The ASPEN24 Keynote Address will be presented by Rita K. Jew, PharmD, MBA, BCPPS, FASHP. Parenteral nutrition (PN) is a high-alert medication, and PN-related errors have resulted in significant patient harm. This presentation will provide an overview of errors reported to the Institute for Safe Medications Practices (ISMP) and in the literature that are associated with the PN use process. Learning from these errors and using this information to identify potential safety gaps is an important way to prevent similar errors from occurring. ISMP’s recommendations on error prevention and risk mitigation strategies will also be discussed.

Dr. Jew is president of the Institute for Safe Medication Practices (ISMP). She has more than 30 years of experience leading pharmaceutical care services.

Prior to joining ISMP, she served as principal of RKJ Health Partners, providing consulting services related to medication safety, pharmacy operations, pharmacy finance, specialty pharmacy, and sterile compounding. She also provided coaching and leadership training and advised technology start-ups. Before starting her own consulting business, Dr. Jew held leadership positions at well-known acute care institutions, including University of California San Francisco (UCSF) Health, Children’s Hospital of Orange County, and Children’s Hospital of Philadelphia.

Dr. Jew has published and presented on a wide range of issues, including co-authoring a book on extemporaneous formulations for pediatric, geriatric, and special needs patients.

She has held leadership positions at local, state, and national pharmacy organizations, serving as chair of the executive committee of the Section of Clinical Specialists and Scientists (SCSS) at the American Society of Health-System Pharmacists (ASHP), director-at-large of the Pennsylvania Society of Health-System Pharmacists board, and president of the Delaware Valley Society of Health-System Pharmacists (DVSHP).

Her many honors and awards include a Children’s Hospital Association honorable mention in the Race for Results for improving patient safety by optimizing smart pump utilization, Friend of Nursing Award from the Association of California Nurse Leaders, Distinguished Service Award from the American Society of Health-System Pharmacists Section of Clinical Specialists and Scientists and the Jonathan Roberts Award from DVSHP.

Dr. Jew received her Doctor of Pharmacy from University of California at San Francisco, completed an ASHP-accredited residency in clinical pharmacy at Thomas Jefferson University Hospital, and earned an MBA from the Wharton School of the University of Pennsylvania. She is a board-certified pediatric pharmacy specialist.

LEARNING OBJECTIVES

Describe parenteral nutrition (PN) related errors reported to ISMP Medication Error Reporting Program and in the literature.
Outline root causes of errors and safety gaps in the PN use process.
Discuss error prevention and risk mitigation strategies in the PN use processes.

PRESENTER
Rita K. Jew, PharmD, MBA, BCPPS, FASHP, President at the Institute for Safe Medication Practices (ISMP), Plymouth Meeting, PA

Level: Intermediate

Rita K. Jew PharmD, MBA, BCPPS, FASHP

President, Institute for Safe Medication Practices (ISMP), Plymouth Meeting, PA

Appearances