Skip to Main Content

Hospital Errors and Omissions: Identifying Medication-Related Problems at Order Verification and Product Preparation

Level of activity: Intermediate

Setting: Classroom


ACPE Standards 2016: 2.1, 2.2, 3.1

EPAs: Patient Care Provider (Analyze), Practice Manager (Fulfill medication order)

PPCP: Assess, Plan

Instructors can request access to the Instructor's Guide on AccessPharmacy. Email Customer Success ( for more information.


Julie B. Cooper, PharmD, BCPS AQ-Cardiology, BCCP, CPP, is Associate Professor of Clinical Sciences at High Point University Fred Wilson School of Pharmacy. Dr. Cooper received her Doctor of Pharmacy degree from the Eshelman School of Pharmacy at the University of North Carolina at Chapel Hill and completed post-graduate pharmacy practice and cardiology specialty residency at UNC Hospitals. She practiced as a member of a team of cardiology pharmacists in an integrated practice model at Cone Health in Greensboro, North Carolina, for 12 years prior to joining the faculty of High Point University in 2016. Her current practice site is High Point Medical Center Transitional Care Clinic in High Point, North Carolina, where she provides chronic cardiovascular disease state management. Dr. Cooper is a course coordinator for the first Pharmacotherapy course and contributing content expert to Clinical Skills laboratory for second-year pharmacy students at High Point University.

Courtney L. Bradley, PharmD, BCACP, is Assistant Professor of Clinical Sciences and Applied Laboratory Coordinator at High Point University Fred Wilson School of Pharmacy. Dr. Bradley received her Doctor of Pharmacy degree from the University of North Carolina Eshelman School of Pharmacy. She completed a post-graduate community pharmacy residency at Kroger Pharmacy and the University of Cincinnati College of Pharmacy. Afterwards, she completed an academic fellowship in Pharmaceutical Care Labs at the University of North Carolina Eshelman School of Pharmacy. Her practice site is at Deep River Drug in High Point, North Carolina, where she practices at an independent pharmacy. Dr. Bradley is the director of the clinical skills laboratory at High Point University where she coordinates a six-semester laboratory series.

Brief Overview and Setting

The pharmacist’s role to prevent medication-related problems is a complex task requiring consistent application of the Pharmacists’ Patient Care Process (PPCP). Hospital Errors and Omissions is an instructional activity used to teach critical thinking processes needed to recognize problems of indication, efficacy, safety, and adherence. Historically errors and omissions activities have been primarily staged using product-related problems. Errors and omissions in a simulated electronic medical record-based hospital dispensing setting provide an opportunity to practice medication-related problem identification at both order verification and product preparation.1

This activity currently takes place in the laboratory curriculum at High Point University with approximately 75 students in their second professional year of a 4-year pharmacy curriculum. Approximately 75 students, divided into two laboratory sections, participate in the activity, which occurs over a span of ...

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.