Release Date: March 1, 2010
Expiration Date: February 28, 2011

Activity Overview

Please read the following information about this continuing pharmacy education (CPE) activity before accessing the presentations using links located at the bottom of this page.

Accreditation for Pharmacists

ACPEThe American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This activity provides 2 hours (0.2 CEUs) of continuing pharmacy education credit (ACPE activity #204-000-09-436-H01P).

Methods and Format

This is an online activity consisting of audio and slides for three presentations, a post-test, and an activity evaluation tool.  Participants should claim continuing education credit for this internet-based educational activity only if they have not claimed credit for the live activity. Participants must view all presentations, take the activity post-test, and complete the course evaluation to receive continuing pharmacy education credit.  A minimum score of 70% is required on the test for credit to be awarded, and participants may print their official statements of continuing pharmacy education credit immediately.  The estimated time to complete this activity is 2 hours.  This activity is provided free of charge.

Target Audience

This continuing pharmacy education activity was planned to meet the needs of pharmacists, including clinicians, managers, and educators who are interested in learning more about improving medication safety in health-systems.

Activity Content

Click here to view an overview of the activity content.

Learning Objectives

After participating in this knowledge-based CPE activity, participants should be able to

  • Describe a process to identify medication management system risk points.
  • Identify at least one risk point within each of the six critical processes of medication management.
  • Explain a successful medication management strategy that has been demonstrated to enhance safety within an organization.
  • Evaluate the medication management system within an organization and implement a strategy to enhance safety.


ShaneRita Shane, Pharm.D., FASHP, FCSHP, Program Chair
Director, Pharmacy Services
Cedars-Sinai Medical Center
Assistant Dean, Clinical Pharmacy
UCSF School of Pharmacy
Los Angeles, California
[View Biography]

Rita Shane, Pharm.D., FASHP, FCSHP, is Director of Pharmacy Services at Cedars-Sinai Medical Center, a 950-bed acute- and tertiary-care, teaching institution in Los Angeles, CA, and Assistant Dean, Clinical Pharmacy Services at the University of California, San Francisco (UCSF), School of Pharmacy.  She is responsible for more than 300 staff members. Dr. Shane’s goal is to ensure that wherever patients need care, there is a demand for pharmacists to ensure optimal management of medications.

Over the years, Dr. Shane has been recognized for her passion for the profession.  She is the recipient of the 2007 California Society of Health-System Pharmacists (CSHP) Pharmacist of the Year Award and the 2007 Distinguished Service Award from the ASHP Section of Pharmacy Practice Managers.  Dr. Shane was the 2005 recipient of the ASHP Distinguished Leadership Award and the 1995 recipient of the John Webb Visiting Professorship in Hospital Pharmacy for management excellence.

Dr. Shane is a co-investigator in two research studies in collaboration with the UCSF School of Pharmacy and approved by the California State Board of Pharmacy to demonstrate the safety and importance of allowing technicians to check technician-filled medication cassettes in hospitals. She also worked collaboratively with CSHP to author language in support of this regulatory change, which was approved by the State of California effective in January 2007.  Dr. Shane was co-investigator of a 2000 National Patient Safety Foundation Research Award to study the impact of dedicated medication nurses on the rate of medication administration errors, a randomized, controlled trial the results of which were subsequently published in the Archives of Internal Medicine.

Dr. Shane recently served as the U.S. facilitator at the Global Conference on the Future of Hospital Pharmacy held during the 68th Congress of the International Pharmaceutical Federation and was responsible for reviewing the international literature on the subject of medication administration. She also is one of the investigators in a multicenter study of medications errors recovered by emergency department pharmacists. Throughout her career, Dr. Shane has participated on committees and task forces at the state and national level; she recently was a member of the American Hospital Association Committee on Health Professions and The Joint Commission Professional Technical Advisory Committee. She has presented at local, state, national, and international meetings and has published a number of papers in the pharmacy literature.

PepperGinette A. Pepper, Ph.D., RN, FAAN
Professor and Associate Dean for Research
Helen Lowe Bamberger Colby Presidential Endowed Chair in Gerontological Nursing
Director, Hartford Center of Geriatric Nursing
University of Utah College of Nursing
Salt Lake City, Utah
[View Biography]

Ginette A. Pepper, Ph.D., RN, FAAN completed her basic education in nursing at the University of Colorado. After serving a tour in the Army Nurse Corps, she earned her Master of Science in Medical-Surgical Nursing from the University of Utah. On graduation she assumed a position as the nation’s first geriatric nurse practitioner. Ginny received her Ph.D. in Psychobiological Nursing and Pharmacology from the University of Colorado Health Sciences Center and was a clinical nurse researcher at the Denver VA, Swedish Medical Center, and HealthONE. She was a member of the University of Colorado faculty beginning in 1974 through 2003. From 1990 through 2003 she held positions as the Director of Faculty Practice, Director of the Master’s Program, and Director of the Nursing Doctorate program. In 2007 she completed a fellowship at the National Institutes of Health (NIH) in human genetics.

Dr. Pepper is a nationally recognized expert in medication safety, has published extensively on the topics of medication safety and geriatric care in nursing, medical, and pharmacy journals, and frequently speaks nationally and internationally. She has been a member of the Safe Medication Use and the Nomenclature Expert Committees of the United States Pharmacopeia and on the Editorial Boards of Nurse Advis-Err, the nursing newsletter for the Institute for Safe Medication Practices (ISMP), and the Joint Commission Journal on Quality and Safety. She has been principle investigator on two federally funded studies on medication safety, one on medication-related falls and imbalance in community-dwelling elderly and the other on the effects of nurses’ working conditions on medication administration safety in hospitals. She has been co-investigator and consultant on numerous other federally funded medication safety grants.

Since 2003, Dr. Pepper has been Professor and the Helen Bamberger Colby Presidential Endowed Chair in Gerontological Nursing at the University of Utah College of Nursing. She is also the Associate Dean for Research and Ph.D. Program and Director, Hartford Center of Geriatric Nursing Excellence.

FiumaraKaren Fiumara, Pharm.D., BCPS
Patient Safety Officer
Brigham and Women's Hospital
Adjunct Assistant Professor of Pharmacy Practice
Massachusetts College of Pharmacy and Allied Health Sciences
Boston, Massachusetts
[View Biography]

Karen Fiumara, Pharm.D., BCPS is the Patient Safety Manager of Brigham and Women’s Hospital (BWH), in Boston, Massachusetts.  She is an Assistant Professor of Clinical Pharmacy Practice at both Northeastern University and Massachusetts College of Pharmacy.  She received her Doctor of Pharmacy from Massachusetts College of Pharmacy in 2002 and completed her residency program at Brigham and Women’s Hospital in 2003. 

Dr. Fiumara is a member of various professional societies, including the American Society of Health System Pharmacists, the Massachusetts Society of Health Systems Pharmacists and the American Pharmaceutical Association.  She serves on the Brigham and Women’s Hospital’s multidisciplinary Drug Safety Committee, which is charged with reviewing all medication safety related issues and adverse events.  She works closely with information systems specialists as a liaison on numerous patient safety projects, and co-chairs the Brigham and Women’s Hospital Joint Commission Anticoagulation Task Force.  She works as Clinical Pharmacy Consultant for the New England Journal of Medicine.  Dr. Fiumara has authored papers in the fields of medication safety, adverse drug events, and anticoagulation.

Disclosure Statement

In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support and the Accreditation Council for Pharmacy Education’s Guidelines for Standards for Commercial Support, ASHP Advantage requires that all individuals involved in the development of activity content disclose their relevant financial relationships and that conflicts of interest be identified and resolved prior to delivery of the activity.

The faculty and planners report the following relationships:

Rita Shane, Pharm.D., FASHP, FCSHP, Program Chair
Dr. Shane declares that she has served as a consultant for Abbott.

Ginette A. Pepper, Ph.D., RN, FAAN
Dr. Pepper declares that she has no relationships pertinent to this activity.

Karen Fiumara, Pharm.D., BCPS
Dr. Fiumara declares that she has no relationships pertinent to this activity.

Ron DeChant, M.S., B.S.Pharm.
Mr. DeChant declares that he has no relationships pertinent to this activity.

This activity is supported by an educational grant from Hospira.

Launch Presentation*

View PresentationIdentifying the Risk Points: Back to the Basics
(35 minutes)
Rita Shane, Pharm.D., FASHP, FCSHP
View PresentationManaging the Risk Points to Improve Medication Safety
(35 minutes)
Ginette A. Pepper, Ph.D., RN, FAAN
View PresentationCase Scenario: Evaluating a Medication Management System and Implementing Safety Solutions
(35 minutes)
Karen Fiumara, Pharm.D., BCPS

*Allow additional time to complete the post-test and evaluation.

Download Post-Test

Click here to print the post-test for your reference.  Please note that to be eligible for continuing pharmacy education credit, you must go to the ASHP Learning Center and complete the test online.

Planned and conducted by ASHP Advantage.