My community pharmacy team has been dealing with a significant medication error that we caught before it reached the patient but we've all been tiptoeing around what actually went wrong because it involves both our workflow problems and one person's specific mistake. We fixed the immediate issue but I don't think we've really learned from it because we're not talking honestly about what happened and why.
More people experience this than they realize.
Your team fixed a near-miss mistake but won't talk honestly about how it happened.
“Where Are You with Healthcare — Pharmacy Practice?”
If this sounds familiar, the Library can help you find the bigger picture.