Feedback for Implementation of Continuous Quality Assurance for Medication Safety

Pharmacy Technician  ·  April 10, 2017

It is unclear in the document Continuous Quality Assurance Programs in Pharmacies if it refers to hospital pharmacies as well because the article only mentions communities pharmacies. I am speaking on behalf of hospital pharmacies who are now regulated by OCP. This initiative should include hospital pharmacies. We have been reporting all medication incidents voluntarily to ISMP Canada for about 12 years, which has been tremendously helpful in understanding systems and human contributing factors to errors. I agree it should be mandatory reporting but we have to be careful how to implement this. It is very time consuming to report all incidents including near misses, not to mention the time it takes to do root cause analysis for some critical incidents. Incidents happened in the community are very different from incidents happened in the hospital because there is another complex layer of administration by nurses. Hospitals are already mandated to report critical medication and IV incidents to NSIR for a few years but the system is very too cumbersome and time consuming. We use ISMP Canada's Analyze-ERR tool which is manageable. I suggest in the task force, there needs to be a physician, nurse, and patient rep in addition to pharmacists and technicians, or patient safety related personnel. Perhaps there should be two separate groups for the phase 1 and 2 - community pharmacies vs hospital pharmacies. Perhaps the focus of analysis should start with high-alert incidents before tackling all incidents.

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