PATIENT SAFETY into three distinct sections;
UK Rebalancing Programme a catalyst for change box 1
• Three work streams
• Changes to dispensing errors legislation Recognise fear of prosecution for inadvertent dispensing errors affects level of reporting and therefore the learning from these errors.
• Roles and responsibilities of responsible pharmacist and superintendent pharmacist:
• Supervision: identify restrictions that may impede the full use of the skills of the pharmacy workforce or restrict practice development and innovation
• the background and the need for change
• existing culture
• an opportunity to share best practice and apply quality improvement in practice.
They highlight quality improvement tools and approaches that have already been tested within the Scottish Patient Safety Programme (SPSP) Primary Care in Community Pharmacy. Attendance complements the e-learning modules recommended within the circular and includes an overview of the Safety Climate Survey. The format is interactive and engaging, providing an opportunity to identify and share best practice with your peers.
Key messages from dispensing errors work •
Box 1 •
New defence against inadvertent dispensing errors (e.g. clinical check, supply, counselling) made by registered pharmacists and registered pharmacy technicians.
•
Dispensing errors are an opportunity to learn and improve practice. Recognises that current situation has led to a punitive culture.
•
Department of Health and Scottish Government are looking for a continuous focus on patient safety increased reporting of errors and increased learning
•
In Scotland we will deliver this through embedding quality improvement tools and approaches
To date, the workshops have been well attended by independents, multiples and hospital staff and well received. Evaluations indicate that we are achieving the aims and people are keen to engage with the Safety Climate Survey and have more opportunities to use quality improvement tools to drive positive changes and safer practice. A huge number of top tips have been shared. These include the use of ‘safety doors’ - making sure near-miss logs are simple and easily available, with weekly or monthly safety huddles involving all the team.
Quality improvement in Pharmacy and Primary Care - Safety Climate Survey September 2016 Box 2
•8 on line modules plus completion of •Survey results presented under 5 key
themes: •
- Leadership •- Team Work
•- Safety Systems and Learning •- Communications -Working Conditions
18 - SCOTTISH PHARMACIST -
http://www.sehd.scot.nhs.uk/pca/PCA2016(P)15.pdf
On a more sobering note, real challenges remain. Many of us feel that we are working in a punitive culture, and that communication within teams could improve. Both of these are something that the Rebalancing Programme and the Safety Climate Survey set out to address.
HOW TO GET INVOLVED Reducing variation and error is something that every pharmacy team wants to achieve, which is why it is so important to share safety issues and best practice across all teams.
We are encouraging pharmacy teams from community and hospital pharmacy to attend the Roadshows and share their experiences with each other. Please check the NES Spring programme (
https://portal.scot.nhs. uk/) for local events and look out for RPS and local NHS Board events before end of May 2016. Follow- up events are also in thepipeline, which will be designed around what attendees at the pharmacy quality roadshows asked for. •
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