Challenges – Engagement – Communication – The Future Vision

A one-day conference

Royal Marine Hotel,
Dun Laoghaire, Co. Dublin

Date: 27th June 2018

How can we significantly reduce medication errors, as well as improve prescribing competence, improve reporting of error incidents, collaboration to reduce errors and what constitutes as inappropriate prescribing? The conference will also look at the increasing litigation culture surrounding medication errors, improvements in pharmacy dispensing, primary care centres and medication errors and the latest information on Systems Analysis of medication errors will be examined for clues to likely improvements.

Book your place now!

6 Structured CPD Points

Recent UK news reports indicated that more than 230 million medication errors took place last year and over 700 deaths were possibly linked to adverse drug reactions. While there are no clear cut statistics for Ireland, similar themed news reports indicated that medication errors in Ireland were at an all-time high and while stringent efforts are being made to reduce the number of medication errors, the problem exists and is significant. So questions remain, why is the level still so high and what can we do to fix it?

This event is typically attended by most healthcare professionals and executives involved in the prescribing, dispensing, administration and monitoring of medication in Irish Healthcare. Run every two years, (2014 / 2016) this 2018 conference continues to be the venue for debate, discussion and learning.




Registration with tea, coffee and pastries


Opening Remarks – Conference Chairperson

  • Overview of medication errors in Ireland. Typical causes based on reporting and investigations

John Sweeney, CEO, HCI


Medication Errors – The Regulatory Role

  • Regulatory reporting requirements –  medicines legislation and guidance
  • HPRA communication and interaction on medication error reporting
  • HPRA and other medicines regulatory agencies role in review, evaluation and follow up of reports of medication error

Speaker: Niamh Arthur, Pharmacovigilance Manager, Health Products Regulatory Authority


Improving reporting & lessons learnt from medication incidents

  • New requirements arising from the revised EU directive of pharmaco-vigolance
  • How to manage a medication incident – What is the potential role of the medication safety officer? – Ensuring lessons are learnt from Medication errors
  • Improving reports quality, frequency and timeliness
  • Claims – The value of data and reporting in a litigious world       
  • Open disclosure issues and the need for and open transparent approach when discussing medication issues as they arise.

Speaker: Sarah Reid, Barrister-at-Law, Author & Journalist


Q&A Session


Coffee break and chance to network


Risk Factors that can impact on the safe administration of Medications to patients

  • What are the warning signs that medication safety is at risk on wards/units – Developing and implementing medication safety initiatives to enhance patient safety.
  • Medication safety incident reporting; benefits and barriers – Using root cause analysis to identify the key causal factors for medication errors.
  • The myth of infallibility; the role of human factors in medication administration errors

Speaker: John McElhinney, Group Quality & Safety Manager, Saolta University Health Care Group


Creating Staff Collaboration to improve medication management & reduce errors

  • Introducing evidence-based, pragmatic interventions to facilitate collaboration between clinicians in order to optimise safe and effective medication management.
  • Employing medication reconciliation & review as a tool to facilitate collaboration and medication safety across the patient’s journey through primary and secondary care.
  • Examining four sources of information; the admission medication, the hospital Kardex, the discharge letter to the GP and finally the discharge prescription and will highlight the intentional and unintentional discrepancies which have occurred throughout the patient journey
  • Measuring for success: the power of practice-based research, clinical audit and quality improvement to support collaborative optimisation of medication safety.

Speaker: Dr Aoife Fleming, BSc Pharm., MSc. Hospital Pharmacy, MPSI, Lecturer in Clinical Pharmacy, School of Pharmacy, University College Cork Ireland, and Pharmacy Department Mercy University Hospital Cork


Q&A Session


Lunch and chance to network



  • What’s new in this space?  Developments in other countries and at home – When will Ireland adapt this far more reliable source?
  • What is involved in implementing such systems?
  • The benefits of paperless medication management processes  – wider than you think with efficiencies in general practice and community pharmacy (an Irish study in 2012 indicated a €20 million saving in community pharmacies from efficiencies generated if electronic prescribing came in – What are the barriers to implementing these long overdue changes?  
  • Will we see a reduction of medication errors in a stronger med tech environment?

Speaker: Brian Markey, Senior Project Manager – National ePrescribing Project


Tackling Medication errors in primary & community care

  • The prescription trail in primary care – where errors occur – Better integration of hospital care prescribing with primary care
  • Implementing appropriate medication reviews to deliver better patient outcomes and reduce errors – Integrated working to reduce errors, Consultants-GPs-pharmacists
  • Changes made in outpatient hospital care – creating effective communications with GPs in these cases
  • What is the current volume of medication errors in primary and community care?
    • Case study examples – the statistics; some studies (can pick from below)

Speaker: Dr Jack Nagle, CEO, Alpha Primary Care


Learning from the HIQA Medication Safety Medication Safety Monitoring Programme

  • HIQA medication safety monitoring was undertaken in 34 public acute hospitals with diverse findings
  • The lack of a formal medication strategy had a significant impact on overall outcomes
  • The Role of Medication Safety Coordinators    
  • HCI’s 5 Hospital Groups Quality and Safety Management Systems Reviews identified several areas of good practice
  • Are there learnings from the private hospitals when it comes to medication safety?

Speaker: Pamela Fagan, COO, HCI


Q&A Session


Conference Close

This conference will be of interest to all hospital managers, directors of nursing, ward managers, pharmacists, pharmacy managers and supervisors, clinicians, consultants, regulators, government departments, nurses, nurse prescribers, GP’s, nursing home operators, primary care centre managers, social care workers, home care providers, universities to name just a few.

There will be 6 structured CPD points awarded to all attendees at this conference from the CPD certification service

John McElhinneyJohn McElhinney

Group Quality & Safety Manager, Saolta University Health Care Group

John McElhinney is the Quality and Safety Manager for the seven acute hospitals that make up the Saolta University Health Care Group.

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He had previously held the position of Risk Advisor at Sligo Regional Hospital for several years. John spent fifteen years working overseas in the UK, Middle East and Australia specialising in Critical Care Nursing. Prior to returning to Ireland John held the position as Quality Improvement Manager at the Princess Elizabeth Hospital and Joint Clinical Governance lead with the States of Guernsey Board of Health in the Channel Islands.

John holds a BA (Hons) in Psychology and Political Science from the University of New South Wales, a B.Sc. in Health Sciences from Southern Cross University, New South Wales, a Higher Diploma in Healthcare Risk Management from UCD and an MBA from the Smurfit Business School. He also holds nursing qualifications in Mental Health, General, Critical Care and Nursing Education. John has published several papers on the subject of risk management and patient safety and has presented at various conferences on Quality, Patient Safety, Risk Management and Clinical Governance related topics. His main areas of interest include the role of human factors in clinical error, continuous quality improvement and Corporate and Clinical Governance.

Sarah ReidSarah Reid

Sarah Reid, Barrister-at-Law, The Law Library

Sarah Reid LLB, LLM, BL is a practicing barrister specialising in personal injury and medical negligence.

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In recent years her area of specialisation has expanded to include the overlap between product liability laws, medical devices regulations and clinical negligence. In particular Sarah has focused her research on the defective PIP implants & DePuy recall of the ASR hip replacement system. Sarah is an associate legal expert with the Institute of Public Administration where she delivers specialised training in medical law, judicial review and courtroom skills to the public sector. She also lecturers Product liability law in Trinity College Dublin and is a guest lecturer in clinical negligence for the HSE & the Royal College of Surgeons in Ireland. In 2015 Sarah was appointed as legal counsel to the Oireachtas Banking Inquiry.

Dr. Jack Nagle

Dr. Jack Nagle

CEO, Alpha Healthcare

Jack is the founder and CEO of Alpha Healthcare, an Irish company dedicated to providing business and management support to Clinicians and healthcare professionals in Ireland and the UK.

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The company specialises in benchmarking and healthcare change management and has worked with more than 100 care centres. The company won an award for primary care centre initiatives in 2011.

In 2009, the company established Alpha Primary Care (APC) in the UK and has worked in practices in Manchester, Newcastle and London. The company has supported practices in London, with a combined list of 350,000 patients, with registration and compliance to the Care Quality Commission’s standards and  in setting up Quality Management Systems.

Jack has a keen interest in all healthcare system related matters and a particular interest in Total Quality Management, Quality Management Systems and implementing Kaizen events and change management in healthcare.

Brian Markey

Brian Markey

Project Manager, Office of the Chief Information Officer (OCIO)

Brian Markey is currently the Project Manager with the OCIO with responsibility for the delivery of the National ePrescribing Project.
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In his previous HSE roles he has been responsible for the delivery of a number of Primary Care projects and was the National ICT Lead for the Support of the National Endoscopy System until recently.
Brian holds a BA (Hons) in Business Information Management from Portobello College, along with an MSc in Health Informatics from Trinity College Dublin. He is also a certified PRINCE2 Practitioner and has held numerous professional ICT qualifications previously. He has also held roles in the Dell Computer Corporation and Symantec Corporation and worked in an ICT consultancy capacity enabling the delivery of both the HP and IBM campuses in Kildare and Dublin respectively.

John Sweeney

John Sweeney

B.Sc., DQA, M.Sc., CEO, HCI

Prior to establishing HCI, John held the position of Director of Research and Development with the Irish Health Services Accreditation Board (IHSAB).

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In this role he had overall responsibility for the development, and introduction, of Ireland’s first Acute, Palliative and Residential Care Accreditation programmes. Former roles included being the first Director of the Irish Society for Quality and Safety in Healthcare (ISQSH), where he instigated, among other things, the inaugural National Patient Perception of Care Survey. In 1995 as Quality Co-ordinator in University Hospital Galway he achieved the first ISO 9000 certification for acute care in Ireland.

John has sat on the Advisory Committee of the European Forum for Quality in Healthcare, represented Ireland on the EU External Peer Review (ExPeRT) Project, and acted as the Technical Advisor to the International Society for Quality in Healthcare (ISQua) on external evaluation. In 2012 he was appointed as an International Society for Quality in Healthcare (ISQua) Expert and in 2013 he was elected to the Board of ISQua.

As CEO John oversees HCI’s major regulatory, quality, and patient safety development programmes in Ireland, UK, Australia, South America and the Middle East. HCI has the unique opportunity to work with both national external evaluation organisations such as ONA National Brazilian Accreditation Organisation and the Mental Health Commission, as well as direct care providers, including the Royal Children’s Hospital, Melbourne and the Saolta Hospital Group.

Dr Aoife Fleming

Dr Aoife Fleming

BSc Pharm., MSc. Hospital Pharmacy, MPSI, Lecturer in Clinical Pharmacy, School of Pharmacy, University College Cork

Dr Aoife Fleming is a Lecturer in Clinical Pharmacy and holds a joint appointment with the Mercy University Hospital as a research pharmacist since 2016.

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She graduated with a degree in Pharmacy from Trinity College Dublin in 2004 and completed a Masters in Hospital Pharmacy in 2007 while working at Beaumont Hospital. She has extensive experience working the hospital and community pharmacy settings. Dr Fleming completed a Health Research Board PhD Scholarship in 2014 at the School of Pharmacy, University College Cork. Her PhD investigated antimicrobial stewardship in Ireland with a focus on long-term care facilities. Aoife continues to research and collaborate in the area of antimicrobial stewardship. Other research interests include medication reconciliation, interprofessional learning, prescribing in long term care and implementation of behaviour change.

Niamh Arthur

Niamh Arthur

Pharmacovigilance Manager, Health Products Regulatory Authority

Niamh Arthur has worked in pharmacovigilance with the former National Drugs Advisory Board (NDAB) and Irish Medicines Board (IMB), now known as the Health Products Regulatory Authority (HPRA) since 1988 and has been the Pharmacovigilance Manager at the HPRA since 2005.

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Following training as a nurse and midwife, Niamh moved into the area of medicines research and clinical trial investigations prior to joining the NDAB/IMB/HPRA. She holds post-graduate diplomas in pharmacology and research methods from the Royal College of Surgeons in Ireland and a Diploma in Pharmacovigilance (PgD) from the University of Hertfordshire. Since joining the IMB, Niamh has actively participated in the WHO Collaborating Programme for International Drug Monitoring, serving as a member of its Advisory Committee on Safety of Medicinal Products (ACSoMP) for a number of years and as a member of the Uppsala Monitoring Centre (UMC) Board from 2011-2017. Niamh also participated at the Pharmacovigilance Working Party of the CHMP on behalf of the IMB from 1995 – 2006 and was Vice-Chair of the group from 2001-2006.

Pamela Fagan

Pamela Fagan

Chief Operational Officer, HCI

One of the founders of HCI, Pamela has been instrumental in developing the services provided to HCI clients in Acute Care, Residential Care, Disability Services, Home Care and Medical Transport.

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Pamela specialises in overseeing the managed support services provided to care organisations in their preparation for accreditation and regulation, providing services such as full development and management of the Quality and Safety Management System; Gap Analysis; Patient Tracer Audits and Reviews; Quality and Patient Safety Data preparation, Mock Surveys and Mock Interviews; Staff Education and Training; and support with the development and implementation of Strategic Improvement Plans. Prior to HCI, Pamela was responsible for the development of standards for the Irish Health Services Accreditation Board including standards for Palliative Care and Residential Aged Care. She has trained as an assessor for Australian Aged Care Facilities with the Australian Aged Care Standards and Accreditation Agency.

Royal Marine Hotel, Dun Laoghaire, Co. Dublin

Booking rate €365.00 + VAT

CMG Events Conference Discount

  • 10% discount for the third delegate booked or subsequent bookings thereafter from the same company.

The rate to attend includes morning tea/coffee and refreshments on arrival at registration, mid-morning tea/coffee and pastries and full buffet lunch. You will receive the speakers PowerPoint presentations within 24 hours after the event. 

Tel: 01 293 4764


   Telephone:+353 1 2933650

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