How I have used root cause analysis

摘要

The HOMER study,which reported on home-based medication review by pharmacists,resulted in significant concerns over the value and,indeed,safety of pharmacist medication review.The study (a randomised controlled trial involving 872 elderly patients recruited during an emergency admission)indicated a statistically significant higher rate of hospital admissions as a result of pharmacist medication review.Although the study design has been criticised,there has been no detailed look at the individual pharmacist interventions that may have resulted in the hospital admissions.