Tools

Root Cause Analysis Workbook for Community/Ambulatory Pharmacy

The Root Cause Analysis (RCA) Workbook for Community/Ambulatory Pharmacy©, provides community pharmacies with access to a coordinated, extensive set of tools designed to meet regulatory requirements in the full investigation of the causes of a sentinel event* (an unexpected occurrence involving death or serious physical or psychological injury or risk thereof) and identify and implement appropriate and effective strategies to prevent this or a similar occurrence. The RCA workbook is designed to help community pharmacies take a process-driven, system-based approach to address this critical issue.

These tools were developed by the Institute for Safe Medication Practices (ISMP) with funding from National Association of Boards of Pharmacy Foundation.


ISMP does not endorse any software or training for the Root Cause Analysis Workbook for Community/Ambulatory Pharmacy© process that is not directly provided by ISMP.

The Root Cause Analysis Workbook for Community/Ambulatory Pharmacy© and its components are copyrighted by ISMP. This workbook or parts of it may be printed for individual use or distributed for training purposes within your organization as part of their ongoing quality improvement activities.  The content of the workbook may not be altered in any way or used in any commercial context, without written permission from ISMP.

How to Cite: Institute for Safe Medication Practices (ISMP). Root cause analysis workbook for community/ambulatory pharmacy [Workbook]. Horsham, PA: ISMP. 2014.

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