At the conclusion of the Independent Study the participant will:

1. Describe three medications most commonly involved in serious medication errors that would be considered high risk in the acute-care setting and potential consequences of these errors.
2. Describe three changes by which imperfect behavior can be managed.
3. Identify the three characteristics of medication misadventures.
4. List at least three barriers to a patient safety culture.

At the conclusion of the Web Presentation the participant will:
1. Identify leadership roles that pharmacists must play in improving medication safety.
2. Summarize the business case for transparency in dealing with adverse patient events.
3. Describe the concept of flexible authority in preventing medication errors.
4. Identify two possible drivers of public policy change in medication use safety.

At the conclusion of the Case Study/Teleconference the participant will:
1. List at least five principles that should be adhered to when redesigning hospital space for patient safety.
2. Describe three “push tools” that can be utilized to reward employees for contributions to patient safety.