• 950 Boardwalk Suite 305, San Marcos, CA 92078
    • 760.705.4078
    • tvidals@rxpert.solutions

Do Your Staff Know How to Check for Tampering?

All across the country, pharmacy staff are picking up returned controlled substances and placing them back into pharmacy stock. They are removing them from automated dispensing machine return bins and placing them back into the dispensing pockets. Prior to placing the medication back into stock for dispensing, are they checking the item to confirm there […]

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Including the Infection Prevention Department

Do you have a solid drug diversion monitoring program? If you said yes, that’s great! For those of you that do have a monitoring program, how many of you have participation from the Infection Preventionist (IP) during a suspected case involving injectable medication? Any time there is diversion that involves injectable medications, we need to […]

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Education Surrounding a Facility’s Diversion Program

An important component to a comprehensive diversion program is educating staff on the elements of the program. Education surrounding what diversion looks like, why prevention measures need to be put in place, why monitoring for diversion is important, and the expectations of staff. Additional education is needed for supervisors and managers that will be reviewing […]

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Medication Error Experience Update

Some of you may recall my previous blog telling of a medication error that happened to someone close to me. I sat in the car (couldn’t go in because of COVID-19 precautions) while they were in the urgent care where they received an IM injection of ceftriaxone in a volume of 10 ml. A recap […]

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Solid Process for Receiving Recall Alerts and Taking Action

In the last few days, I have seen two potentially serious recall alerts from the FDA; a mix up in labeling between Amiodarone HCl Injection and Tranexamic Acid Injection as well as a Class I recall due to hardware issues for BD Alaris System infusion pumps. How solid is your process regarding being informed of […]

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Voluntary Error Reporting

How well is your facility doing when it comes to staff voluntarily reporting adverse events and medication errors?  Voluntary reporting should not be the sole means by which we identify areas for improvement, but it is a valuable avenue, and reporting should be the expectation. At one point, I was part of a regulatory prep […]

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Patients are Real People with Real Stories

Nurses and physicians are reminded every day that patients are real people, just like them, with real stories. Pharmacy staff, however, may need a little more reminding. Unless a pharmacist or technician has a role that brings them into regular contact with patients, we may need the reminder that on the other side of the […]

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How Well Have You Explained the Expectations?

I am a firm believer in explaining the big picture and the root of why people do certain things. I think that is especially important when it comes to medication safety initiatives and processes that have been put in place to improve safety. If we don’t explain the big picture of why, we risk staff […]

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An Excerpt From CMS Regarding Medication Errors

Medication errors are a substantial source of morbidity and mortality risk in the hospitalized setting. Therefore, hospitals must take steps to prevent, identify, and minimize these errors. These steps must be based on accepted professional principles. This includes not only ensuring that the pharmacy processes conform to accepted standards of pharmacy practice, but also proactively […]

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Patient Safety & Quality Improvement Act Provides Protection

The Patient Safety and Quality Improvement Act of 2005, among other things, was designed to increase the reporting of all medication errors and sharing of quality information. This Act protects healthcare workers from litigation while establishing a culture of reporting, encouraging analysis and sharing of error events, and ultimately increasing patient safety. In order to […]

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Our References

Terri is absolutely phenomenal. She is an incredibly knowledgeable pharmacy resource. As the medication safety officer, the quality initiatives she implemented not only impacted the patients at our medical center but also reached into the community. Terri is a genuine professional who upholds accountability while creating community among her team members. She is a great listener to identify friction points and has actionable ideas to implement improvements.

T. Eagle. MBA, MLS(ASCP), CLS Lab Operations Manager

Terri is an expert at prospective risk identification -Failure, Mode and Effects Analysis (FMEA). Terri participated in CHPSO Patient Safety Safe Tables and was part of the Hospital Quality Institute’s Regional Quality and Patient Safety Leader Network.
She is an excellent public speaker and communicates well with public and professional audiences. I look forward to her continued work in medication safety.

Regional Quality Network at HQI

Terri has done a tremendous job with the controlled substance diversion program. She has had such a positive impact and has really made the hospital a safer place.

Tri-City Medical Center
Nurse Manager

We would not be where we are with the improvements we have made with opioid prescribing if it were not for Terri driving the process.

Tri-City Emergency Medical Group
Chief Physician

In addition to understanding the ins and outs of the [controlled substance use] process completely, she is very proactive in coming to me with provider issues that she detects. She truly balances the administrative duties and the regulatory components demand with a keen sense of what my practitioners do and what their needs are on the ground. Terri is instrumental in working with my department, balancing patient care, cooperation, ability, and integrity to get the job done.

UCSD Medical Center
Chief Anesthesiologist

Terri is knowledgeable and effective in pharmacy leadership. She has the ability to be able to anticipate and prepare for the future. Her ability to utilize resources effectively in this changing environment is a strong asset. She can adapt, evolve, mentor and still never say “no” when asked to assist. She exhibits great abilities to be flexible and is a “self starter”. She has a pleasant yet effective demeanor that commands results.

Candace Fong, Pharm D
System Director of Pharmacy and Medication Safety Common Spirit Health

Terri has always impressed me as being very smart. resourceful, creative, and easy to work with. Terri’s commitment to medication safety permeated our organization, raising the awareness of this important issue throughout all levels of the institution. Terri has always been engaged, cooperative, and generous with her time.

Cary Mells, MD
Chairman of the Department of Emergency Medicine Tri-City Medical Center

Terri has done more for the Pharmacy in her few months as Interim Pharmacy Director than any other Director has done during my 12 years here.

Anita Kennedy, MBA
VP of Ancillary Services Methodist Hospital

Contact Us

Address: 950 Boardwalk Suite 305, San Marcos, CA 92078

  • 760.705.4078
  • tvidals@rxpert.solutions