You are viewing the site in preview mode

Skip to main content

Advertisement

Table 2 Sociotechnical factors related to medication safety

From: Medication safety in community pharmacy: a qualitative study of the sociotechnical context

General themes Subordinate themes
(i) Relationships involving the pharmacist:
Peers Group norms
  Involvement of locums
Other health care professionals Collaboration with prescribers
  Pharmacist involvement in governance
Patients/customers Customer demands
  Trust in pharmacist
  Patient as final safety barrier
  Informing patients about safety issues
(ii) Demands on the pharmacist:  
Commercial Profitability vs safety
  Financial dependencies
  Budgetary constraints
Corporate Approach to governance
  Organisational culture
  Hierarchy and protection
Legal and regulatory Legal and regulatory sanctions
  Following the law vs meeting demands
  Support from regulator
  Regulator enforcing standards
(iii) Management and governance:  
Blame culture vs learning culture Allocating/accepting blame
  Learning from experience
  Openness and trust
  Being the target of blame
Formal vs informal processes Monitoring and audit
  Reporting and feedback
  Trust and engagement in governance
  Communities of practice
Protocols Quality assurance
  Individuality and professional autonomy
  Credibility and practicality
  Doing what's best for the patient
Work design Human-computer interaction
  Workspace
  Automation