With the busy season behind us, and many pharmacists returning to their regular routines, now is an ideal time to reflect on the past year, including any near misses or incidents that may have occurred—whether personally or among colleagues.
Some things to think about:
What are some of the factors that might have contributed to the error?
How did I handle it? Is there anything I could do differently next time?
Who is responsible for reporting incidents?
How are near misses/incidents reviewed to share learnings with the team and protect others from falling into the same trap?
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