Andrew Tylee Ltd.; (1039751) - Improvement action plan

The pharmacy has written procedures for managing dispensing incidents. But the pharmacy team does not follow the procedures. The team does not keep records when things go wrong. So, they do not have the information to identify patterns and help reduce similar mistakes in the future.

Firstly we have all read and digested the report.
I have printed several copies of the “Near Miss Report” so that they are to hand and more easily accessible when incidents occur.
I have slightly revised our SOP but this does not materially affect the content as it was a good document already.
We have all read and signed the SOP.
We acknowledge that we had fallen short of maintaining the Near Miss Report and will endeavour to follow our SOP in the future.