Outpatient oncology pharmacy repeatedly makes medication preparation errors (e.g., wrong IV bag volume) that go uncorrected despite incident reports, risking patient harm.

Workarounds Described

• Clinician visually inspects and compares IV bag volume against pharmacy label for each drug before infusion
• Submits incident reports that are apparently not reviewed or acted upon

Implied Software Gaps

• A medication error tracking system that requires mandatory root cause analysis and documents corrective actions taken
• An automated volume verification or scanning step that would catch bag size mismatches before the drug leaves the pharmacy

PharmacySafe Error Resolution Platform

A closed-loop medication safety platform that tracks pharmacy errors from reporting through root cause analysis to corrective action verification. It ensures every incident is investigated, trends are identified, and process changes are enforced before they can recur, protecting patients and reducing liability.

Existing Solutions Mentioned