A medication error reporting scheme: Analysis of the first 12 months

Ian D. Maidment*, Angie Thorn

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Aims and method: A new medication error reporting scheme ('Safemed') was introduced within the East Kent NHS and Social Care Partnership Trust. All medication incidents reported using this system in the first year were analysed by the Chief Pharmacist. Results: Over a 12-month period a total of 66 incidents were reported through Safemed, compared with 55 incidents under the previous system. The low level of reporting made detailed statistical analysis and drawing meaningful conclusions problematic. There was a large variability in reporting between similar sites. Clinical implications: The low level of reporting was associated with cultural factors, in particular the failure to fully implement a 'no blame' culture. Until such a culture is established, reporting will remain variable and a systems approach to preventing medication errors will not be adopted, leading to significant clinical risk.

Original languageEnglish
Pages (from-to)298-301
Number of pages4
JournalPsychiatric bulletin
Issue number8
Publication statusPublished - 1 Aug 2005

Bibliographical note

COPYRIGHT: © 2005. The Royal College of Psychiatrists
This is an Open Access article, distributed under the terms of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.


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