Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021.
ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.
Washington, DC: Department of Veterans Affairs, Office of Inspector General. July 29, 2021. Report No. 21-00657-197.
This commentary presents two cases highlighting common medication errors in retail pharmacy settings and discusses the importance of mandatory counseling for new medications, use of standardized error reporting processes, and the role of clinical decision support systems (CDSS) in medical decision-making and ensuring medication safety.