The Australian National Strategic Action Plan for Pain Management highlights the importance of safe and effective opioid use. Over 1.9 million Australians initiate and 3 million Australians use prescription opioids each year. Australian research has linked prescription opioids to non‐fatal and fatal overdose, injection‐related injury, unemployment and crime. However, there has been considerably less focus on medication incidents. In this issue of the Journal of Pharmacy Practice and Research, Fitzsimons et al present an analysis of all 922 opioid‐related medication incidents reported in all 93 Western Australian (WA) public hospitals between July 2017 and June 2018.