Table 2 |
|
|
Sociotechnical factors related to medication safety |
|
|
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 |
|
|
|
|
|
Phipps et al. BMC Health Services Research 2009 9:158 doi:10.1186/1472-6963-9-158 |
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