Description

Determination of which contributing factor(s) related to policies or procedures are known.

On-Screen Instructions

Field Type

Responses

Clarity of policy or procedure

Lack of clarity of a policy or procedure (either as written or understood) contributed to the event.

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Policy or procedure absent

Absence of a policy or procedure contributed to the event.

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Pharmacist, technician or staff unfamiliar with policy or procedure

Pharmacist’s or staff member’s lack of familiarity with the policy or procedure contributed to the event.

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Policy or procedure unrealistic

Policy or procedure was not adhered to because it was felt to be unrealistic, which contributed to the event.

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Policy or procedure too cumbersome

Policy or procedure was not adhered to because it was felt to be too cumbersome, which contributed to the event.

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Work-around more efficient

Policy or procedure was not followed because a work-around was felt to be more efficient, which contributed to the event.

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Other (please describe)

Any other factor related to procedures or policies, not included in the list above, which contributed to the event.

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Guide for Use

History