Capturing medication safety culture in Saskatchewan community pharmacies using the Medication Safety Cultural Indicator Matrix
Canadian Pharmacists Conference ePoster Library. Chiu E. Jun 3, 2018; 217824
Edmond Chiu
Edmond Chiu
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Abstract
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Objectives: Standardized continuous quality improvement (CQI) programs are employed to assist pharmacies in recognizing medication incidents and developing solutions to prevent them. It is important to understand where practice culture surrounding medication safety stands to better support this endeavour. The objectives of this study were to explore the medication safety culture in Saskatchewan community pharmacies and identify whether pharmacies currently held a “blame-and-shame” (i.e. pathological) or “systems-oriented” (i.e. generative) attitude towards safety. Methods: The Medication Safety Culture Indicator Matrix (MedSCIM) tool, developed by the Institute for Safe Medication Practices Canada (ISMP Canada), was used to analyze two sets of medication incidents reported by community pharmacies in Saskatchewan from September 2013 to October 2017: one set was associated with patient harm, while another set contained randomly selected incidents from the top three types of medication incidents. Results: We analyzed 140 harm incidents: 42.8% of the reports were fully complete, 51.4% semi-complete, and 5.7% not complete. Of the 158 randomly selected top three types of incidents, 5.69% were fully complete, 70.25% semi-complete, and 24.05% not complete. Within the harm incidents, 13.5% implied a “blame-and-shame” culture, 40% reflected “reactive”, 30% indicated “calculative”, and 16.5% supported a “generative” safety culture. On the other hand, “blame-and-shame”, “reactive”, “calculative”, and “generative” safety culture were represented by 9.49%, 85.44%, 3.79%, and 1.26%, respectively, of the randomly selected top three types of incidents. Conclusions: Our MedSCIM analysis reveals that there is still work to be done to facilitate medication safety culture towards a more “systems-oriented” or “generative” attitude and it appears that community pharmacy professionals tend to do so more often if patient harm is involved in the incident. Our study offers a baseline of medication safety culture in Saskatchewan community pharmacies as the provincial mandatory standardized CQI program is being rolled out in 2018.
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