The Illinois Council of Health-System (ICHP) supports the role of the pharmacist as a key participant in the identification, prevention, and management of medication errors. Pharmacists, in conjunction with other health care professionals, must continually collect data on and evaluate the medication use process as part of an ongoing quality improvement program in order to minimize the risk of medication errors.
Medication error is defined as: An episode in drug misadventuring that should be preventable through effective system controls involving pharmacists, physicians and other prescribers, nurses, risk management personnel, legal counsel, administrators, patients, and others in the organizational setting, as well a regulatory agencies and the pharmaceutical industry1. Such events may be related to professional practice, health care product, procedures and systems, including prescribing; order communication; product labeling, packaging and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use.
ICHP is committed to improving the quality of patient care and recognizes the identification of medication errors and near misses as an opportunity for improvement. ICHP supports the concept that errors occur due to a breakdown in systems and processes. ICHP encourages pharmacists to exert leadership in establishing a non-threatening reporting environment to encourage pharmacy staff and others to report actual and potential medication errors in a timely manner. In addition, ICHP encourages pharmacists to exert leadership in establishing a just culture in their workplace that supports staff involved with an adverse outcome by recognizing that: