Change pharmacy culture and error responses to improve workflow processes and prevent medication errors.


Course Alerts

© Copyright 2018 Oregon State University. All rights reserved.
Online, self-paced
18 Hours
Accreditation Council for Pharmacy Education (ACPE): 1.8 CEUs

Do you need to understand and increase safety in your pharmacy?

In this course, you will examine the role of human and environmental factors in error, pharmacy culture and error responses, improving communication and teamwork, transitions in care and workflow processes. By introducing you to a different way of viewing errors than perhaps you currently have, you will think beyond human fault and look at system processes that contribute to error. 

The course was produced with the Oregon Patient Safety Commission and the Oregon State College of Pharmacy for pharmacists, pharmacy technicians and others working in pharmacy. 


Oregon State University Pharmacy CE   





  • How to identify pharmacy safety issues.
  • The role of human and environmental factors in error.
  • Tips for reducing error and changing processes that lead to them.
  • What employees and managers can do to improve teamwork and communication.
  • Ann Zweber, B.S. Rph.

    Photo of Ann Zweber

    Ann Zweber, B.S. Rph., is a Senior Instructor in Pharmacy Practice at Oregon State University College of Pharmacy. She earned her pharmacy degree from Oregon State University. She has practiced in a variety of settings, and currently maintains a practice in community pharmacy. Ann served on the Oregon Board of Pharmacy for 8 years where she helped guide policies to improve patient safety. She continues to participate in committee work for the National Association of Boards of Pharmacy. Ann represents OSU College of Pharmacy on the Oregon State Pharmacy Association board of directors, and she has been a member of OSPA for almost 20 years, supporting annual meeting and CE development. Ann has authored courses on patient safety, and articles about cultural competency and providing care to the underserved.

  • Shannon Starwalt, Pharm.D.

    Photo of Shannon Starwalt

    Shannon Starwalt, Pharm.D., is Director of Introductory Pharmacy Practice Experiences and strives to provide high quality experiential opportunities in the community, institutional, ambulatory care and non-traditional areas of pharmacy in the first and second professional years. She maintains a clinical practice site at Philomath Pharmacy. Shannon’s courses at the College of Pharmacy include the Pharmacy Practice Symposium series in the P1 year and the Clinical Applications series in the P2 year. In addition, she coordinates the Interprofessional Education program for the P1 and P2 students.

  • Dan Rackham, Pharm.D.

    Photo of Dan Rackham

    Dan Rackham, Pharm.D., is a Clinical Assistant Professor in the Department of Pharmacy Practice at Oregon State University College of Pharmacy. He is a Board Certified Pharmacotherapy Specialist. Dr. Rackham received his PharmD degree from Oregon State University. Following his PharmD degree he completed a postgraduate year 1 (PGY1) pharmacy residency at the University of Tennessee Medical Center in Knoxville, TN. Dr. Rackham has worked as a pharmacist in the areas of hospital pharmacy, ambulatory infusion, ambulatory care anticoagulation clinic and retail pharmacy. In his current position, Dr. Rackham practices as a clinical pharmacist in Internal Medicine at Good Samaritan Regional Medical Center in Corvallis, OR. He serves as Chair on the Samaritan Health Services Institutional Review Board.

  • Maureen Ober, Pharm.D.

    Photo of Maureen Ober

    Maureen Ober, Pharm.D., is a registered pharmacist and is the pharmacy representative on the Oregon Patient Safety Commission Board of Directors. She has been in practice for over 30 years and has worked in Oregon, Illinois and Maryland. She is currently working at Oregon Health & Science University Hospitals and Clinics (OHSU), where her focus has been on medication safety for the past 14 years. During this time, she helped form the multidisciplinary Medication Safety Committee, serving as co-chair for 10 years, and participated as a member of the Safety Executive Council. She has actively worked to decrease medication errors at OHSU by investigating, monitoring and trending medication errors and recommending process improvements to prevent the errors from recurring. Dr. Ober received her Pharm.D. from the School of Pharmacy at the University of California, San Francisco, and completed a residency at Rush Presbyterian St. Luke’s Medical Center in Chicago, Illinois.

  • Roberto Linares, B.S. Rph.

    Photo of Roberto Linares

    Roberto Linares, B.S. Rph., is a pharmacist and faculty member at Oregon State University. In 2004, he accepted the position of pharmacy practice instructor at his alma mater. Mr. Linares is a member of the American Pharmacists Association and the American Association of Colleges of Pharmacy. He was appointed to the Oregon State Board of Pharmacy in 2012.

  • Lorinda Anderson, Pharm.D.

    Photo of Lorinda Anderson

    Lorinda Anderson, Pharm.D., is a faculty member at OSU’s college of pharmacy at the Corvallis Campus. She is course coordinator for the P2 pharmacy practice series. In practice she works as a staff pharmacist in the inpatient pharmacy at the Good Samaritan Regional Medical Center in Corvallis, OR. She also volunteers to do diabetes education at the community outreach clinic in Corvallis. Lorinda graduated from the University of Utah’s college of pharmacy, fulfilled a PGY-1 residency at the Good Samaritan Regional Medical Center, and has received her board certification as a pharmacotherapy specialist.

  • Dr. Leslie Ray, Ph.D., RN

    Photo of Leslie Ray

    Dr. Leslie Ray, Ph.D., RN, is a Patient Safety Consultant with the Oregon Patient Safety Commission. Her current responsibilities with the Commission include development of the community pharmacy reporting program and consultation for hospitals and pharmacies about adverse event reporting and implementing patient safety strategies. Leslie also supports the Oregon Action Coalition in advancing health through nursing as the Commission’s representative and co-lead. Leslie came to the Commission from Oregon Health & Science University where she was a faculty member in the School of Nursing. She attended UCSF for her undergraduate work in nursing and the University of Washington, Seattle for her MA in Community Health Nursing as a Nurse Practitioner. Her doctorate is from the Anderson Graduate School of Management at UCLA.

I was very impressed with Oregon State’s CE Program, Patient Safety and Medication Error Prevention for Pharmacy.  It is designed to benefit a wide of range of pharmacy practitioners from experienced community pharmacy owners to new pharmacy graduates in hospital pharmacy residencies. Each of the five modules provides valuable information about principles to advance patient safety and to reduce medication errors in both hospital and ambulatory pharmacy practices. This program is ideal for anyone who wants to improve patient safety and to prevent medication errors in their pharmacy practices. It's a comprehensive way to learn about a wide range of safety concepts. This is an outstanding and effective way to teach these concepts to practicing pharmacists.
Robert K. Leedham, Jr. RPh, MS, RAC.
Captain, U.S. Public Health Service (Retired)