Introduction to PP&P Flashcards
(16 cards)
What contributes to medication error in the workplace? (2)
Blame culture and system theory
What is blame culture?
Views individuals as the reason for errors
What is system theory?
The system is the reason for error
What is Just culture?
Creating open and fair system that encourages learning
Where can we report medication error in practice?
NSW Health Incident Management System and Professional Defence Limited
What is IMS+
Helps with policy changes and strategy development to avoid future errors.
What is PDL?
Pharmacist based database which helps create database of errors to implement changes for pharmacists.
How can we avoid Look Alike Sound Alike errors?
Store by therapeutic class, barcode scanning, National tall man lettering for healthcare professionals, store similar boxes away from each other.
What is Selective Attention Theory (SAT)?
Theory that explains how people focus on relevant information while ignoring distractions.
How can SAT be an issue?
People may only focus on certain things and assume everything else is correct.
What are the four types of double checks?
Independent, do and show, together and watching.
What is an independent double check?
Student 1 and 2 do their work separately and then compare.
What is a do and show double check?
Student 1 shows their work to student 2 and they double check.
What is a together double check?
Student 1 and 2 complete their work together verbally.
What is a watching double check?
Student 2 watches student 1 do their work.
Why are double checks controversial?
Glanceman Test means people will usually just glance over the work and not check
