Reporting of errors should be free of recrimination

doi:10.1136/bmj.311.7016.1367a

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D R Upton,
D H Cousins

Pharmacy services manager Glenfield Hospital NHS Trust, Leicester LE3 9QP
Head of pharmacy Derbyshire Royal Infirmary NHS Trust, Derby DE1 2QY

EDITOR,--We support R E Ferner's sentiments regarding errors of prescribing.1 There is a profound need for strategies that manage such errors by reviewing systems rather than by apportioning individual blame. Hopefully, the recent papers in JAMA, cited by Ferner, will stimulate debate on drug errors and encourage this process.

For several years we have campaigned for multidisciplinary medication quality assurance groups to be established in NHS hospitals.2 These groups should aim to create a non-threatening environment …