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 Pharmacy Policies and Procedures Manual Alberta College of 2022

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welcome to quality assurance for community pharmacies part 2 the system's approach to investigating drug incidents before we begin we would like to acknowledge the assistance of ismp canada for their contributions in developing this presentation which includes material from the 2006 canadian root cause analysis framework the objectives of this presentation are to understand the importance of conducting a thorough analysis of drug incidents drug errors and adverse drug events how systems design and human factors contribute to the potential for air and solution development the process for conducting a thorough incident analysis the importance of using incidents as learning opportunities to prevent future recurrence and how the standards of practice tie in with quality assurance and incident analysis we will use a case example to illustrate the principles and process for incident analysis please keep this in mind as we move through the presentation our case example involves a pati

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