The Emily Jerry Story: Lessons Learned from a Fatal Medication Error

Monday, December 3, 2012
2:00 pm – 3:30 pm

Activity #: 204-000-12-214-L05P
Level of Content: General Interest
1.50 Contact Hours / Knowledge-based
Program Chair: Christopher S. Jerry

Learning Objectives:

• Describe how poorly designed medication systems can contribute to serious, even fatal, errors.
• Distinguish ways institutions can respond to errors and how it influences patients, caregivers, future error reporting, and system improvements.
• Define just culture and the influence that culture can have on improving the safety of patient care.