Summary
Near misses are incidents that could have led to harm but were detected and addressed before reaching the patient. Learning from these incidents reveals processes that help in detecting errors and also illuminates opportunities for continuous quality improvement. At present, limited Canadian data are available concerning interventions by community pharmacy teams to correct errors before they reach the patient (also known as “good catches”). The multi-incident analysis reported here highlights practices and processes that resulted in successful interception of errors in the community pharmacy setting.
Good catches in community pharmacies: A multi-incident analysis (30 July 2024)
https://ismpcanada.ca/bulletin/good-catches-in-community-pharmacies-a-multi-incident-analysis/?utm_source=safetybulletin&utm_medium=email&utm_campaign=sbv24i09
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