Abstract

Root Cause Analysis, Part 1: Nonsterile Compounding

Author(s): Cabaleiro Joe, Jackson Kathleen

Issue: Nov/Dec 2015 - Volume 19, Number 6

Page(s): 465-469

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  • Root Cause Analysis, Part 1: Nonsterile Compounding Page 4
  • Root Cause Analysis, Part 1: Nonsterile Compounding Page 5

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

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