1) Safe Prescribing

Question 1

What are 4 Ethical Pillars ?

Answer 1

Beneficence - Do Good
Non Maleficence - Don’t Do Harm
Autonomy - Patient has a right to decide treatment
Justice - Cost Benefit

Question 2

What 4 things demonstrate good prescribing ?

Answer 2

1) Maximise Effectiveness
2) Respect Patient Choice
3) Minimise Risk
4) Minimise Cost

Question 3

What are some Sources of Error ?

Answer 3

1) Patient Factors
2) Systems Factor
3) Health Professional Factors

Question 4

What are some example of patient factors of Error ?

Answer 4

> Elderly
> Pregnancy and Breast Feeding 
> Children 
> Hepatic or Renal Impairment 
> Polypharmacy

Question 5

What are some example of System factors of Error ?

Answer 5

> Workload
Hierarchy
Culture
Team and inter professional working

Question 6

What are some example of Health Professional Factors of Error ?

Answer 6

> Knowledge
Tired or Stressed
Technical Skills
Communication Skills

Question 7

How do you Minimise Risk of Error in Prescribing ?

Answer 7

> Recognises this is a high risk activity
Aim to give the tasks the attention and focus it deserves
Asks help from the team
Check
=> Medication History / Allergies
=> Drug / Dose / Route / Frequency / Duration
=> Interactions and side effects
=> Correct Instructions and Monitoring
=> Local / National Guidance / Policies
Shared Decision Making
Ask patient to check the drug they have dispensed
Double Check