We are exploring creating a peer review model (for pharmacists and technicians) to review medication errors that occur in the pharmacy. The intent is to ensure that we maintain a just culture approach and avoid the perception of punitive response to slips/lapses and identify system-based issues that may lead to error. While maintaining accountability for unsafe workarounds, breaches of policy/safeguards, etc.
Is anyone using or had experience with a pharmacy peer review process?
If so, what decision making process was in place to guide review of errors to stratify slips/lapses from those requiring further review for coaching or disciplinary review?
Were managers included on the peer review team or only staff members?
Thanks for any input you can provide!