Exam 2 - Current Topics in Pt Safety Flashcards
A study found at least ___ main issues affecting pt safety in the workplace
7
What are the 7 main issues affecting pt safety in the workplace?
Fatigue
Stress
Interruptions
Workload
Lack of organizational supervision
Lack of task standardization
Communication
Who is included in “staffing?”
Pharmacists
Techs
Interns
Clerks
Supervisors/managers
ASHP survey in 2021 noted at least ___% turnover rates of health system techs
21%
ASHP 2021 survey said that nearly 1 in 10 hospitals noted having lost ___% or more of their techs
41%
In the 2022 ASHP study with more than 5000 techs, what did they find is desired to recruit/retain techs?
Higher pay
Employers offer retention bonuses
Career ladders & clear path to promotion
What did techs say were there top reasons to stay in the field?
Desire to help pts
Supervising pharmacists
What is a Human Factors Analysis and Classification System (HFACS)?
Broad human error framework that was originally used by the USAF to investigate & analyze human factors aspects of aviation
What are the 4 levels of failure?
- Unsafe acts of operators
- Preconditions for unsafe acts
- Unsafe supervision
- Organizational influences
What is included in organizational influences?
Resource management
Organizational climate
Organizational process
What is included in unsafe supervisions?
Inadequate supervision
Planned inappropriate operations
Failed to correct problem
Supervisory violations
What is included in preconditions for unsafe acts?
Environmental factors
Condition of operators
Personnel factors
Environmental factors
Physical environment
Technological environment
Condition of operators
Adverse mental state
Adverse physiological state
Physical/mental limitations
Personnel factors
Crew resource management
Personal readiness
What is included in unsafe acts?
Errors
Violation
Errors
Decision errors
Skill-based errors
Perceptual errors
Violations
Routine
Exceptional
What are skill based errors?
Lack of attention
Checklist error
Negative habit
Etc
What are decision errors?
Inappropriate procedure
Exceeded ability
Behavior of operator proceed as intended but still results in unsafe situation
What are perceptual errors?
Operators sensory input is degraded and decision is made on faulty info
What are routine violations?
Habitual action by operator (and tolerated by governing authority)
What are exceptional violations?
Not typical of individual or condoned by management (isolated event)
What is resource management?
Allocation and maintenance of assets (human resources, budgets, equipment, etc)
What is organizational climate?
Atmosphere within organization (structure, policies, etc)
What is operational process?
Organizational decisions and rules that govern everyday practice (operations, procedures, oversight, etc)
What are the key performance indicators (quotas) for health systems?
Medication reconciliation on admission
Pharmaceutical care plan
Drug therapy problems
Interprofessional pt care rounds
Patient education during hospital stay
Patient education at discharge
Medication reconciliation at discharge
Bundled pt care interventions
Medication reconciliation on admission
Proportion of pts who receive documented admission medication reconciliation (as well as resolution of identified discrepancies) performed by a pharmacist
Pharmaceutical care plan
Proportion of patients for whom pharmacists have developed/initiated a pharmaceutical care plan
Drug therapy problems
Number of drug therapy problems addressed by a pharmacist per admission
Interprofessional pt care rounds
Proportion of pts for whom pharmacists participate in interprofessional pt care rounds to improve medication management
Pt education during hospital stay
Proportion of pts who receive education from a pharmacist about their disease(s) and med(s) during their hospital stay
Pt education at discharge
Proportion of pts who receive documented discharge med reconciliation and resolution of identified discrepancies by a pharmacist
Bundled pt care interventions
Proportion of patients who receive comprehensive direct pt care from a pharmacist working in collaboration w/ the healthcare team
Community pharmacy metrics
Prescription volume
Services offered
Vaccines administered
What is the MAX tech to pharmacist ratio allowed by WV law. Who is this enforced by?
6:1
Enforced by PIC
Do interns count in the ratio of techs to pharmacists?
What is the whistleblower law?
Prohibits employers from retaliating against employee who reports wrongdoing in the workplace
