Using root cause analysis to determine the system-based causes of error

Canadian Pharmacists Journal

Volumn 139, Issue 3, 2006, Pages 63-65

  Wichman, Kristina ^a   Greenall, Julie ^a  

^a ISMP Canada   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

PREDNISONE;

FOLLOW UP; HUMAN; MEDICAL LITERATURE; MEDICAL RESEARCH; MEDICAL STAFF; MEDICATION ERROR; SHORT SURVEY;

EID: 33745922376     PISSN: 17151635     EISSN: None     Source Type: Journal    
DOI: 10.1177/171516350613900314     Document Type: Short Survey

References (3)

1. Flynn EA, Barker KN, Carnahan BJ. National observational study of prescription dispensing accuracy and safety in 50 pharmacies. J Am Pharm Assoc 2003;43(2):191-200.
2. Four-pronged error analysis is "best practice." ISMP Med Saf Alert (Commun Ambulatory Care Ed) 2005 Jul;3-4.
3. Canadian Patient Safety Institute, Institute for Safe Medication Practices Canada, Saskatchewan Health. Canadian Root Cause Analysis Framework. Edmonton, AB: Canadian Patient Safety Institute; 2005. Available: www.patientsafetyinstitute.ca/uploadedFiles/Resources/CPSI, %20Root%20Cause%20Analysis %20Workbook(final).pdf (accessed March 7, 2006).