An Effective Tool to Enhance a Culture of Patient Safety and Assess the Risks of Medication Use Systems

Abstract

Abstract Adverse events involving medication use represent a significant patient safety issue in Canada. This was most recently identified through the findings of the Canadian Adverse Events Study, released in May 2004 (Baker et al.) One strategy for addressing this issue is to utilize a systems approach to patient safety rather than focusing on individual performance. Practitioners, however, need tools to assist them in identifying system weaknesses as well ...