Dossier for Elizabeth Allan Flynn, PhD, RPh

Associate Research Professor, School of Pharmacy, Auburn University, Alabama

1819 W. Sears Avenue, Artesia, NM 88210-2555 ---- (505) 746-8645 ---- Fax (505) 748-2043

flynnel@auburn.edu

1. EDUCATION

Auburn University, Auburn, Alabama. Doctor of Philosophy, Pharmaceutical Sciences. Major: Pharmacy Care Systems. Dissertation title: Relationships Among Facility Design Variables and Medication Errors in a Pharmacy. June 8, 1994.

University of North Carolina, Chapel Hill, North Carolina, School of Pharmacy. Master of Science, Hospital Pharmacy. Major Project title: Improvement in the Prescribing of Cimetidine and Ranitidine for Ambulatory Patients through Pharmacist-conducted Concurrent Drug Utilization Review. May 12, 1985.

University of Florida, Gainesville, Florida. Bachelor of Science in Pharmacy. December 18, 1982.

2. HONORS AND AWARDS

1. Dorothy Dillon Memorial Lecture Award, New Mexico Society of Health-System Pharmacists, 2001

2. Cheers Award (national), Institute for Safe Medication Practices, for research on medication error prevention, 1999.

3. "Springboard to Teaching" Fellowship, American Foundation for Pharmaceutical Education, 1994, $15,000.

4. Fellow of the American Foundation for Pharmaceutical Education, 1990-93, $22,500.

5. Outstanding Doctoral Graduate Student: Awarded by the Graduate Council Honors Committee, Auburn University, May 18, 1994.

6. Student of the Year, Graduate School: Student Government Association, Auburn University, February 21, 1994.

7. Rho Chi Professional Honor Society, 1985.

8. Lemmon Company Award, Outstanding Graduating Senior, University of Florida, 1983.

9. Omicron Delta Kappa, National Honorary Leadership Society, 1982.

10. "Who's Who Among Students in American Universities and Colleges," 1982.

2. SCHOLARLY CONTRIBUTIONS

A. TEACHING EXPERIENCE

Auburn University

Graduate Teaching Assistant in these courses:

Drug Literature Analysis, Introduction to Medication Information Systems, Institutional Pharmacy I, History and Orientation, Drugs and Your Health

University of North Carolina

Teaching Assistant:

Drugs, the Pharmacist, and the Health Care System; Ambulatory Care Pharmacy Practice

Research on Teaching

Campagna KC, Allan EL (Research associate), GAPS Project: Pharmaceutical care clerkship in community pharmacy. Department of Clinical Pharmacy Practice, Auburn University. May to November, 1991.

B. RESEARCH AND CREATIVE WORK

1. BOOK CHAPTERS

1. Flynn EA, Barker KN. Medication error research. In: Cohen MR, ed.,Medication Errors. Washington, DC: American Pharmaceutical Association. 1999, pgs. 6.1-6.30.

2. Barker KN, Allan EL, Lin AC, Pearson RE. Facilities planning and design. In: Brown TR, ed. Handbook of institutional pharmacy practice. 3rd ed. Bethesda, MD: American Society of Hospital Pharmacists. 1992, pgs. 149-163.

2. ARTICLE LENGTH PUBLICATIONS

REFEREED JOURNALS

1. Flynn EA, Barker KN, Pepper GA, Bates DW, Mikeal RL. Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities. Am J Health-Syst Pharm. 2002; 59: in press.

2. Bates DW, Cousins DD, Flynn E (20%), Gosbee JW, Schneider PJ. Consensus Development Conference Statement on the Safety of Intravenous Drug Delivery Systems: balancing safety and cost. [Journal article] Hospital Pharmacy. 35(Feb): p 150-152, 155. 2000.

3. Flynn EA (90%), Barker KN, Gibson JT, Pearson RE, Berger BA, Smith LA. Impact of interruptions and distractions on dispensing errors in an ambulatory care pharmacy. Am J Health-Syst Pharm. 1999; 56:1319-25.

4. Felkey BG, Flynn EA (40%), Barker KN, Carper JL. Automation and information technology: Satisfying pharmacy's needs while complying with state board regulations.NABP and US Pharm. 1999.

5. Barker KN, Felkey BG, Flynn EA (40%), Carper JL. White paper on automation in pharmacy. Consult Pharm. 1998 (Mar); 13:256-293.

6. Flynn EA (90%), Pearson RE, Barker KN. Observational study of accuracy in compounding i.v. admixtures at five hospitals. Am J Health-Syst Pharm. 1997; 54:904-12.

7. Lin AC, Jang R, Sedani D, Thomas S, Barker KN, Flynn EA (10%). Re-engineering a pharmacy work system and layout to facilitate patient counseling. Am J Health-Syst Pharm. 1996; 53:1558-64.

8. Flynn EA (90%), Barker KN, Gibson JT, Pearson RE, Smith LA, Berger BA. Relationships between ambient sounds and the accuracy of pharmacists' prescription-filling performance. Human Factors: Special Section on Human Factors in Health Care. 1996; 38(4):614-622.

9. Dean BS, Allan EL (35%), Barber ND, and Barker KN. Comparison of medication errors in an American and a British hospital. Am J Health-Syst Pharm. 1995;52:2543-9.

10. Allan EL (75%), Barker KN, Severson RW et al. Design and evaluation of a sterile compounding facility. Am J Health-Syst Pharm. 1995;52:1421-7.

11. Barker KN, Allan EL (50%). Research on drug-use-system errors. Proceedings, Conference on Understanding and Preventing Drug Misadventures, Chantilly, VA, October 21-23, 1994. Am J Health-Syst Pharm. 1995;52:400-3.

12. Allan EL (80%), Barker KN, Malloy MJ, and Heller WM. Dispensing errors and counseling in community practice. Am Pharm. 1995 (Dec);NS35:25-33.

13. Pearson RE, Allan EL (50%). (Analysis of) Subjects presented at ASHP Midyear Clinical Meetings, 1967-90. Am J Hosp Pharm. 1994;51:1788-92.

14. Allan EL (60%), Suchanek-Hudmon KL, Berger BA, Eiland SA. Patient treatment adherence: Facility design and counseling skills. Journal of Pharmacy Technology.November-December, 1992;8: 242-51.

15. Allan EL (85%), Barker KN. Fundamentals of medication error research. Am J Hosp Pharm.1990;47:555-71.

16. Barker KN, Swensson ES, Allan EL (40%). Effect of technological changes in information transfer on the delivery of pharmacy services. Am J Pharm Educ. 1989;53(Winter Suppl):27S-40S.

OTHER PUBLICATIONS
1. Flynn EA (80%), Carper JL. Basic bibliography: Automation in pharmacy. Hosp Pharm. 1999 (Apr); 34:506-507.

2. Barker KN, Flynn EA (50%). Basic bibliography: Facility design. Hosp Pharm. 1999 (Feb); 34: 250.

3. Allan EL (100%). A pharmacy manager's guide to successful facility design. Pharm Times. 1989;55(May):3HPT-5HPT.

3. PAPERS, POSTERS, OR LECTURES, REFEREED OR INVITED
1. Flynn EA and Barker KN. Detecting errors using observation. ASHP Midyear Clinical Meeting New Orleans, LA. 36(Dec 4): 2001.

2. Flynn EA.* "Errors in Community Pharmacy." Lecture. Special meeting: Medication Error Management for the Proactive Practitioner. University of Maryland School of Pharmacy, Annapolis, MD, April 27, 2001. Invited.

3. Flynn EA.* "Case Studies in Errors in Community Pharmacy." Roundtable discussions - three times. Special meeting: Medication Error Management for the Proactive Practitioner. University of Maryland School of Pharmacy, Annapolis, MD, April 27, 2001. Invited.

4. Flynn EA.* "Patient Safety: A Proactive Approach." Lecture (presented twice). Food Marketing Institute 2001 Supermarket Pharmacy Conference, Dallas, TX, April 2, 2001. Invited.

5. Barker, KN. Flynn, EA. Pearson, RE. Observation based error detection system that works. ASHP Midyear Clinical Meeting. 35(Dec): p PPR-4. 2000.

6. Flynn, EA. Barker, KN. Pepper, GA. Bates, DW. Leape, LL. Comparison of error detection methods in 36 hospitals and skilled nursing facilities. [Abstract of meeting presentation. Journal article] ASHP Midyear Clinical Meeting. 35(Dec): p PPR-16. 2000.

7. Barker, KN, Flynn EA, Pepper, GA. Leape, LL. Bates, DW. Analysis of medication errors in 36 hospitals and skilled nursing facilities. [Abstract of meeting presentation. Journal article] ASHP Midyear Clinical Meeting. 35(Dec): p PPR-17. 2000.

10. Barker KN, Flynn EA, Pearson RE. An affordable observation-based method of monitoring error rates and reducing errors. Patient Safety Initiative 2000, National Patient Safety Foundation and Joint Commission on Accreditation of Healthcare Organizations; Chicago, IL: 2000 Oct 6. Award.

11. Barker KN, Flynn EA, Sedani D et al. Integrating technology in patient care. National Association of Chain Drug Stores (NACDS) Pharmacy, Managed Care and Technology Conference; San Diego, CA: 2000 Aug 28.

12. Barker KN, Flynn EA, Sedani D et al. Enabling pharmacists to focus on patient care. Third Annual Forum for Senior Pharmacy Executives, Boards of Pharmacy, Educators, and Pharmacy Associations, NACDS: San Diego, CA. 2000 Aug 26.

13. Flynn EA, Barker KN, Gibson JT et al. Associations between interruptions, distractions and dispensing errors in an ambulatory pharmacy. NMSHP-NMPhA 2ndAnnual Collaborative Midwinter Meeting: Albuquerque, NM: 2000 Jan 22. Poster.

14. Flynn EA. System design to address workload issues. University of Florida Pharmacy Law and Management Conference: Pharmacist workload: Defining the problem and meeting the challenge; Orlando, FL: 1999 Oct 24.

15. Flynn EA. An affordable, observation-based method for monitoring error rates and reducing errors: Development and validation of the methodology and results. American Society of Health-System Pharmacists (ASHP) Midyear Clinical Meeting, Las Vegas, NV: 1998 Dec 9.
16. Flynn EA, Barker KN. National study of error detection methods. ASHP Midyear Clinical Meeting, Las Vegas, NV: 1998 Dec 8.
17. Carper JL, Barker KN, Flynn EA et al. Methodology for determining how pharmacy automation decisions are made. ASHP Midyear Clinical Meeting, Las Vegas, NV. 33(Dec): PPR-1. 1998.
18. Carper JL, Barker KN, Flynn EA et al. Factors that determine pharmacy automation purchasing decisions. ASHP Midyear Clinical Meeting, Las Vegas, NV. 33(Dec): P-285E. 1998.
19. Flynn EA, Barker KN. Evaluation of automation in a reengineering project. Presentation. American Society of Health-System Pharmacists (ASHP) Annual Meeting, Minneapolis, MN: 1997 Jun 2.
20. Barker, KN. Flynn, EA. Strategy for re-engineering pharmacy via automation. ASHP Annual Meeting, Minneapolis, MN. 54(Jun): p PI-77. 1997.
21. Flynn EA, Carper JL. Performance Indicators in Evaluating Effectiveness. Institute on the Evaluation of Pharmacy Automation. Auburn University Executive Management Institute, The Emory University Hotel and Conference Center, Atlanta, GA. March 1, 1997.
22. Flynn EA, Barker KN. Comparison of Key Features: Automated Drug Distribution Systems. Institute on the Evaluation of Pharmacy Automation. Auburn University Executive Management Institute, The Emory University Hotel and Conference Center, Atlanta, GA. March 1, 1997.
23. Flynn EA. Medication Errors and Automation: Preventing Medication Errors. New Mexico Society of Health-System Pharmacists Mid-Winter Meeting, Ruidoso, NM, February 22, 1997.
24. Barker KN, Flynn EA, Carper JL. Critical issues for users of automated dispensing systems. ASHP Midyear Clinical Meeting. 31(Dec): p PI-19. 1996.
25. Flynn EA. Competence or conditions: When errors occur in the pharmacy. National Association of Boards of Pharmacy Health Law Officers Conference, Savannah, GA. November 12, 1996.
26. Flynn EA. Pharmacy and fail-safe systems. Clinical Skills and Technology - Creating Foundations for the Future. Ohio Society of Health-System Pharmacists 1996 Annual Meeting, Toledo, OH. 1996 May 9.
27. Flynn EA. Medication errors and the facility: A Look at the practice environment. University of Rhode Island College of Pharmacy, Seminar by the Sea, Newport, RI: 1996 Mar 21.
28. Allan EL. A study of IV compounding accuracy by observation in five hospitals. Presentation. ASHP Annual Midyear Clinical Meeting, Las Vegas, NV: 1995 Dec 4.
29. Allan EL. Review of research on automation and medication errors. Presentation. ASHP Annual Midyear Clinical Meeting, Las Vegas, NV: 1995 Dec 4.
30. Allan EL. Pharmacy Designs for Pharmaceutical Care. Presentation. Twelfth Annual Symposium for Pharmacy Association Executives, Indian Wells, CA, Zeneca and American Druggist, November 10, 1995.
31. Allan EL. Error potential of automated systems. Presentation. ASHP Annual Meeting, Philadelphia, PA: 1995 Jun 8.
32. Allan EL. Preventing medication errors: Research on dispensing errors. Presentation. American Pharmaceutical Association Annual Meeting, Orlando, FL: 1995 Mar 18.
33. Barker KN, Allan EL, Felkey BG. Drug therapy and drug use systems: Their implications for the health care facility of the future. Healthcare 2000: Facilities in change. 1995 Symposium, College of Architecture and Planning, University of Tennessee, Nashville, TN: 1995 Mar 31.
34. Allan EL, Barker KN, Gibson JT et al. Analysis of medication dispensing errors in an ambulatory pharmacy as detected by observation. Management Case Study. ASHP Midyear Clinical Meeting, Miami, FL: 1994 Dec 8.
35. Barker KN, Allan EL. Low cost - high impact: Redesigning for patient focused practice. National Association of Retail Druggists 96th Annual Convention, Boston, MA: 1994 Oct 18.
36. Allan EL. Quality assurance in prescription dispensing. National Association of Chain Drug Stores Pharmacy Conference, Orlando, FL, August 24, 1994.
37. Allan EL. Effects of selected facility design variables on medication dispensing errors in a pharmacy serving ambulatory patients. Southern Pharmacy Administration Conference, University of Florida, Gainesville, Florida, June 5, 1994.
38. Dean BD, Barber ND, Allan EL et al. Medication errors - A Transatlantic study. Poster. United Kingdom Clinical Pharmacy Association Spring Meeting, Harrogate, England: 1994.
39. Allan EL, Barker KN, Felkey BG. Health Care System of the Future. United States Pharmacopeia Strategic Visions Conference. Jan 19, 1994.
40. Allan EL. New research results: Effects of environmental factors. ASHP Annual Meeting, Denver, CO: 1993 Jun 10.
41. Allan EL. Effect of facilities design on patient outcomes. ASHP Annual Meeting, Denver, CO: 1993 Jun 10.
42. Pearson RE, Allan EL. Study of topics presented at ASHP Midyear Clinical Meetings, 1967-1990. Poster. ASHP Midyear Clinical Meeting, Orlando, FL: 1992 Dec 8.
43. Barker KN, Allan EL. Quality improvement indicators and facility design. 1992 Air Force Pharmacy Officer Seminar, Quality Improvement Indicators: Framework for Assessing Quality of Care. San Antonio, TX: 1992 Aug 10.
44. Barker KN, Allan EL, Lin AC. Pharmacy facilities planning and design. Voluntary Hospitals of America Supply Company Executive Management Institute, Auburn University, AL: January, 1990; September, 1990; September, 1991; February, 1992.
45. Allan EL. Pharmacy layout and design strategies. "Making the Americans with Disabilities Act of 1990 Work for You" Workshop. University of Georgia, Athens, GA: 1991 Oct 13.
46. Allan EL. Case studies in facilities planning and design: An evaluation of human factors problems in an inpatient pharmacy. ASHP Annual Meeting. San Diego, CA: 1991 Jun 6.
47. Barker KN, Allan EL, Lin AC. The functional planning process. ASHP Annual Meeting. San Diego, CA: 1991 Jun 6.
48. Allan EL. Effects of facility design on the quality of ambulatory pharmacy care.Southern Pharmacy Administration Conference. Auburn University, AL: 1991 May 25.
49. Barker KN, Allan EL, Lin AC. Pharmacy facilities planning: A process approach.ASHP Annual Meeting. Boston, MA: 1990 Jun 5.
50. Barker KN, Allan EL, Lin AC. Facilities planning update. ASHP Annual Meeting. Boston, MA: 1990 Jun 5.
51. Barker KN, Allan EL. Automation in pharmacy. Voluntary Hospitals of America Supply Company Executive Management Institute, Auburn University, January 24, 1990.
52. Allan EL. An evaluation of environmental conditions in a hospital pharmacy department and their potential relationship to performance. Poster. ASHP Annual Meeting. Nashville, TN: 1989 Jun 8.
53. Barker KN, Allan EL, Lin AC et al. Developing a master facilities plan to justify a continuing modernization program. ASHP Annual Meeting. Nashville, TN: 1989 Jun 5.
54. Allan EL. Research on the design of pharmacy facilities. Southeast Region Pharmacy Administration Conference, University of Georgia, Athens, GA, May 1987.
55. Allan EL. When drug utilization reviews become irrational: A cimetidine case study. Paper presented to the Southeastern Residents Conference, Athens, Georgia, March 1985.
56. Allan EL, Proctor R, Hughes T et al. Pharmacist impact on cimetidine and ranitidine therapy in ambulatory patients. Poster. ASHP Midyear Clinical Meeting. Dallas, TX: 1984 Dec 4.
57. Gresham C, Allan EL. Audit of drug sample handling in outpatient clinics: Recommendations for pharmacy-based control. Poster. ASHP Midyear Clinical Meeting, Dallas, TX: 1984 Dec 5.

4. PATENTS/COPYRIGHTS

Auburn University Medication Error Detection System (AU MEDS). Barker KN, Flynn EA, Pearson RE. Applied 1998.

5. PROFESSIONAL CONTRIBUTIONS

1. Spokesperson on Medication Errors. American Society of Health-System Pharmacists Radio Media Tour. Radio interviews on KCCC-AM 930 Carlsbad, NM November 16, 2000 and KRTZ-FM 98.7 Northwest NM November 21, 2000 and 2001.

2. Panelist. Consensus Development Conference on the Safety of Intravenous Drug Delivery Systems. Latiolais Leadership Program, The Ohio State University, Columbus, Ohio. Phoenix, AZ: 1999 Sept. 26-28.

3. Board of Directors member: Southeast Region representative. New Mexico Society of Health-System Pharmacists. October 1999-2003.

4. Reviewer. American Journal of Health-System Pharmacy, Hospital Pharmacy.

5. Advisor, Workload and Dispensing Errors. National Association of Boards of Pharmacy Task Force on Work Systems, Chicago, IL. 1998 January 23-24.

6. Reviewer. Automated Decentralized Pharmacy Dispensing Systems. Health Devices. 1996 (Dec); 25:436-73.

7. Reviewer. Buchanan EC, McKinnon BT, Scheckelhoff DJ et al. Principles of Sterile Product Preparation. Bethesda, MD: American Society of Health-System Pharmacists. 1995.

6. GRANTS AND CONTRACTS

Title/Funding Candidate Involvement Year Awarded Amount
1. Evaluation of NextRx System (NextRx)

2. ScriptPro Automated Dispensing: National study of dispensing accuracy; Development and Evaluation of Telepharmacy Automation

3. Development and Evaluation of NextRx System (NextRx)

Co-P.I.

Co-P.I.


Co-P.I.

2000

1999


1999

$204,964

$334,561


$170,000



2. Cost of Administration Study of Voriconazole (Pfizer


Co-P.I.


1999


$196,133


5. Study to Develop an Electronic Medication Management Information and Telepharmacy Center (MMI of Mississippi)


Co-P.I.


1998


$120,000


6. Study to Identify the Most Effective and Efficient Medication Error Detection Method in Hospitals and Skilled Nursing Facilities. (Alabama Quality Assurance Foundation, Health Care Financing Administration)


Co-P.I.


1998


$469,008


7. A System to Identify Causes of Medication Errors (Health System Requested Anonymity)


Co-P.I.


1997


$70,000


8. Reengineering a Large Chain-Store Pharmacy (Eckerd Drug)


Co-Inv.


1996


$382,472


9. Institute for Evaluation of Pharmacy Automation (Automated Healthcare, Inc)


Co-P.I.


1996


$288,409


10. Development and Evaluation of the ScriptPro Automated Drug Dispensing Device (ScriptPro LLC)


Co-P.I.


1995


$262,964


11. A Medication Error Monitoring System for Two Hospitals (Health System Requested Anonymity)


Co-P.I.


1995


$64,163


12. A Study of IV Compounding Accuracy in Hospitals (Central Admixture Pharmacy Service, Inc.)


P.I.


1995


$58,036


13. Design of a Sterile Compounding Center for the Future (Central Admixture Pharmacy Service, Inc.)


P.I.


1995


$101,262


14. "Oracle" Strategic Information Research Service: Drug Therapy of the Future and the Health Care System of the Future (Earl Swensson Associates)


Co-Inv.


1994


$70,000


15. Study to Develop the Sterile Compounding Center of the Future and Evaluation of a Frozen Intravenous Product Thawing Unit (MMI of Mississippi)


Co-P.I.


1992


$35,808


16. The Effects of the MedStation(tm) System on Nursing and Pharmacy Time: A Demonstration Study with Evaluation at Baylor University Medical Center, Dallas, TX (Pyxis Corporation)


Res. Assoc.


1989


$75,427


17. A simulation study of the effects of the MEDSTATION TM System on personnel time involving medications and the personnel-system interface at Baylor University Medical Center, Dallas, TX. (Pyxis Corporation)


Res. Assoc.


1989


$18,596


18. Grant for Facilities Design Research (Auburn University School of Pharmacy Alumni Association)



P.I.


1992


$5,000


UNIVERSITY OUTREACH

CONSULTATIONS

1. Cedars-Sinai Medical Center

2. Dana Farber Cancer Institute

3. Beth Israel Deaconess Medical Center

4. Emory University Hospitals

5. Crawford Long Hospital of Emory University, Atlanta, Georgia

6. American Broadcasting Company (ABC) "PrimeTime Live" program

7. Kaiser Permanente, Mid-Atlantic States Region

8. Raley's Pharmacy

9. Albertson's Pharmacy

10. Maine Medical Center, Portland, Maine

11. University Hospital, Augusta, Georgia

12. University of Cincinnati

13. Baptist Hospital of Miami

14. Long Beach Memorial Medical Center, California

15. Sinai Hospital of Detroit

16. Queen's Medical Center, Honolulu, Hawaii

17. United States Army: Eisenhower Army Medical Center, Augusta, Georgia

18. Veteran's Administration Medical Center, Little Rock, Arkansas

INTERNATIONAL ACTIVITIES

Collaboration with University of London School of Pharmacy to train researchers there in AU MEDS (Auburn University Medication Error Detection System)

Publication - - (see 4B2.7)

Voriconazole cost of administration study (Pfizer contract, 1999): Develop a videotape-based training program, train observers and oversee time study data collection at hospitals in Perugia, Italy, Paris, France and Manchester, United Kingdom.

CLINICAL PRACTICE

Community Pharmacist, Wal-Mart Pharmacy, part-time, 1989-1995

Medicine Clinic Pharmacist, The North Carolina Memorial Hospital, Chapel Hill, North Carolina, June to September, 1986.

Ambulatory Pharmacy Supervisor, University Hospitals of Cleveland, Ohio, July, 1985 to June, 1986.

Hospital Pharmacy Resident, The North Carolina Memorial Hospital, University of North Carolina, July, 1983 to June, 1985.

Staff Pharmacist, Inpatient Pharmacy, Veterans Administration Medical Center, Gainesville, Florida, April, 1983 to June, 1983.

SERVICE

University Service

Co-coordinator of Southern Pharmacy Administration Conference, Auburn University School of Pharmacy, 1991.

Departmental Service

On-call consultations with graduate students (9-10) of the department regarding literature, methodologies, latest developments in the field

Professional Service

Member, American Association of Colleges of Pharmacy

Member, American Pharmaceutical Association

Member, American Society of Health-System Pharmacists

Member, Human Factors and Ergonomics Society

Member, New Mexico Society of Health-System Pharmacists