Whether pharmacists will report near-misses is highly influenced by the overall safety culture.J Patient Saf. 2014 Aug 12; [Epub ahead of print].
A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists.
Patterson ME, Pace HA. J Patient Saf. 2014 Aug 12; [Epub ahead of print].
This cross-sectional analysis sought to determine how a punitive work environment, poor feedback about errors, and inadequate preventive processes affect near-miss reporting by hospital pharmacists. Using data from the AHRQ Hospital Survey of Patient Safety Culture, researchers found that pharmacists who believed error prevention procedures and error feedback to be insufficient were less likely to report near misses. A work culture in which individuals are blamed for errors was also tied to less near-miss reporting, similar to other studies of safety culture. This study underscores the consistent finding that frontline health care personnel are more likely to participate in safety efforts when they perceive that their workplace is receptive to error reporting and develops interventions to address concerns raised. A previous AHRQ WebM&Mperspective explores the evidence on safety culture over the past decade.
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions.
American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. 2005;79:45-46.
Developing a medication patient safety program, part 2: process and implementation.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:249–254.
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Associations between communication climate and the frequency of medical error reporting among pharmacists within an inpatient setting.
Patterson ME, Pace HA, Fincham JE. J Patient Saf. 2013;9:129-133.