Pharmacy Services Content Sample pharmacy quality assurance policy Sample Medication Error Documentation Report AmerisourceBergen recommends that the pharmacy consult with legal counsel that the policy meets current state laws and regulations. Quality Assurance Program for: PHARMACY NAME ADDRESS CITY, STATE Pharmacy Policy on Medication Errors Documentation Reporting Goal The goal of the quality assurance program is to reduce the frequency of medication errors through the systematic study of those errors. Such study will provide pharmacists with the knowledge to improve pharmacy processes and enhance existing procedures to reduce the incidence of medication errors. Medication Error Medication error means any variation from a prescription or drug order not authorized by the prescriber. Medication error does not include any variation that is corrected prior to furnishing the drug to the patient or patient’s agent or any variation allowed by law. Pharmacy has established a medication error reporting and quality assurance program to document and assess medication errors to determine the cause and an appropriate response as part of our mission to improve the quality of our patient services and prevent errors. Medication Error Notification Unless the pharmacist has already been notified of a medication error by the prescriber or the patient, the pharmacist shall immediately communicate to the patient and the prescriber the fact that a medication error has occurred. The pharmacist will further counsel the patient on the steps required to avoid injury or mitigate the error. Documentation of Error The dispensing pharmacist on the Medication Error Documentation Report (MEDR) must document each dispensing error on the same business day that the error is discovered. Review of Error The dispensing pharmacist will review the transaction in detail to determine the cause and any contributing factors such as system or process errors. Investigation should include retracing the steps followed in dispensing of the drug and interviews of all personnel involved in the transaction. Investigative findings are to be documented on the MEDR. Corrective Action As a result of the investigation, the pharmacist must document on the MEDR any recommendations for changes in policies, procedures systems or processes to mitigate the occurrence of future errors. Review and Continuous Quality Improvement Once completed, the MEDR shall be reviewed with all dispensing personnel to communicate the incident and the resulting changes to policies and procedures (if necessary). On a regular basis, pharmacy personnel shall meet to discuss quality assurance issues, questions and ideas for improvement. Discussion should include any changes in policies and procedures and feedback regarding the changes. MEDR Retention MEDR documents shall be filed chronologically and retained for at least one year from the date of incident occurrence. Medication Error Documentation Report Date:_____________ Pharmacist Name:_____________________________ Patient Name:______________________________________Phone:____________________ Rx Number____________ Prescriber:_______________________ Phone:________________ Error discovered by: ______________________________________________ Date error occurred:____________________ Date error reported: _______________________ Describe the error and how it occurred: Number of days or doses patient used medication: Description of adverse affects on patient and outcome: How and when was the patient notified? How and when was the prescriber notified? Date review commenced: Participants in the review process: What steps were taken to correct the error? Document recommended changes in policies, procedures, processes and systems to prevent similar errors in the future: Additional miscellaneous information pertinent to this medication error: Date review was completed: Date policy change, if any, was implemented: Date staff was informed of policy change: Signature of Pharmacist-in- charge: Retain this document for at least one year from date created.