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DSECT/DSEN Monthly Seminar Series - Sep 26 2019 - Dr. Certina Ho

“Lessons Learned from Medication Incidents by Community Pharmacies in Nova Scotia: A 7-Year Study”


Presented by

Dr. Certina Ho, RPh BScPhm MISt MEd PhD

Lecturer, Leslie Dan Fauclty of Pharmacy, University of Toronto

Director, Community Pharmacy Reporting and Learning, Institute for Safe Medication Practices Canada (ISMP Canada)


Thursday, September 26, 3- 4pm EST

Online via GoToWebinar



The objective of this session is to analyze medication incidents reported by community pharmacies in Nova Scotia over a 7-year period. A retrospective analysis was conducted on medication incidents reported from 301 Nova Scotia community pharmacies occurring between October 1, 2010 and June 30, 2017. Descriptive analysis was performed on incidents with respect to discoverer, patient outcome, medication system stages, and type. A qualitative, multi-incident analysis was conducted on incidents associated with patient harm. A total of 131,031 incidents were reported; 98,097 of which were related to medications. Quantitative and qualitative incident analyses offer a complementary approach to guide quality improvement initiatives in community pharmacies.

Learning Objectives:

(1)    To learn about the Canadian Medication Incident Reporting and Prevention System (CMIRPS);

(2)    To describe the benefits and challenges associated with quantitative and qualitative analyses of medication incidents

(3)    To review the most common trends, main themes, and common medication incidents that occur in community pharmacy

(4)    To share lessons learned from incident reporting and analysis



Boucher A, Ho C, MacKinnon N, Boyle TA, Bishop A, Gonzalez P, et al. Quality-related events reported by community pharmacies in Nova Scotia over a 7-year period: a descriptive analysis. CMAJ Open 2018 Dec 18;6(4):E651-E656. Available from:

Boucher A, Dhanjal S, Ho C. A multi-incident analysis on medication incidents associated with patient harm. Canadian Journal of Hospital Pharmacy 2018; 71(1): 67. Available from:

Incident Analysis Collaborating Parties. Canadian Incident Analysis Framework. Edmonton, AB: Canadian Patient Safety Institute; 2012. Available from: