Synopsis
As consultants and practitioners of pharmacy quality management, much of our professional focus is centered on cleanroom operations and production processes for compounded sterile preparations (CSPs). As such, we always take notice of any news involving procedural mistakes and medication errors that occur in everyday practice, and so should you. Much can be gained by incorporating the lessons drawn from the unfortunate experiences of other pharmacy professionals into our daily practices. Mistakes are inherently unintentional and as there are no perfect systems, mistakes will continue to happen. Therefore the most productive goal is to mitigate the severity of inevitable mistakes, and the best way to do that is to ensure productive staff training and education measures are in place consistently.
