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.
National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021.
Washington DC: Department of Veterans Affairs. Office of Inspector General; May 11, 2021. Report No. 20-03593-140.
Institute for Safe Medication Practices
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 27, 2021.
Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530.