Close Call, Clear Insight: Strengthening Safety Through Near Misses & LASA Awareness - July 2026
Includes Multiple Live Events. The next is on 07/14/2026 at 12:00 PM (EDT)
Recorded On: 07/16/2026
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Clinical Edge: The Missed That Matters: Building a Culture of Learning from Near Misses
This session explores the concept of near misses in home infusion, highlighting how close calls can reveal hidden risks and opportunities for improvement. Participants will learn why reporting near misses is essential to strengthening safety culture, enhancing care quality, and preventing future harm.
- Describe how near-miss events provide insight into various vulnerabilities and opportunities for improvement.
- Analyze key contributors to near misses in clinical settings, with emphasis on workflow inefficiencies, human factors, and breakdowns in communication.
- Explain the importance of early recognition and reporting of near miss events to strengthen a culture of safety and prevent patient harm.
Clinical Connect: Double Take: Managing Look-Alike Sound-Alike Drugs for Safer Infusion Care
This session dives into the risks posed by look-alike sound-alike (LASA) medications in home infusion, where visual and verbal similarities can lead to serious errors. Participants will learn how to identify LASA drugs, implement safeguards, and strengthen safety protocols to protect patients and uphold clinical quality.
- Explain how LASA drug errors can occur and the impact they can have on patient care.
- Describe examples of LASA drugs and resources available to identify them.
- Discuss different strategies to prevent LASA errors in the home infusion setting.
Clinical Edge: Behind the Mix-Up: A Root Cause Deep Dive into a LASA Near Miss
This session walks through a real-world case study of a near miss involving a look-alike sound-alike (LASA) drug, using root cause analysis to uncover contributing factors and system vulnerabilities. Participants will learn how to apply structured investigation tools to strengthen safety practices, prevent recurrence, and foster a culture of learning from close calls.
- Describe the sequence of events and contributing factors within a LASA near-miss case.
- Discuss system and human elements that can lead to LASA errors in the home infusion setting.
- Explain process improvements and preventative strategies to reduce recurrence and reinforce safety culture.
***Full front matter document will be attached for all 3 sessions
Aubrey Hersch
Director of Clinical Services
Soleo Health
Dr. Aubrey Hersch serves as the Director of Clinical Services at Soleo Health, overseeing clinical education, sterile compounding compliance, accreditation readiness, and quality improvement efforts across 26 pharmacies and over 30 ambulatory infusion centers nationwide. She leads multidisciplinary training programs for pharmacists and nurses, supports field clinicians with clinical and ethical escalations, and ensures ongoing compliance with USP and standards. She also acts as a subject matter expert during URAC, ACHC, Board of Pharmacy, and REMS-related audits, and contributes to performance metric development at the executive level.
Aubrey’s foundation in sterile compounding is extensive. She has overseen cleanroom operations, trained pharmacy managers, and directed internal audits and policy development to align with national compounding standards. Her work on hazardous drug risk assessments using the NIOSH 2024 list and her leadership through pharmacy and state health department inspections underscore her depth of experience in regulatory affairs and operational excellence.
NHIA Requires planners, faculty, and others who affect the content of this activity to disclose all financial relationships they have with ineligible companies. All relevant financial relationships are thoroughly vetted and mitigated according to policy.
Aubrey Hersch has no relevant financial relationships with ineligible companies to disclose.
Laura Behnke
Clinical Pharmacist
Emerging Health
Laura Behnke is a clinical pharmacist at Emerging Health in Portland, OR. She started her home infusion career at a hospital based home infusion pharmacy in the Midwest. Laura currently serves as a member on the NHIA Clinical Education Committee where she assists with the annual conference and webinar education.
NHIA Requires planners, faculty, and others who affect the content of this activity to disclose all financial relationships they have with ineligible companies. All relevant financial relationships are thoroughly vetted and mitigated according to policy.
Laura Behnke has no relevant financial relationships with ineligible companies to disclose.
