Use the quick links below to find the resources and information you need to implement and maintain Safety IQ in your pharmacy.
Analyze and Act
There are two types of analysis required in the Safety IQ program: proactive and reactive analysis.
Proactive analysis begins with a safety self-assessment (SSA). Pharmacy teams use an SSA to proactively analyze their systems and processes to identify areas of risk in their practice. Findings from the SSA are then used to develop an improvement plan to reduce risky practices and close any patient-safety gaps. For more information about SSAs, please visit the following link: http://safetyiq.academy/safety-self-assessment/
Reactive analysis is triggered when a medication incident harms a patient or a pattern of similar incidents or near-miss events emerges. The pharmacy team should immediately examine the incident, identify root causes, and openly discuss the incident with all staff. An improvement plan is then developed and implemented with the input of your team.
Understanding a problem is the key to its solution; however, we often jump too quickly from problem to solution without seeking a true understanding of its root cause(s). Sometimes we think we have found the cause of problem, but we are actually just examining a symptom.
There are many approaches to incident analysis, but the most important thing is to choose an approach that is right for your team. The suggested processes below are examples of simple methods you could use with your team to analyze medication incidents or patterns.
Adapted from the Institute for Health Improvement’s (IHI) Quality Improvement Essentials Toolkit.
Step One: Gather all the information you have about the incident or data trends you are examining. This may include an incident report, staff interview, or aggregate data reports.
Step Two: Conduct an analysis of the incident or data trend to discover root causes using ‘5 Whys’ and ‘Fishbone Diagramming.
Step Three: Develop and document an improvement plan that reduces or eliminates the root causes you identified in your analysis.
Step Four: Use ‘Plan, Do, Study, Act’ (PDSA) cycle to study your changes and ensure they are effective and haven’t introduced the root causes of a future medication incident.