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ENHANCING MEDICATION SAFETY: College Launches Continuous Quality Assurance Program for Medication Safety 10

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ENHANCING MEDICATION SAFETY: College Launches Continuous Quality Assurance Program for Medication Safety 10 SUMMER 2017 • VOLUME 24 NUMBER 3 THE OFFICIAL PUBLICATION OF THE ONTARIO COLLEGE OF PHARMACISTS ENHANCING MEDICATION SAFETY: College Launches Continuous Quality Assurance Program for Medication Safety 10 ALSO IN THIS ISSUE: Building an Opioid Action Plan for Pharmacy 14 Strengthening the Protection of Patients in Ontario 34 In the News: Updates on Mifegymiso, MAiD and more 8 Ontario College of Pharmacists 483 Huron Street, Toronto, ON M5R 2R4 COUNCIL MEMBERS T 416-962-4861 • F 416-847-8200 Elected Council Members are listed below according to District. PM indicates a www.ocpinfo.com public member appointed by the Lieutenant-Governor-in-Council. U of T indicates the Dean of the Leslie Dan Faculty of Pharmacy, University of Toronto. U of W QUICK CONTACTS indicates the Hallman Director, School of Pharmacy, University of Waterloo. Office of the CEO & Registrar [email protected] H Christine Donaldson PM Kathy Al-Zand ext. 2241 Statutory Committees (Vice-President) PM Linda Bracken • Accreditation Office of the President H Régis Vaillancourt PM Christine Henderson • Discipline [email protected] (President) PM Robert Hindman • Executive ext. 2243 K Esmail Merani PM Javaid Khan • Fitness to Practise OCP Council K Tracey Phillips PM James MacLaggan • Inquiries Complaints & Reports [email protected] L Billy Cheung PM Elnora Magboo • Patient Relations ext. 2243 L James Morrison PM Sylvia Moustacalis • Quality Assurance • Pharmacy Practice L Sony Poulose PM Joan A Pajunen Registration [email protected] M Fayez Kosa PM Shahid Rashdi ext. 2285 M Don Organ PM Joy Sommerfreund Standing Committees M Laura Weyland PM Dan Stapleton • Drug Preparation Premises Registration Programs N Gerry Cook PM Ravil Veli • Elections [email protected] N Christopher Leung PM Wes Vickers • Finance & Audit ext. 2250 N Karen Riley U of T Heather Boon • Professional Practice Member Applications & Renewals P Jon MacDonald U of W David Edwards [email protected] P Douglas Stewart ext. 3400 T Vacant Pharmacy Applications & Renewals TH Goran Petrovic [email protected] ext. 3600 Strategic Framework 2015 - 2018 Mission The Ontario College of Pharmacists regulates pharmacy to ensure that the public receives quality services and care. Vision Lead the advancement of pharmacy to optimize health and ellness through patient-centred care. Values Transparency ccountability Excellence Inter & Intra Strategic Core Programs Optimize Practice Priorities Fulfillment of Mandate ithin Scope Professional Collaboration Patients First Strategic Initiatives Effective Communications Continuous Quality Improvement PAGE 2 ~ SUMMER 2017 ~ PHARMACY CONNECTION The objectives of Pharmacy Connection are to communicate information about College activities and policies as well as provincial and federal initiatives affecting the profession; to encourage dialogue and discuss issues of interest to pharmacists, pharmacy technicians and applicants; to promote interprofessional collaboration of members with other allied health care professionals; and to communicate our role to members and stakeholders as regulator of the profession in the public interest. We publish four times a year, in the Fall, Winter, Spring and Summer. We also invite you to share your comments, suggestions or criticisms by letter to the Editor. Letters considered for reprinting must include the author’s name, address and telephone number. The opinions expressed in this publication do not necessarily represent the views or official position of the Ontario College of Pharmacists. PUBLISHED BY THE COMMUNICATIONS DEPARTMENT [email protected] SUMMER 2017 • VOLUME 24 NUMBER 3 FOLLOW US ON SOCIAL MEDIA! CONTENTS CEO and Registrar’s Message . 4 Council Report . 5 www.facebook.com/ocpinfo In the News . .8 College Approves Implementation of a Continuous Quality Assurance Program. .10 www.twitter.com/ocpinfo Building an Opioid Action Plan . 14 ISMP Canada Safety Bulletin . .16 www.youtube.com/ocpinfo Oral Anti-Cancer Drugs. .22 Inter- and Intraprofessional Collaboration. .26 New Professional Misconduct Regulations . 28 www.linkedin.com/company/ ontario-college-of-pharmacists Reporting Adverse Reactions . 32 Protecting Patients Act . 34 ISSN 1198-354X © 2017 Ontario College of Pharmacists Prescriptions from Other Healthcare Professionals. .37 Canada Post Agreement #40069798 Undelivered copies should be returned to the Close-Up on Complaints . 38 Ontario College of Pharmacists. Not to be reproduced in whole or in part without the Scope of Practice Strategy . 40 permission of the Publisher. What We Heard From You . .44 Discipline Decisions . 46 Focus on Error Prevention . .66 CEO AND REGISTRAR’S MESSAGE You’ll learn about our Scope of for what will become Ontario’s Practice Strategy which we believe first medication safety program will help support all pharmacy for community pharmacies once professionals to practice to their full fully implemented. The patient scope and thereby influence better perspective in particular was key patient outcomes and access to to grounding our discussions and timely pharmacy care. Our health reminding us all why we need to do system continues to transform better. After all, at the end of every and patients will continue to rely prescription is a patient. on pharmacy professionals – who are well positioned to play an As regulations related to the increasingly active role in their Protecting Patients Act (2017) health and well being. are developed, and as our health system continues to evolve and And you’ll learn more about our transform, we anticipate increasing Continuous Quality Assurance opportunities that we as a College Nancy Lum-Wilson, (CQA) Program for Medication and you as professionals can and R.Ph., B.Sc.Phm., MBA Safety and the next steps in should embrace to invite patients to CEO and Registrar development of this important participate in and inform our work. patient safety initiative. As many of It is in fact fast becoming a perfect As trusted pharmacy professionals, you now know, our CQA program convergence of opportunity and you all play an important role in will require pharmacy professionals desire that is compelling all of us to patient safety. This means doing to anonymously report medication make every effort possible to explore what you can to protect patients incidents to a third party. This will how we can more firmly bring from harm and to work with patients help us – through the analysis of the patient voice into our world. as partners in their care along with aggregate and de-identified data – With that voice comes a better other members of a collaborative to recognize trends in practice and understanding of how our programs, care team. learn from each other to address standards and Code of Ethics have system issues before they occur. an impact on health outcomes. For the College, an important part While this may seem like a big step of our role as a regulator that has for some, we all share that same As a regulator, we’re looking served the public for nearly 130 objective: to promote a safety forward to welcoming more public years is to develop the standards culture within pharmacy that focuses and patient input into what we do, to help the entire profession on quality improvement and the including working closely with our achieve this goal consistently and sharing of learnings to help reduce Patient Relations Committee as to continue to promote high quality the risk of medication incidents and we strengthen our commitment pharmacy practice. prevent errors that can sometimes to supporting patients. We’re also result in tragic consequences for looking forward to collaborating Together, we have a collective patients and their families. with our regulatory colleagues in responsibility to keep patients at the benefiting from the contributions of centre of everything we do. In this As we begin to roll out the first phase a Citizen Advisory Group. This group issue of Pharmacy Connection, we’re of the CQA program starting this will help us learn from important pleased to provide important updates fall, we’ll be looking for community perspectives and insights of people on a number of initiatives designed pharmacies interested in getting from all walks of life who, like all to help us all fulfill our shared a head start by volunteering to be Ontarians, have a rightful stake in responsibilities to put patients first among the first 100 pharmacies quality and safe patient care. and promote safe and high quality, in the province to adopt the patient-centred practice within a program. Those who volunteer will Perhaps most importantly, we’re constantly evolving health system. not only benefit from an earlier looking forward to exploring with implementation of this patient-safety pharmacy professionals throughout For example, you’ll learn more about program into their operations, but the province how we can all further the work behind the development they will also help inform, shape promote patient safety and quality of the College’s Opioid Strategy and influence the success of the care by encouraging meaningful and as we prepare to bring a draft program as we move forward with full appropriate opportunities to engage, framework to Council this fall. We implementation in late 2018. learn from, listen to and participate believe that pharmacy can play a with patients in the delivery of quality vitally important role in helping to Patients are partners, and their pharmacy practice. curb this public health crisis and it perspectives matter is our hope that this strategy will Our patients deserve nothing less. define what that role will be and The CQA program is an excellent shape the work that we all can example of how we brought do to reduce the real and tragic together professional, public and impact this crisis has had on our patient perspectives into the communities to date. development of a framework PAGE 4 ~ SUMMER 2017 ~ PHARMACY CONNECTION COUNCIL REPORT JUNE 2017 COUNCIL MEETING As recorded following Council’s regularly scheduled meeting held at the College offices on June 12th, 2017. NEW PUBLIC MEMBER APPOINTED TO COUNCIL pharmacy practitioners in the distribution of cannabis for medical and non-medical purposes.
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