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PJ Online homeThe Pharmaceutical Journal
Vol 275 No 7377 p660-661
26 November 2005

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Letters to the Editor

The profession

Blame culture unacceptable

From Mr C. Morris, MRPharmS

It was interesting to read Philip Walton’s letter (PJ, 12 November, p607) regarding the blame culture we find ourselves in.

I wholeheartedly agree with him: the blame culture we live in is unacceptable. I am almost disgusted to say that I am aware of several of my own decisions that have been ultimately swayed by the thought of who is going to be blamed if anything goes wrong.

On a related note I saw guidance notes (www.psnc.org.uk) for a central database for medication errors (collated from information gathered from the National Patient Safety Agency’s “Community pharmacy patient safety incident reports”). It seems that under this scheme, not giving full advice or even leaving out a patient information leaflet can be classed as an error. I find this deeply worrying.

Perhaps if Dame Janet Smith would like to see a “blame-free” culture in the NHS, the NHS could meet us halfway. I believe that it is still classed as a criminal offence to commit a dispensing error. I think that if this were to be repealed then a greater number of pharmacists would be happier about reporting every little “error”. And several of us would feel a little less bitter about the number of prescribing errors that we pick up on prescriptions for which no criminal charges could be applied, even if the medicines were given out as instructed.

Chris Morris
Newquay, Cornwall

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