International Journal of Pharmaceutical Compounding

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Root Cause Analysis, Part 1: Nonsterile Compounding

Author(s): Cabaleiro Joe, Jackson Kathleen

Issue: Nov/Dec 2015 - Volume 19, Number 6
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Page(s): 465-469

Root Cause Analysis, Part 1: Nonsterile Compounding Page 1

Root Cause Analysis, Part 1: Nonsterile Compounding Page 2

Root Cause Analysis, Part 1: Nonsterile Compounding Page 3

Root Cause Analysis, Part 1: Nonsterile Compounding Page 4

Root Cause Analysis, Part 1: Nonsterile Compounding Page 5

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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: Joe Cabaleiro, RPh, FACA, adverse events, Kathleen Jackson, RPh, FIACP, root cause analysis checklist, quality assurance, nonsterile compounding, drug safety, risk reduction

Related Categories: QUALITY CONTROL, ADVERSE DRUG EVENTS

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