Welcome to the Root Cause analysis Workbook
for community/ambulatory pharmacy
With the release of Root Cause Analysis Workbook for Community/Ambulatory Pharmacy, community pharmacies now have 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 grant support from National Association of Boards of Pharmacy Foundation.
Root Cause Analysis Workbook for Community/Ambulatory Pharmacy© is a copyrighted workbook of the Institute for Safe Medication Practices (ISMP). 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.
This workbook or parts of it may be printed for individual use or distributed for training purposes within your organization.
No one may alter the content in any way, or use the workbook in any commercial context, without written permission from the Institute for Safe Medication Practices.
*NOTE: any error not defined as a sentinel event should be investigated and analyzed using other internally available company tools or the ISMP Assess-ERR™ worksheet. See section titled: When is RCA necessary?