Learn from someone else’s mistakes: Community pharmacy malpractice cases with error prevention recommendations

Activity Preview

One of two possible consequences will occur when a pharmacy organization, a pharmacist, a patient, or a lawyer learns about a medication error that has resulted in patient harm. One consequence is to have the pharmacy team participate in a root-cause analysis (RCA); the other is to commence a lawsuit.

Learning Objectives

At the completion of this activity, the pharmacist will be able to:

  1. Identify areas of risks in case studies of medication errors.
  2. List the contributing factors and root causes that led to medication errors resulting in allegations of malpractice against pharmacists.
  3. Discuss the application of the Institute for Safe Medication Practices’ (ISMP) Medication Safety Self Assessment for Community/Ambulatory Pharmacy to identify gaps in providing safe pharmacy systems.
  4. Identify key risk management strategies that pharmacists can incorporate into their practice.

Activity type: Knowledge-based

Target Audience: Pharmacists 

Learning level: 1

Accreditation Information

The American Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.  This activity is approved for 2.0 contact hours of CPE credit (0.20 CEUs). The ACPE Universal Activity Number for this activity is 0202-0000-19-211-H05-P.

To obtain credit for Learn from someone else’s mistakes: Community pharmacy malpractice cases with error prevention recommendations, complete the assessment with a grade of 70% or better, complete the evaluation, and then claim credit. Participants need to have a valid pharmacist.com username and password to claim credit. After credit has been claimed, please visit CPE monitor for your transcript.

APhA's continuing pharmacy education policy allows two opportunities to successfully complete the continuing pharmacy education assessment. Please note that the questions may not appear in the same order as printed and only two attempts to pass the assessment will be granted.  The current policy of the APhA Education Department is to not release the correct answers to any of our CPE tests. This policy is intended to maintain the integrity of the CPE activity and the assessment.

Initial release date: July 1, 2019
Expiration date: July 1, 2022 - NO CREDIT GRANTED AFTER THIS DATE


Learn from someone else’s mistakes: Community pharmacy malpractice cases with error prevention recommendations is a home-study continuing education activity for pharmacists developed by the American Pharmacists Association.

Advisory Board

Donna Horn, MS, RPh, DPh, Adjunct Associate Professor, Department of Pharmaceutical Outcomes and Policy, College of Pharmacy, University of Florida, Gainesville
Karen Ryle, MS, RPh, DPh, Directory of Outpatient Pharmacy, Massachusetts General Hospital, Boston, MA


Donna Horn, MS, RPh, DPh; Karen Ryle, MS, RPh, DPh; and APhA’s Government Affairs and editorial staff declare no conflicts of interest or financial interests in any product or service mentioned in this activity, including grants, employment, gifts, stock holdings, and honoraria. For complete staff disclosures, please see the Education and Accreditation Information section at www.pharmacist.com/apha-disclosures.


There is no fee associated with this activity for members of the American Pharmacists Association. There is a $25 fee for nonmembers.

System Requirements

Computer and internet access are required to complete this activity.  Please visit our website and view the Technology System Requirements to have a positive learning experience.