Jim Stevenson, Associate Dean of Clinical Sciences, University of Michigan, states,
"I really believe having technology like this needs to be a standard around the country... helping to prevent mistakes that can occur due to human error. ”
Michael Cohen, president of ISMP, a longtime proponent of a voluntary, nonpunitive medication-error reporting system, said, "The new legislation improves the condition under which people can report without fear of discovery of information during a plaintiff's lawsuit." Cohen told Drug Topics that the bill clearly communicates that if a person wants to report an error to a patient safety organization, he or she couldn't be told by his or her hospital not to do it. "That will increase the amount of information that we get. It will also help when we call the reporters and ask for additional information." ISMP operates a medication-error reporting program with USP.
Cohen said that another major component of the legislation is the fact that it protects information that would be shared for quality improvement purposes. Under the new legislation, PSOs will evaluate the data for any trends and recommend steps back to the reporting providers to avoid future mistakes.
Around the country, hospital pharmacy directors are generally supportive of the law, which they say will result in an increase in the number of errors that are reported. "The bill itself is common sense," said James Jorgenson, director of pharmacy at University Hospital in Salt Lake City. Just how important is it to protect those who report errors? "That's fairly important," he noted. "As much as we want to purport that there is this blameless culture, there's still tons of places out there where that's just not true."
James Stevenson, director of pharmacy services at the University of Michigan Hospital in Ann Arbor, believes that the new law will help improve overall safety throughout the nation because as people feel more comfortable reporting, the healthcare community should be in a better position to pick up trends and proactively head off problems.
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