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Part 4 – PM4B Ali > Medication Safety > Flashcards

Medication Safety Flashcards

1
Q

What is a system?

A

Inter-related entities and people with a joint purpose

Entities = buildings/ spaces/ software etc

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2
Q

What is a microsystem?

A

Tools only

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3
Q

What is a mesosystem?

A

Interaction between tools, people and spaces

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4
Q

What is a macrosystem?

A

Interaction between:

  • Tools
  • People
  • Buildings
  • Spaces
  • Communities
  • Hardware
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5
Q

What is the primary benefit of a dynamic system?

A

Modifies in response to circumstances, to achieve the same outcome

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6
Q

What are some general examples of reactive approache in pharmacy, with regard to systems?

A
  • Incident reporting

- Incident analyses

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7
Q

What is a general example of a proactive approach in pharmacy, with regard to systems?

A

Risk assessments

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8
Q

What is the SAFETY-1 definition of ‘safety’?

A

As few things as possible go wrong

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9
Q

What is the safety management principle of SAFETY-1?

A

Reactive

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10
Q

What is the attitude to the human factor of SAFETY-1?

A

Humans seen as a liability or hazard

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11
Q

What is the safety management principle of SAFETY-2?

A

Proactive systems approach

Anticipate + prevent

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12
Q

What are they key capacities of resilient healthcare?

A

(1) Respond
(2) Learn - share from past experiences
(3) Monitor
(4) Anticipate

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13
Q

What is the SAFETY-2 definition of ‘safety’?

A

As many things as possible go right

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14
Q

What is the safety management principle of SAFETY-2?

A

Proactive

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15
Q

What is the attitude to the human factor of SAFETY-2?

A

Humans are a resource

Flexibility + resilience

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16
Q

What is the view of performance variability of SAFETY-1?

A

Harmful + should be prevented if possible

17
Q

What is the view of performance variability of SAFETY-2?

A

Inevitable but also useful

Monitored + managed

18
Q

How is ‘patient safety’ defined?

A

Maximising the tings that go right and minimising the things that go wrong

19
Q

What is the role of a Medication Safety Officer (MSO)?

A

(1) Managing medication incident reporting
(2) National Medication Safety Network
(3) Member of the Medication Safety Committee

20
Q

What are the three prioritised areas of mediation safety, according to the WHO?

A

(1) Medication safety in high-risk situations
(2) Medication safety in poly pharmacy
(3) Medication safety in transitions of care

21
Q

What is the traditional approach to medication safety?

A

SAFETY-1 model

22
Q

What is a safety walkabout?

A

Asking staff for their concerns + feedback

What went well etc

23
Q

How, generally, can everyday hospital care be improved?

A

(1) Individuals
(2) Teams
(3) Systems

24
Q

What are LASA?

A

Look-alike sound-alike errors

25
Q

What shift in framework is currently taking place in pharmacy medication safety?

A

Accountability TO reflection + learning

Part 4 – PM4B Ali (19 decks)

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