Aggregated review of route cause analyses related to medication.
Since 2001 when the systematic analysis of serious patient safety incidents was implemented, a number of root cause analyses have been completed. Common to these is that the medication of the patient has been problematic and has had serious consequences for the patient. In the analyses the events causing the patient safety incidents are described in detail, the causes are identified and a plan of actions is created.
Hellebek
Annemarie
A
The Capital Region of Denmark, Unit for Patient Safety.
Skjoet
Peter
P
D016907:Adverse Drug Reaction Reporting Systems; D015984:Causality; D003718:Denmark; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control*; D017751:Safety Management