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ISMP Canada Safety Bulletins

Canadian Medication Incident Reporting and Prevention System (CMIRPS)

Latest Bulletin Issue 7
Injecting Standardization into Vaccine Clinics

Vaccinations provided at community-based clinics (e.g., in schools, offices, and community centres) support high immunization rates, thereby helping to prevent the spread of vaccine-preventable disease. ISMP Canada conducted a multi-incident analysis of vaccine errors as well as a recent failure modes and effects analysis after observing several community vaccine clinics. The systemic vulnerabilities identified through these analyses have the potential to lead to errors and highlight opportunities for system improvements. This bulletin shares learnings to help inform safe medication practices in vaccine clinics.