WELL (1028689) - Improvement action plan

The pharmacy team do not keep regular records of near miss mistakes. This means that they are not able to demonstrate learning from previous incidents.

• Ensure all pharmacy colleagues can log into the internal reporting system, QI and understand how to report a near miss and Patient Safety incident on QI tech.

• Arrange a team huddle to set expectation with the whole team around the reporting of any near misses and any patient safety incidents, which must be completed in a timely manner.

• Review all near misses and PSIs recorded on QI tech once a month.

• Record any learning identified from near misses and PSI on the monthly patient safety report.

• Near Miss Compliance sent to store twice per week. Monday and Thursday, to ensure compliance is met by the pharmacy team.

• To ensure the monthly Patient Safety Report is completed.

• Utilising QI Tech to assist the AOM to check compliance on Near Misses and monthly Patient Safety Report.

The pharmacy team did not store all medicines in containers which complied with legal requirements.

• Remove and dispose all medication stored in white boxes.

• Ensure any uncollected medication which is returned to pharmacy stock is either disposed of or correctly labelled with batch and expiry.