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Board affirms ISMP as recipient for community pharmacy error reports; staff to clarify registration guidance for hospitals
Summary
The Board confirmed prior direction that the Institute for Safe Medication Practices (ISMP) will receive community pharmacy medication error reports (CAMER) and staff added FAQ updates on CAMER registration; hospital commenters requested clearer guidance on which license types must register and raised peer‑review confidentiality concerns.
The Committee reviewed updated FAQs and implementation steps related to Assembly Bill 1286 (community pharmacy medication error reporting) and the California Medication Error Reporting system (CAMER).
Staff recapped that the Board approved the Institute for Safe Medication Practices (ISMP) to receive community pharmacy medication error reports under Business and Professions Code section 4113.1 and that, by statute, medication errors occurring on or after Sept. 1, 2025, must be reported to CAMER. The updated FAQs in the packet provide registration and fee information for licensees.
Public commenters representing hospital systems asked for clearer guidance about which license types must register and expressed concern about peer‑review protections and whether QA reports must be shared with the Board. Andre Peters (Scripps Health) asked the Committee to consider whether peer‑review protections limit sharing QA material; he also suggested anonymized reporting could improve participation.
Board counsel and staff directed commenters to specific FAQ language and the statute’s definition of community pharmacy. Committee members asked staff to clarify communications and email guidance to regulated parties. Staff said they would follow up to provide clearer instructions for multi‑license systems (hospitals with multiple pharmacy license types) and to reduce confusion about which license categories must register for CAMER.
Committee members noted the broader strategic goal: moving the state toward standardized error reporting while balancing confidentiality concerns raised by hospital QA processes. Staff planned additional outreach and to update FAQs to clarify which license categories must register.
