Learning from Fitness to Practise Inquiries

Where it has been decided that there is sufficient cause to warrant further action in relation to a complaint, the Preliminary Proceedings Committee (PPC) may refer the complaint to a committee of inquiry.

The PSI shares learnings from these inquiries and other situations, to help improve pharmacy practice and patient safety by highlighting potential errors and risks.

All registrants should consider how they can use these learnings to review and improve their own practice and the practice of other staff members in the pharmacy where they work. Superintendent and supervising pharmacists should use these observations and learnings to review the policies and procedures in their pharmacies and ensure all staff are trained on, and following them.  

Learning 1:  A complaint involving the dispensing of a high tech medicine

Learning 2:  A complaint involving the dispensing of Zantac Syrup 75mg/5ml (ranitidine) for an infant

Learning 3:  A complaint involving the supply of Paralink® suppositories for a child

Learning 4: A complaint involving the dispensing of Methadone 1mg/ml oral solution

Learning 5: A complaint involving the dispensing of the high tech medicine Enbrel® Injection

Learning 6: A complaint involving the incorrect supply of the high tech medicine Enbrel® Injection to a minor

Learning 7: A complaint involving the dispensing of the high tech medicine Revlimid®

Learning 8: A complaint involving the dispensing of the controlled drug Diazepam Liquid for a child

Learning 9: A complaint involving the use of social media to express personal views

Learning 10: A complaint about a failure to counsel about potential for drug-drug interactions when supplying prescribed medication