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Improving the Reporting of Medication Errors and Adverse Events at the Veterans Affairs–New York Harbor Healthcare System

Simona Peker, MS/MLS, MSA, PharmD, Dea Hughes, MPH, Kim Arslanian, MT, MBA, and Joseph Aprile, RPh, MS
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The authors discuss the creation of a “culture of safety,” brought about in part by a confidential error-reporting system. Their experience has the potential to encourage employees to report medication errors without fear of blame.