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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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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


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