Abstract

When an adverse event or near miss occurs in a pharmacy, eliminating the root cause to prevent recurrence is critically important. We occasionally see pharmacies address deviations in a manner that only superficially addresses the adverse event, but does not address the root cause of the problem, thereby putting patients and the pharmacy at risk of a recurrence. This article proposes a method for performing Root Cause Analysis.

Related Keywords

• adverse events
• root cause analysis checklist
• quality assurance
• nonsterile compounding
• drug safety
• risk reduction

Related Categories

• QUALITY CONTROL
• ADVERSE DRUG EVENTS