A medication error reporting scheme:Analysis of the first 12 months


Aims and method: A new medication error reporting scheme ('Safemed') was introduced within the East Kent NHS and Social Care Partnership Trust. All medication incidents reported using this system in the first year were analysed by the Chief Pharmacist. Results: Over a 12-month period a total of 66 incidents were reported through Safemed, compared with 55 incidents under the previous system. The low level of reporting made detailed statistical analysis and drawing meaningful conclusions problematic. There was a large variability in reporting between similar sites. Clinical implications: The low level of reporting was associated with cultural factors, in particular the failure to fully implement a 'no blame' culture. Until such a culture is established, reporting will remain variable and a systems approach to preventing medication errors will not be adopted, leading to significant clinical risk.

Publication DOI: https://doi.org/10.1192/pb.29.8.298
Divisions: College of Health & Life Sciences > Aston Pharmacy School
College of Health & Life Sciences
College of Health & Life Sciences > Chronic and Communicable Conditions
Additional Information: COPYRIGHT: © 2005. The Royal College of Psychiatrists This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Uncontrolled Keywords: Psychiatry and Mental health,Public Health, Environmental and Occupational Health
Publication ISSN: 2053-4876
Last Modified: 29 Mar 2024 08:16
Date Deposited: 16 Nov 2018 11:28
Full Text Link:
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
https://www.cam ... 46272FBFB1BF913 (Publisher URL)
PURE Output Type: Article
Published Date: 2005-08-01
Authors: Maidment, Ian D. (ORCID Profile 0000-0003-4152-9704)
Thorn, Angie



Version: Published Version

License: Creative Commons Attribution

| Preview

Export / Share Citation


Additional statistics for this record