{"id":6973,"date":"2026-01-23T10:24:17","date_gmt":"2026-01-23T02:24:17","guid":{"rendered":"https:\/\/tmuhprc.tmu.edu.tw\/?post_type=portfolio&#038;p=6973"},"modified":"2026-01-23T10:39:35","modified_gmt":"2026-01-23T02:39:35","slug":"%e3%80%902026-01-20%e3%80%91from-reporting-to-error-prevention-symposium-on-practical-issues-and-challenges-in-medication-and-patient-safety-management","status":"publish","type":"portfolio","link":"https:\/\/tmuhprc.tmu.edu.tw\/en\/portfolio-item\/%e3%80%902026-01-20%e3%80%91from-reporting-to-error-prevention-symposium-on-practical-issues-and-challenges-in-medication-and-patient-safety-management\/","title":{"rendered":"\u30102026\/01\/20\u3011From Reporting to Error Prevention \u2014 Symposium on Practical Issues and Challenges in Medication and Patient Safety Management"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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Autoclose: 1 -->\n\n<\/div><\/div><\/main><!-- close content main element --><\/div><\/div><\/div><div id='c01'  class='av-layout-grid-container av-psbfi4-9a82e7a41eeda8faa3430c22eedd1f08 entry-content-wrapper main_color av-flex-cells  avia-builder-el-7  el_after_av_section  el_before_av_section  grid-row-not-first  container_wrap sidebar_right'  >\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-opwyzg-4545c3a82d782e2c88c31513b8238e5d\">\n.flex_cell.av-opwyzg-4545c3a82d782e2c88c31513b8238e5d{\nvertical-align:top;\n}\n.responsive #top #wrap_all .flex_cell.av-opwyzg-4545c3a82d782e2c88c31513b8238e5d{\npadding:0px 0px 0px 0px !important;\n}\n<\/style>\n<div class='flex_cell av-opwyzg-4545c3a82d782e2c88c31513b8238e5d av-gridrow-cell av_one_full no_margin  avia-builder-el-8  avia-builder-el-no-sibling  av-zero-padding' ><div class='flex_cell_inner'><\/div><\/div>\n<\/div>\n<div id='portfolio01'  class='avia-section 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.av-special-heading.av-iyumi4-9b5a66e2e728ed2e7fdb7c890f15c7f6 .av-special-heading-tag{\npadding:0 0 0 0;\n}\n.av-special-heading.av-iyumi4-9b5a66e2e728ed2e7fdb7c890f15c7f6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-iyumi4-9b5a66e2e728ed2e7fdb7c890f15c7f6 av-special-heading-h2 blockquote modern-quote modern-centered  avia-builder-el-11  el_before_av_heading  avia-builder-el-first '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  > Event Introduction<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-hkgxak-e6943dff72c5930d3c6343c27053abaf\">\n#top .av-special-heading.av-hkgxak-e6943dff72c5930d3c6343c27053abaf{\nmargin:0 0 0 0;\npadding-bottom:20px;\n}\nbody .av-special-heading.av-hkgxak-e6943dff72c5930d3c6343c27053abaf .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top 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src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-scaled.jpg\" alt=\"\" width=\"1707\" height=\"2560\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-scaled.jpg 1707w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-133x200.jpg 133w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-687x1030.jpg 687w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-768x1152.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-1024x1536.jpg 1024w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-1365x2048.jpg 1365w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-1000x1500.jpg 1000w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2025\/12\/\u85e5\u5bb3\u6551\u6fdf\u7814\u8a0e\u6703\u6d77\u5831\u76f4-470x705.jpg 470w\" sizes=\"(max-width: 1707px) 100vw, 1707px\" \/><\/p>\n<\/div><\/section><\/p><\/div>\n\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_3'  class='avia-section av-gj347w-d9f77c8cbf3716ad74311a734bfb142e main_color avia-section-default avia-no-border-styling  avia-builder-el-14  el_after_av_section  el_before_av_section  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-6973'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column av-1f8a98-9772360c34605eecb9cefc9b616e93d3 av_one_half  avia-builder-el-15  el_before_av_one_half  avia-builder-el-first  first flex_column_div '     ><article  class='iconbox iconbox_top av-mkq8wuwy-d94ca298d96d83568d5ac364243ac621  avia-builder-el-16  avia-builder-el-no-sibling  main_color'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue83c' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" >\u6d3b\u52d5\u540d\u7a31<\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><h5 class=\"post-title entry-title \">From Reporting to Error Prevention \u2014 Symposium on Practical Issues and Challenges in Medication and Patient Safety Management<\/h5>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><\/div><div class='flex_column av-cgyhi4-83e0d2eefa47523571f7eacd95c483c4 av_one_half  avia-builder-el-17  el_after_av_one_half  el_before_av_one_full  flex_column_div '     ><article  class='iconbox iconbox_top av-mkq8x2qa-4ed7f173c270ce24eb46a4c8e97e96e2  avia-builder-el-18  avia-builder-el-no-sibling  main_color'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class=\"iconbox_content\"><header class=\"entry-content-header\"><div class=\"iconbox_icon heading-color\" aria-hidden='true' data-av_icon='\ue8c4' data-av_iconfont='entypo-fontello'><\/div><h3 class='iconbox_content_title '  itemprop=\"headline\" >\u6d3b\u52d5\u6642\u9593<\/h3><\/header><div class='iconbox_content_container '  itemprop=\"text\" ><p>\u30102026\/01\/20\u3011<\/p>\n<\/div><\/div><footer class=\"entry-footer\"><\/footer><\/article><\/div><div class='flex_column 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src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-scaled.jpg\" alt='' title='\u5927\u5408\u71672 (2)'  height=\"1709\" width=\"2560\"  itemprop=\"thumbnailUrl\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71672-2-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/div><\/div><\/div><\/div>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-8s5jb0-876e870931b73ce5a58b0a6093ddc42d\">\n#top .hr.hr-invisible.av-8s5jb0-876e870931b73ce5a58b0a6093ddc42d{\nheight:50px;\n}\n<\/style>\n<div  class='hr av-8s5jb0-876e870931b73ce5a58b0a6093ddc42d hr-invisible  avia-builder-el-21  el_after_av_one_full  avia-builder-el-last '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n<\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='portfolio01'  class='avia-section av-79n35o-18d22353010e51b9e1d365dcfbaeef41 alternate_color avia-section-default avia-no-border-styling  avia-builder-el-22  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-6973'><div class='entry-content-wrapper clearfix'>\n<div class='flex_column av-55l6cc-782ff191c04b9767a26ea6e000fc6d81 av_one_full  avia-builder-el-23  avia-builder-el-no-sibling  first flex_column_div '     ><p>\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-42ia70-3919e3180da961a43a847ce470c4ee6c\">\n#top .av-special-heading.av-42ia70-3919e3180da961a43a847ce470c4ee6c{\nmargin:0 0 0 0;\npadding-bottom:20px;\n}\nbody .av-special-heading.av-42ia70-3919e3180da961a43a847ce470c4ee6c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-42ia70-3919e3180da961a43a847ce470c4ee6c .av-special-heading-tag{\npadding:0 0 0 0;\n}\n.av-special-heading.av-42ia70-3919e3180da961a43a847ce470c4ee6c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-42ia70-3919e3180da961a43a847ce470c4ee6c av-special-heading-h2 blockquote modern-quote modern-centered  avia-builder-el-24  el_before_av_heading  avia-builder-el-first '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >Post-Event Summary<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-2lt7fw-97ebcfe71d61b8e473ec7ea854fe99e6\">\n#top .av-special-heading.av-2lt7fw-97ebcfe71d61b8e473ec7ea854fe99e6{\nmargin:0 0 0 0;\npadding-bottom:20px;\n}\nbody .av-special-heading.av-2lt7fw-97ebcfe71d61b8e473ec7ea854fe99e6 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-2lt7fw-97ebcfe71d61b8e473ec7ea854fe99e6 .av-special-heading-tag{\npadding:0 0 0 0;\n}\n.av-special-heading.av-2lt7fw-97ebcfe71d61b8e473ec7ea854fe99e6 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-2lt7fw-97ebcfe71d61b8e473ec7ea854fe99e6 av-special-heading-h2 blockquote modern-quote modern-centered  avia-builder-el-25  el_after_av_heading  el_before_av_textblock '><h2 class='av-special-heading-tag'  itemprop=\"headline\"  >\u6703\u5f8c\u6458\u8981<\/h2><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><br \/>\n<section  class='av_textblock_section av-mkq9bqaz-296882b7332a4c2db2bd816934821fb7'  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-6967\" src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u5927\u5408\u71671-2-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p data-start=\"0\" data-end=\"469\">(From left to right: Shen Wan-Jen, Director of the Department of Pharmacy, Shuang Ho Hospital; Chen Wen-Wen, Chief Executive Officer, Taiwan Drug Relief Foundation; Lee Po-Chang, Director, Center for Health and Welfare Policy Research, Taipei Medical University; Chiang Chih-Kang, Director-General, Taiwan Food and Drug Administration, Ministry of Health and Welfare; Chen Hsi-Hsien, Director, Department of Healthcare Quality, Taipei Medical University Hospital)<\/p>\n<p data-start=\"471\" data-end=\"1131\">The <strong data-start=\"475\" data-end=\"553\">Center for Health and Welfare Policy Research at Taipei Medical University<\/strong> held the <strong data-start=\"563\" data-end=\"689\">\u201cFrom Reporting to Error Prevention\u2014Practical Issues and Challenges in Medication and Patient Safety Management\u201d Symposium<\/strong> on <strong data-start=\"693\" data-end=\"713\">January 20, 2026<\/strong>. The symposium focused on building institutional frameworks for medication error prevention and patient safety reporting, exploring ways to strengthen error-prevention processes and improve reporting effectiveness. The goal was to promote continuous improvement in safety culture and quality management within healthcare institutions, making <strong data-start=\"1056\" data-end=\"1079\">safe medication use<\/strong> a shared cornerstone of public trust in healthcare.<\/p>\n<p><strong>Lee Po-Chang, Director, Center for Health and Welfare Policy Research, Taipei Medical University<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-6969\" src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u674e\u4f2f\u748b\u4e3b\u4efb1-2-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p>In his opening remarks, Director Lee stated that <strong data-start=\"1293\" data-end=\"1336\">patient safety and resilient healthcare<\/strong> are critical issues facing today\u2019s healthcare system. Hospitals have already achieved notable progress in promoting smart medication services; whether through AI applications or other intelligent technologies, these tools play a key supportive role throughout the medication-use process. Nevertheless, medication administration still relies heavily on nurses strictly adhering to core safety checkpoints such as the \u201cthree reads and five rights,\u201d which are essential to ensuring patient safety. He expressed hope that the day\u2019s discussions would further deepen exchanges and reflection on medication safety and patient safety issues.<\/p>\n<p><b>Chiang Chih-Kang, Director-General, Taiwan Food and Drug Administration (TFDA), Ministry of Health and Welfare<\/b><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-6963\" src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u59dc\u81f3\u525b\u7f72\u95771-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p data-start=\"2097\" data-end=\"3006\">Director-General Chiang emphasized that the core purpose of <strong data-start=\"2157\" data-end=\"2178\">pharmacovigilance<\/strong> is to detect, assess, understand, and prevent medication-related risks, thereby compensating for the limitations of clinical trials in terms of population size and real-world use scenarios. Pharmacovigilance is therefore an indispensable component of modern drug regulatory systems. Taiwan\u2019s pharmacovigilance framework is legally grounded in the <strong data-start=\"2526\" data-end=\"2556\">Pharmaceutical Affairs Act<\/strong>, supported by pharmacovigilance regulations, serious adverse drug reaction reporting mechanisms, and Good Pharmacovigilance Practices (GVP). Through a combination of active and passive surveillance, the system integrates adverse reaction reports, drug injury relief cases, domestic and international safety alerts, and data from National Health Insurance and Ministry of Health and Welfare databases as key inputs for risk assessment and management.<\/p>\n<p data-start=\"3008\" data-end=\"4225\">Director-General Chiang noted that the TFDA has implemented multiple drug risk management measures in practice, including issuing safety alerts, strengthening drug label warnings, restricting use in high-risk populations, revising package insert warnings, aligning with international drug safety alerts, and withdrawing drugs from the market when risks outweigh benefits. He cited examples such as identifying the risks of a medication for kidney disease through the national adverse drug reaction reporting system, leading to the addition of new contraindications, as well as establishing risk assessment and control programs for tuberculosis. An evaluation of a TB risk management program using National Health Insurance data in 2018 showed a declining trend in pulmonary tuberculosis incidence. He concluded by emphasizing that the TFDA will continue to enhance the timeliness and dynamic assessment capacity of post-marketing drug safety surveillance, further integrate real-world data, and establish real-time, adjustable, and verifiable regulatory decision-making models to comprehensively strengthen the resilience of Taiwan\u2019s drug safety governance and achieve the core goals of medication and patient safety.<\/p>\n<p><b>Chen Hsi-Hsien, Director, Department of Healthcare Quality, Taipei Medical University Hospital<\/b><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-6957\" src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u932b\u8ce2\u4e3b\u4efb1-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p data-start=\"4336\" data-end=\"4781\">Director Chen stated that <strong data-start=\"4362\" data-end=\"4403\">patient safety and medication quality<\/strong> are concrete manifestations of a hospital\u2019s governance capacity and safety culture. Taipei Medical University Hospital has long emphasized institutionalized governance, data-driven management, and technological support. The Department of Healthcare Quality coordinates data analysis to help clinical and allied health units integrate patient safety goals into daily operations.<\/p>\n<p data-start=\"4783\" data-end=\"5336\">In terms of medication safety, the hospital focuses on high-risk stages of medication-related events. Patient safety reports show that medication events have consistently been the most common type of incident. In 2023, approximately <strong data-start=\"5016\" data-end=\"5024\">6.5%<\/strong> of these events resulted in patient harm, with <strong data-start=\"5072\" data-end=\"5108\">human factors accounting for 67%<\/strong> and <strong data-start=\"5113\" data-end=\"5139\">system factors for 31%<\/strong>. The most frequent stages of occurrence were order prescribing and entry (41.9 cases per 100 incidents), followed by medication administration (12.9 per 100) and pharmacy dispensing (7.7 per 100).<\/p>\n<p data-start=\"5338\" data-end=\"6261\">To address these risks, the hospital introduced <strong data-start=\"5386\" data-end=\"5417\">BI visualization dashboards<\/strong> and a <strong data-start=\"5424\" data-end=\"5462\">red\u2013yellow alert management system<\/strong> (two consecutive red alerts or three yellow alerts indicate potential abnormalities in a unit) to monitor risk trends in real time. Smart support measures\u2014such as duplicate medication alerts and blocks, and proactive adverse drug reaction reporting\u2014have increased system protection rates to <strong data-start=\"5754\" data-end=\"5763\">99.9%<\/strong>. Additionally, by integrating patient wristbands with medication package barcode scanning, the hospital has fully implemented a <strong data-start=\"5892\" data-end=\"5941\">closed-loop medication administration process<\/strong>, preventing progression to the next step if procedures are not followed. All records are stored electronically, strengthening process control while simplifying ward medication workflows. Concrete outcomes include a <strong data-start=\"6157\" data-end=\"6196\">99% reduction in medication returns<\/strong> and an average dispensing time of <strong data-start=\"6231\" data-end=\"6260\">7 seconds per transaction<\/strong>.<\/p>\n<p data-start=\"6263\" data-end=\"6635\">The hospital also promotes a <strong data-start=\"6292\" data-end=\"6347\">non-punitive, improvement-focused reporting culture<\/strong>, using graded management and root cause analysis to transform incidents into opportunities for system optimization and education. Patient safety WalkRounds further ensure that frontline staff understand the value of reporting abnormal events, fostering a positive patient safety culture.<\/p>\n<p><b>\u00a0Shen Wan-Jen, Director, Department of Pharmacy, Shuang Ho Hospital<\/b><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-6961\" src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u6c88\u5b9b\u771f\u4e3b\u4efb1-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p data-start=\"6718\" data-end=\"7112\">Director Shen noted that healthcare has long adopted information systems to gradually build a comprehensive medication safety protection network. From physician diagnosis and prescribing to every step before medication reaches the patient, error-prevention and interception mechanisms are in place to help healthcare teams identify high-risk medication scenarios in real time and reduce errors.<\/p>\n<p data-start=\"7114\" data-end=\"7903\">Using chemotherapy patients as an example, she explained that information systems can automatically populate patient age, weight, and relevant laboratory values required for prescribing, ensuring accurate dosing and appropriate use. Electronic records reduce manual entry errors and staff workload, while real-time visualized monitoring systems continue to safeguard patient safety. In recent years, Taiwan has actively introduced smart healthcare technologies\u2014such as intelligent medication cabinets, drug identification systems, and smart dispensing\u2014to reduce reliance on human memory. On the patient side, medication labeling has been continuously improved through visual symbols, English-language labels, and Braille stickers to enhance patients\u2019 ability to take medications correctly.<\/p>\n<p data-start=\"7905\" data-end=\"8695\">Director Shen further noted that with the increasing use of cloud-based National Health Insurance data, pharmaceutical services are transitioning toward <strong data-start=\"8058\" data-end=\"8094\">patient-centered integrated care<\/strong>, addressing medication waste and duplicate use. Hospitals therefore promote medication reconciliation and continuity of care at key points\u2014outpatient visits, admission, and discharge\u2014by comprehensively reviewing existing medications, communicating discrepancies with prescribers, and adjusting prescriptions when necessary. Shared decision-making has also been integrated into clinical care, with physicians and pharmacists clearly explaining treatment and medication options and encouraging patients to express their preferences and concerns, ultimately enhancing medication safety and mutual trust.<\/p>\n<p><b>Chen Wen-Wen, CEO, Taiwan Drug Relief Foundation<\/b><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-6959\" src=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1709\" srcset=\"https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-scaled.jpg 2560w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-300x200.jpg 300w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-1030x688.jpg 1030w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-768x513.jpg 768w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-1536x1025.jpg 1536w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-2048x1367.jpg 2048w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-1500x1001.jpg 1500w, https:\/\/tmuhprc.tmu.edu.tw\/wp-content\/uploads\/2026\/01\/\u9673\u6587\u96ef\u57f7\u884c\u95771-705x471.jpg 705w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p data-start=\"8760\" data-end=\"9221\">CEO Chen explained that the inherent limitations of medicine, difficulty in clarifying liability, and the time- and resource-intensive nature of litigation are the reasons for the existence of the <strong data-start=\"8957\" data-end=\"8986\">drug injury relief system<\/strong>. The system was established to address unpredictable risks in medical care, recognizing that no drug is 100% safe for everyone, and to provide timely and humane support to patients harmed despite appropriate and lawful medication use.<\/p>\n<p data-start=\"9223\" data-end=\"9663\">Since its implementation over two decades ago, the drug injury relief system has processed more than <strong data-start=\"9324\" data-end=\"9351\">2,500 compensated cases<\/strong>, with total payouts exceeding <strong data-start=\"9382\" data-end=\"9401\">NTD 700 million<\/strong>, while also building a database of high policy value. The core value of this database lies in identifying high-risk drugs and vulnerable populations, recognizing emerging risk patterns, and focusing on severe cases with rigorously reviewed causal relationships.<\/p>\n<p data-start=\"9665\" data-end=\"10492\">CEO Chen cited successful identification of high-fatality risks such as severe cutaneous adverse reactions through big data analysis, enabling targeted risk management plans, genetic testing, dose adjustments, and public risk communication to improve early recognition of allergic skin reactions. Statistics show that these efforts have significantly improved trends in severe drug-induced skin injuries. She concluded that the <strong data-start=\"10093\" data-end=\"10122\">drug injury relief system<\/strong>, <strong data-start=\"10124\" data-end=\"10159\">patient safety reporting system<\/strong>, and <strong data-start=\"10165\" data-end=\"10216\">national adverse drug reaction reporting system<\/strong> together form the \u201ciron triangle\u201d of medication safety protection. Going forward, deeper data analysis, cross-system integration, and close collaboration with pharmacovigilance and patient safety systems will help create a safer and more resilient medication-use environment.<\/p>\n<p><strong>Policy Recommendations (Conclusions)<\/strong><\/p>\n<ul>\n<li data-start=\"10544\" data-end=\"10879\">\n<p data-start=\"10547\" data-end=\"10879\"><strong data-start=\"10547\" data-end=\"10598\">Systematically integrate shared decision-making<\/strong> into clinical care processes, with physicians and pharmacists clearly explaining medication options and risks, guiding patients to express their needs and considerations, reducing information asymmetry, and improving patient engagement, adherence, and overall medication safety.<\/p>\n<\/li>\n<li data-start=\"10881\" data-end=\"11147\">\n<p data-start=\"10884\" data-end=\"11147\"><strong data-start=\"10884\" data-end=\"10929\">Strengthen hospital governance frameworks<\/strong> for patient safety and medication quality through multi-level decision-making and data-driven management, ensuring a closed institutional loop from policy formulation and implementation monitoring to outcome review.<\/p>\n<\/li>\n<li data-start=\"11149\" data-end=\"11449\">\n<p data-start=\"11152\" data-end=\"11449\"><strong data-start=\"11152\" data-end=\"11223\">Continue expanding digitalization and smart healthcare technologies<\/strong>, shifting risk control upstream to prescribing and dispensing stages through cloud integration, multiple verification steps, and high-risk alerts to reduce medication errors in vulnerable populations and special situations.<\/p>\n<\/li>\n<li data-start=\"11451\" data-end=\"11732\">\n<p data-start=\"11454\" data-end=\"11732\"><strong data-start=\"11454\" data-end=\"11506\">Effectively leverage drug injury relief big data<\/strong> to design prevention-oriented medication safety policies by identifying high-risk drugs and populations, strengthening guidelines, risk management, and precision medication strategies to reduce severe drug injury incidence.<\/p>\n<\/li>\n<li data-start=\"11734\" data-end=\"12001\">\n<p data-start=\"11737\" data-end=\"12001\"><strong data-start=\"11737\" data-end=\"11829\">Enhance the timeliness and dynamic evaluation of post-marketing drug safety surveillance<\/strong>, integrating more real-world data to establish real-time, adjustable, and verifiable drug safety decision-making models, improving precision and overall system resilience.<\/p>\n<\/li>\n<\/ul>\n<p><strong>Related News Links<\/strong><\/p>\n<ul>\n<li data-start=\"12035\" data-end=\"12222\">\n<p data-start=\"12037\" data-end=\"12222\"><strong data-start=\"12037\" data-end=\"12050\">2026.1.20<\/strong> \u2014 <em data-start=\"12053\" data-end=\"12152\">Safeguarding Medication Safety: Scholars Urge Frontline Reporting of \u201cUnequal Drug Effectiveness\u201d<\/em>, China Times<br data-start=\"12165\" data-end=\"12168\" \/><a class=\"decorated-link\" href=\"https:\/\/www.ctee.com.tw\/news\/20260120701815-431401\" target=\"_new\" rel=\"noopener\" data-start=\"12170\" data-end=\"12220\">https:\/\/www.ctee.com.tw\/news\/20260120701815-431401<\/a><\/p>\n<\/li>\n<li data-start=\"12224\" data-end=\"12418\">\n<p data-start=\"12226\" data-end=\"12418\"><strong data-start=\"12226\" data-end=\"12239\">2026.1.20<\/strong> \u2014 <em data-start=\"12242\" data-end=\"12353\">Patient Safety Reports Rising! Medication Events Top the List; Scholars Call for AI to Address Workforce Gaps<\/em>, United Daily News<br data-start=\"12372\" data-end=\"12375\" \/><a class=\"decorated-link\" href=\"https:\/\/udn.com\/news\/story\/7266\/9277282\" target=\"_new\" rel=\"noopener\" data-start=\"12377\" data-end=\"12416\">https:\/\/udn.com\/news\/story\/7266\/9277282<\/a><\/p>\n<\/li>\n<li data-start=\"12420\" data-end=\"12645\">\n<p data-start=\"12422\" data-end=\"12645\"><strong data-start=\"12422\" data-end=\"12435\">2026.1.20<\/strong> \u2014 <em data-start=\"12438\" data-end=\"12580\">Medication Errors Are Not Due to Unprofessionalism\u2026 Closed-Loop Medication Management Allows Systems to Apply the Brakes at Critical Moments<\/em>, United Daily News<br data-start=\"12599\" data-end=\"12602\" \/><a class=\"decorated-link\" href=\"https:\/\/udn.com\/news\/story\/7266\/9277857\" target=\"_new\" rel=\"noopener\" data-start=\"12604\" data-end=\"12643\">https:\/\/udn.com\/news\/story\/7266\/9277857<\/a><\/p>\n<\/li>\n<li data-start=\"12647\" data-end=\"12839\" data-is-last-node=\"\">\n<p data-start=\"12649\" data-end=\"12839\" data-is-last-node=\"\"><strong data-start=\"12649\" data-end=\"12662\">2026.1.22<\/strong> \u2014 <em data-start=\"12665\" data-end=\"12786\">No More Fear of Taking or Using the Wrong Medication! What Are Taiwan\u2019s Three Major Medication Safety Defenses in 2026?<\/em>, HEHO Health<br data-start=\"12799\" data-end=\"12802\" \/><a class=\"decorated-link\" href=\"https:\/\/heho.com.tw\/archives\/374231\" target=\"_new\" rel=\"noopener\" data-start=\"12804\" data-end=\"12839\" data-is-last-node=\"\">https:\/\/heho.com.tw\/archives\/374231<\/a><\/p>\n<\/li>\n<\/ul>\n<\/div><\/section><\/p><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='after_section_4'  class='main_color av_default_container_wrap container_wrap sidebar_right'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-small alpha units'><div class='post-entry post-entry-type-page post-entry-6973'><div class='entry-content-wrapper clearfix'><\/p>\n","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":6966,"comment_status":"closed","ping_status":"closed","template":"","tags":[],"portfolio_entries":[85,100,101],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v19.13 - 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