Repost from Bichoy Gabra, RPh, CPh, PhD, Manager – Oncology Infusion Pharmacy Services at Moffitt Cancer Center
Honored to hear and meet Christopher Jerry, President and CEO of the Emily Jerry Foundation for Patient Safety and Safe Medication Practices.
As we celebrate Healthcare Risk Management Week at Moffitt Cancer Center, Chris gave an amazing presentation to the Pharmacy Team today highlighting the mission of his foundation:
“The Emily Jerry Foundation is determined to help make our nation’s world renowned medical facilities safer for everyone, beginning with our babies and children. We are accomplishing this very important objective by focusing on increasing public awareness of key patient safety related issues and identifying technology and best practices that are proven to minimize the ‘human error’ component of medicine.”
Chris has been a relentless patient safety and clinician advocate who spreads a message of hope, FORGIVENESS, compassion, and collaboration, by turning an unimaginable tragedy, into inspiring positive change, globally in healthcare, in honor of his daughter Emily.
Chris lost his beautiful and beloved two-year-old daughter, Emily, after a fatal medication error in March of 2006.
Emily was scheduled to receive the last dose of etoposide to treat a yolk sac tumor over a weekend. The order was entered incorrectly as a stat order. The short-staffed Pharmacy team compounded it using sodium chloride 23.4% w/v solution instead of the desired sodium chloride 0.9% w/v solution while the Pharmacy computer system was down.
This error led to fatal consequences for Emily, forever changing the lives of her family and the healthcare community across the country.
The “Emily’s law” was signed in 2009 by Ohio legislatures: Pharmacy Technicians be at least 18 years of age, register with the State Board of Pharmacy and pass a Board-approved competency exam.
The legislation also includes specific provisions related to technician training/education and criminal records.