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Risk assessment in clinical pharmacy
Authors:PTW Hudson and H-J Guchelaar
Institution:(1) Centre for Safety Science, Department of Psychology, Faculty of Social Sciences, Leiden University, Leiden, The Netherlands;(2) Department of Clinical Pharmacy and Academic Medical centre, University of Amsterdam, The Netherlands
Abstract:Medication error forms a major proportion of the errors in the medical system. Despite many studies of adverse drug events, there are no systematic ways of ensuring safety, or of assessing how safe a pharmaceutical system is. Risk assessment is required in hazardous industries such as nuclear power or oil and gas. Risk assessments involve identifying the defences and assessing their effectiveness and are relatively uncommon in clinical pharmacy , as opposed to reactive approaches involving incident analyses. Risk factors, that degrade barriers, can be identified and their effect measured. A risk assessment structure for pharmacy processes is proposed that can also be used to support incident investigation and analysis processes and provide a standard for audit.
Keywords:Medication error  Methodology  Risk assessment  Safety management
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