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