Hi there, does anyone use a standard template for investigating/following up on potentially preventable events, and/or is anyone willing to share your ideas? We're thinking about using a template that we would email to individual pharmacy staff members if they may be familiar with a reported event. In-person communication is preferred but we can't always to that. Maybe something like this:

You're receiving this email because you may be familiar with a potentially preventable medication event. The purpose of this follow-up is to gather details that may help prevent future events. Please let me know If you aren’t familiar with this event.

Med Event Date:
Med Event Description:
Follow-Pp Questions:
1. What other details about the event can you can provide?
2. What’s the usual process that’s followed and was this process used?
3. What contributed to the event (e.g. system processes, labeling, workload, float staff, etc.)?
4. What ideas do you have on how to prevent this from reoccurring?

Thanks!
Joanie