8/22 - Med Error Reduction

Dispensing error rate in community pharmacy

1.6%

Medication error

a preventable event leading to inappropriate medication use or patient harm; can occur during prescribing, dispensing, or administration

Dispensing error

a mistake that occurs during preparation and delivery of a medication to a patient

Errors of omission

failure to counsel, overlook a drug interaction, overlook a drug allergy

Errors of comission

wrong medication to the right patient, right medication to the wrong patient, wrong strength, wrong dosage form, wrong quantity, incorrect prescription label

System error examples

staffing problems, disorganized workflow, poor staff communication, interruptions/distractions, poor pharmacy layout, lack of protocols for high alert medications

What is the single greatest barrier to error prevention is punishment?

punishment