@article{5576, author = {Anna-Riia Holmström and Marja Airaksinen and Marjorie Weiss and Tana Wuliji and Xuan Hao Chan and Raisa Laaksonen}, title = {National and local medication error reporting systems: a survey of practices in 16 countries.}, abstract = {

OBJECTIVES: To explore the existence and characteristics of national and local medication error reporting (MER) systems and to describe national medication safety experts' perceptions of a good and effective MER system and barriers to reporting.

METHODS: In a descriptive cross-sectional study, 32 medication safety experts were identified through member organizations of the International Pharmaceutical Federation in 88 countries and other professional organizations in 3 additional countries. These experts were invited to participate in an online survey.

RESULTS: Sixteen national medication safety experts from different countries participated in the study (response rate, 50%). A national (n = 5) or local (n = 6) MER system existed in 11 of these countries. In 5 countries, no MER system existed. The most common features of the MER systems were confidentiality of the reported information and providing feedback to those involved in reporting. Most experts perceived that a good and effective MER system was characterized by the opportunity to learn from errors by those involved in reporting, having a nonpunitive approach to reporting, and ease of use. They also perceived that a blame culture, lack of time, training, and coordination of reporting were the main barriers to reporting.

CONCLUSIONS: Blame culture, a lack of time, training and coordination of reporting continue to be the major barriers to reporting. Learning from errors and having a nonpunitive approach to reporting were thought to be the most critical features of a MER system. Difficulties in identifying national medication safety experts indicates a need for promoting international networking of medication safety experts and bodies for sharing information and learning from others.

}, year = {2012}, journal = {J Patient Saf}, volume = {8}, pages = {165-76}, month = {12/2012}, issn = {1549-8425}, doi = {10.1097/PTS.0b013e3182676cf3}, language = {eng}, }