Commit to one near-miss review loop
Commit to a near-miss review that names condition, behavior category, control, owner, and review date.
Commit to one near-miss review loop for a real pharmacy catch or close call Use a specific pharmacy-management situation, such as a wrong-bag catch, look-alike selection, scan bypass, cold-chain alarm, late clarification, or expired-stock find. A wrong-bag or wrong-patient will-call catch discovered before pickup A look-alike or wrong-strength selection caught during final verification A scan bypass, fridge alarm, or expired-stock find that has been handled with only a staff reminder Near-miss loop: Event: [what happened]. Condition: [what made it likely]. Behavior category: [human error / at-risk behavior / reckless behavior / system issue]. Control: [what will change]. Owner: [role/name]. Review:…
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