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  • Title: Total quality management in action: pharmacy system changes to decrease medication incidents and increase clinical services.
    Author: Shah NR, Emont AJ, Johnson VP.
    Journal: Hosp Pharm; 1994 Jul; 29(7):676, 679-80. PubMed ID: 10135148.
    Abstract:
    During a monitoring of risk management indicators (incident report analysis), a trend of increasing medication incidents was noted from 1987 to 1990. The medication ordering process was tracked using a flow chart, and, using an interdisciplinary team, the transcription system was targeted for corrective action. A "roving pharmacist" system was devised, with a resultant 63% decrease in the reported medication incident rate from 1990 to 1993.
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