What does duty of candour mean? - ANSWER The Duty of Candour means
that healthcare providers are legally obligated to inform and apologise to
patients if there have been mistakes in their care that have led to significant
harm.
What are the four questions for patients to ask their clinician or nurse to
make better decisions together? (acronym "BRAN"): - ANSWER 1. What are
the Benefits?
2. What are the Risks?
3. What are the Alternatives?
4. What if I do Nothing?
Medication errors may relate to: - ANSWER • Prescribing
• Dispensing
• Preparing
• Administration
• Monitoring
• Medicines Advice
Where should all errors be reported? - ANSWER All errors should be reported
to the National Reporting and Learning System (NRLS), via their online
,reporting system. NRLS is the world's largest and most comprehensive
patient safety incident reporting system and receives over two million
reports each year.
As a pharmacist, when you become aware of an error (regardless of whether
the error was made by yourself or another member of the pharmacy team)
you should normally take the following steps: - ANSWER 1. Take all
reasonable steps to let the patient know, and do this promptly
2. Do what is necessary to make things right - this may include providing
appropriate advice, referral to another healthcare professional/service
3. Offer an apology
4. Make appropriate records (error recording and/or reporting) and let
colleagues know
What is meant by transition of care? - ANSWER A "transition of care" is
where a patient moves from one care setting to another. This includes
admission from own/care home to hospital, moving from one hospital ward
to another, discharge from hospital back to own home or to intermediate
care, and other care transitions.
In 2021, the Discharge Medicines Service (DMS) became an essential service
in the community pharmacy NHS contract. What is the DMS? - ANSWER The
DMS enables hospitals to digitally refer patients to their community
pharmacy after discharge to have their medicines checked. This service
involves elements of medicines reconciliation, identifying and addressing any
, medication-related issues/discrepancies and checking the patient's
understanding of their medicines, plus provision of advice as appropriate.
What is the aim of the DMS? - ANSWER The aim of the DMS is to improve
safety relating to medication during one of the most common transitions of
care - discharge from hospital
What is clinical governance? - ANSWER "a framework through which NHS
organisations are accountable for continually improving the quality of their
services and safeguarding high standards of care by creating an environment
in which excellence in clinical care will flourish"
[simpler: "the recognition and maintenance of good practice, learning from
mistakes and improving quality of services provided to patients"]
What does clinical effectiveness involve as a pharmacist? - ANSWER ✭
Advising people on the safe use of medicines and possible side effects,
allowing people to be able to ask about their medicines.
✭ Advising people on self-care and knowing when to signpost to another
healthcare professional.
✭ Ensuring people are only receiving the medicines that they need - both for
prescription and OTC medicines.
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