Medication Safety Flashcards
Define a simple system
Easily knowable and predictable
Define a complicated system
Not simple, but still knowable and predictable
Define a complex system.
Not fully knowable and not always predicatble.
Define chaotic systems.
Unknowable abd unpredictable.
What type of system is commonly seen in healthcare?
Complex system
What is a never event?
A situation which is expected not to happen because of systemic barriers that have been put in place.
List some environmental factors which affect medication safety.
Policy
Legislation
Safety alerts
Cost – what drives this?
Availability
Procurement
Visibility in the supply chain:
‘Falsified’ medicines, failure of cold chain
Temperature, humidity, lighting
‘Healthy’ environments
List some organisational factors which affect medication safety.
Leadership
Management
Culture
Values
Teamwork
Communication