Hope for Second Victims: Where is RaDonda Vaught now?

Hope for Second Victims Where is RaDonda Vaught now?

Two years after RaDonda Vaught was found guilty of negligent homicide and abuse of an impaired adult due to a medication error, she came forward in an interview with the World Socialist Web Site to share her account of the event and how she got through such an unimaginable experience. It has been two years […]

RaDonda Vaught’s Story: Versed vs. Vecuronium

RaDonda Vaught's Story Versed Versus Vecuronium

Two years ago, a Nashville nurse was convicted of negligent homicide and impaired adult abuse after accidentally administering the wrong medication to a patient. Read the full facts of RaDonda Vaught’s case, including the support she recieved from hundreds of nurses and how her story sparked change across the country. In December of 2017, a […]

Enhancing Medication Error Surveillance for Improved Patient Safety

Enhancing Medication Error Surveillance for Improved Patient Safety

In this article, Dr. Jill Paslier, PharmD, CSP, FISMP analyzes the benefits of medication error surveillance and how it can enhance patient safety and improve clinical outcomes. Dr. Paslier provides three key components to implementing a successful MES program, and highlights the probable outcomes of increased monitoring. Introduction to Medication Error Surveillance Medication error surveillance […]

Does Your Practice Have a Culture of Safety? – 3 Questions to Ask

Does Your Practice Have a Culture of Safety? - 3 Questions to Ask

Chuck DiTrapano, RPh and Bailey Klingaman explore the meaning of a culture of safety in clinical organizations. By understanding the motivation of clinicians and application of technology to the practice, organizations can assess the value of safety to its company culture. Having been a healthcare professional for a very long time, I often think about what […]

Minimize Distractions in the Clinical Setting

Minimize Distractions in the Clinical Setting Cover Image

Chuck DiTrapano, RPh and Bailey Klingaman discuss the dangers of distractions and interruptions in the clinical setting, and provide numerous solutions to help reduce the risk of harmful medication errors and improve patient safety. Anyone who has worked in any healthcare setting can attest to what the Institute for Safe Medication Practices (ISMP) and others […]

Making Medication Administration Safer

Making Medication Administration Safer Cover Image

Eric Cropp, RPh, shares his personal story about a medication error that forever changed his life, how he became a patient safety advocate, and ways we can make medication administration safer for patients and caregivers. What Happened to Emily Jerry There were multiple red flags leading up to Emily Jerry’s last treatment. The first came […]

The Vital Role of Pharmacy Technicians

Two-year-old Emily Jerry looking up.

The following post was written by Chris Jerry of the Emily Jerry Foundation. Chris tragically lost his daughter as a result of a preventable medical error made by a pharmacy technician. We are grateful to Chris for his courage in sharing his story as well as for the work he is doing to bring light […]

Pharmacy IV Rooms: Are we minding the gap…???

Pharmacy IV Rooms: Are we minding the gap...??? Cover Image

Thank you to Rayburn Vrabel, former President and Principal Consultant at Vrabel Consulting Inc., and current Medication Systems Strategy Advisor, for allowing RxToolKit to publish his article, as originally seen on LinkedIn May 15, 2015, about the systems and practices that affect IV room safety. Last week in Mark Neuenschwander’s Point of Care Forum (www.pointofcareforum.com), […]

In Support of the Second Victim

In Support of the Second Victim Cover Image

Eight years after the tragic medication error that led to two-year-old Emily Jerry’s death, Eric Cropp, RPh is still distraught over the events of that day. He currently advocates for patients and caregivers involved in medication errors, and supports second-victim awareness. It has been 8 years since I made the biggest mistake of my life. […]

Medication Errors: “A Pharmacist’s Tale”

Medication Errors: "A Pharmacist's Tale" Cover Image

JDJ Consulting Founder and President John Karwoski discusses a recent near-miss medication error and the actions he took to rectify the situation. He also provides suggestions for ways to prevent medication errors and near-misses in the future. I was working at the hospital last night and caught a “near-miss.” The physician ordered a 4000 unit […]