RT Journal Article SR Electronic T1 Quality-related events reported by community pharmacies in Nova Scotia over a 7-year period: a descriptive analysis JF CMAJ Open JO CMAJ FD Canadian Medical Association SP E651 OP E656 DO 10.9778/cmajo.20180090 VO 6 IS 4 A1 Adrian Boucher A1 Certina Ho A1 Neil MacKinnon A1 Todd A. Boyle A1 Andrea Bishop A1 Paola Gonzalez A1 Christopher Hartt A1 James R. Barker YR 2018 UL http://www.cmajopen.ca/content/6/4/E651.abstract AB Background: Quality-related events are defined as medication errors that reach the patient (e.g., incorrect drug, dose and quantity), in addition to medication errors that are intercepted before dispensing (i.e., near misses). The aim of this study is to quantify and characterize such events as reported by community pharmacies in a Canadian province.Methods: A retrospective analysis was conducted on quality-related events reported to the Community Pharmacy Incident Reporting system from 301 community pharmacies in Nova Scotia between Oct. 1, 2010, and June 30, 2017. We performed a descriptive analysis on these events with respect to the discoverer, patient outcome, medication system stages and type.Results: We identified 131 031 events reported by community pharmacies in Nova Scotia over the study period, 98 097 of which were quality-related events. Overall, 82.0% (n = 80 488) quality-related events did not reach the patient, and 0.95% (n = 928) were associated with patient harm. Incorrect dose or frequency, incorrect quantity and incorrect drug were the most common types of quality-related events reported. Most of the quality-related events occurred at order entry, followed by preparation and dispensing, and prescribing.Interpretation: Quality-related events reported by community pharmacies differ from those reported in institutional settings with respect to patient outcome, medication system stages and type. This analysis provides valuable information to guide quality improvement initiatives to strengthen medication safety in community pharmacies.