improvement rather than individual blame
4. Classify proposed safety solutions using the Hierarchy of Effectiveness Framework

Target Audience:​ Advocate Health pharmacists, pharmacy technicians, and other healthcare professionals

Disclosure:​ The planner(s) and speaker(s) have indicated that there are no relevant financial relationships with any ineligible companies to disclose. 

Materials: Activity Flyer-Live-Dodda, Papala 090226.pdf

Slides: Medication Safety Through High Reliablility- Audience Slides.pdf

Pharmacist UAN: JA0006327-0000-26-127-L05-P
Pharmacy Technician UAN: JA0006327-0000-26-127-L05-T