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Vol 273 No 7321 p574
16 October 2004

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British Pharmaceutical Conference 2004

Common causes of negligence claims in community pharmacy

The 2004 British Pharmaceutical Conference and Exhibition “Medicines: from cell to society” took place at Manchester International Convention Centre from 27–29 September

BPC 2004 summary


Human error is a common cause of civil claims. That is why it is important to minimise the risk by using standard operating procedures, said John Murphy, general manager of the Pharmacists Defence Association.

Repeat medicines are another area. “Research shows that a high proportion of pharmacists, when asked why they do not make an intervention on repeat medicines, say ‘well they have had it before’.” He warned participants not to be complacent in this area.

Fewer support staff, an increasing workload and demanding working hours are common causes of errors. The PDA carried out a survey which showed that a high proportion of pharmacists believe that they have been put in a position where, because of the quality and quantity of support staff, they are putting patients at risk. “Pharmacists need to assess their environment because it is their responsibility if they operate in an environment that is likely to cause patient harm,” he said.

Mishandling of complaints is another major concern for the PDA. “Of those complaints that lead to claims, four out of 10 probably escalated because the complaint had been handled badly in the first place,” said Mr Murphy. He advised pharmacists to draw up a complaints management procedure.

Mr Murphy said that for borderline decisions, if pharmacists can prove that they have undertaken a professional decision-making process, then they can use this as a defence if charged with negligence.

Ultimately, most people want an apology and assurances that it will not happen again, said Mr Murphy. “Do not be afraid of apologising verbally,” he said. However, if pharmacists are asked for a written apology then they should seek advice. “Do not make any damaging statements of admission,” he advised.

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