Medication Safety Flashcards
What is a system?
Inter-related entities and people with a joint purpose
Entities = buildings/ spaces/ software etc
What is a microsystem?
Tools only
What is a mesosystem?
Interaction between tools, people and spaces
What is a macrosystem?
Interaction between:
- Tools
- People
- Buildings
- Spaces
- Communities
- Hardware
What is the primary benefit of a dynamic system?
Modifies in response to circumstances, to achieve the same outcome
What are some general examples of reactive approache in pharmacy, with regard to systems?
- Incident reporting
- Incident analyses
What is a general example of a proactive approach in pharmacy, with regard to systems?
Risk assessments
What is the SAFETY-1 definition of ‘safety’?
As few things as possible go wrong
What is the safety management principle of SAFETY-1?
Reactive
What is the attitude to the human factor of SAFETY-1?
Humans seen as a liability or hazard
What is the safety management principle of SAFETY-2?
Proactive systems approach
Anticipate + prevent
What are they key capacities of resilient healthcare?
(1) Respond
(2) Learn - share from past experiences
(3) Monitor
(4) Anticipate
What is the SAFETY-2 definition of ‘safety’?
As many things as possible go right
What is the safety management principle of SAFETY-2?
Proactive
What is the attitude to the human factor of SAFETY-2?
Humans are a resource
Flexibility + resilience
What is the view of performance variability of SAFETY-1?
Harmful + should be prevented if possible
What is the view of performance variability of SAFETY-2?
Inevitable but also useful
Monitored + managed
How is ‘patient safety’ defined?
Maximising the tings that go right and minimising the things that go wrong
What is the role of a Medication Safety Officer (MSO)?
(1) Managing medication incident reporting
(2) National Medication Safety Network
(3) Member of the Medication Safety Committee
What are the three prioritised areas of mediation safety, according to the WHO?
(1) Medication safety in high-risk situations
(2) Medication safety in poly pharmacy
(3) Medication safety in transitions of care
What is the traditional approach to medication safety?
SAFETY-1 model
What is a safety walkabout?
Asking staff for their concerns + feedback
What went well etc
How, generally, can everyday hospital care be improved?
(1) Individuals
(2) Teams
(3) Systems
What are LASA?
Look-alike sound-alike errors
What shift in framework is currently taking place in pharmacy medication safety?
Accountability TO reflection + learning
