Journal Article
Study

Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.

Sujan M-A, Ingram C, McConkey T, et al. BMJ quality & safety. 2011;20:549-56.

In this study, qualitative interviews with frontline staff were used to identify sources of latent error within an inpatient pharmacy. The potential problems identified, which included issues with the work environment and information technology, were then prospectively monitored over a 6-month period. This process was used to design system improvements.