Health committee  From the outset with the CMIRPS project, the vision was that it wasn't to be built in silos. So if you look at the organizations that have been involved in the product from the beginning, Health Canada is certainly up front, as is the Canadian Patient Safety Institute, within their mandate of safety within the country, and the Institute for Safe Medication Practices Canada, or ISMP, has also been involved in the field.

Health committee  As a statistical organization we actually don't make that determination or judgment as to when an error occurred, or if an error occurred. We rely on the institutions who supply us with data to make that determination prior to giving us the data. Certainly we want to look at contributing factors.

Health committee  Within the data we collect we look at whether it is a product-related issue. Was it a naming, packaging, or labelling issue? Was it a systems issue? For example, is there a way to deliver drugs within institutions in a safer way? Was it a patient identification issue that contributed to the error?