ERROR RECOVERY IN A HOSPITAL PHARMACY

Error Recovery in a Hospital Pharmacy



Error Recovery in a Hospital Pharmacy

Introduction

A field study performed in a hospital pharmacy to identify positive and negative influences on the process of detection of and further recovery from initial errors or other failures, thus avoiding negative consequences. The hospital pharmacy had an overload of work in the dispensation of drugs, a situation that occupies an excessive time pharmaceutical window. Latent failures can be defined as errors in the design, organisation, training, or maintenance that lead to operator errors and whose effects typically lie dormant in the system for lengthy ...