1.2 |
The pharmacy does not routinely record mistakes that happen, including the investigation of dispensing errors. The team are not able to show what learning they have implemented following mistakes to make services safer. |
We have had a meeting with all dispensary staff and reminded all the importance of recording all minor error in the log. We have located the dispensing errors folder and the importance of completing this has been explained to all staff. At present, we have downloaded the Community Pharmacy Medication Safety Incident (Pharmacy Error) Report Form. This will enable the recording of errors and review of errors. A meeting has been scheduled on a fortnightly/monthly basis during lunch break to discuss findings and implementation of recommendations. For future we have recently signed up to and are exploring online tools eg pharmsmart to record dispensing incidents/errors. The idea is to enable staff to record errors easily eg through a qr code and encourages compliance with reporting. A report is then generated that can be discussed with all staff and outcomes are recorded in the tool. |
16/01/2025 |
28/01/2025 |
1.6 |
The pharmacy team do not keep all of the necessary records for the responsible pharmacist, private prescriptions, unlicensed specials, and controlled drugs. |
The RP log has been brought up to date. All pharmacists have been reminded of signing in when they assume duties of the RP. The pharmacy team have had training on entering prescriber details onto the computer records and the pharmacists have been reminded to check this information before checking the prescription to hand out. We have updated all unlicensed specials records. All dispenser staff have been trained on how to record the relevant information. A single staff has been given the responsibility to double check that this information is complete on a regular basis. The pharmacists have been reminded on their responsibility on recording all information regarding CDs receipts, dispensing and pt returns. One of the regular pharmacists has been assigned duty to do weekly checks on the CD register. |
16/01/2025 |
28/01/2025 |
1.7 |
The pharmacy does not adequately protect people’s information. It shares NHS smartcards and does not have an effective method to destroy its confidential waste. |
All dispensers have now either received personal smart cards or at the least have applied via NHS and are awaiting smartcards. All previous confidential waste has been shredded, and the staff are encouraged to stay on top of this daily. |
16/01/2025 |
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4.3 |
The pharmacy does not always store fridge medicines in a monitored fridge to ensure they are stored at the correct temperature. And some liquid medicines do not have details about when they had been opened. So the team cannot be sure if they remain fit for purpose. |
The fridge that was originally for food items has now been labelled as such and includes a notice not to store medication in it. All medicines requiring refrigeration have been placed in the temperature-controlled fridges. All opened bottles with no opening dates have been destroyed via doop. All staff have been reminded to record the opening date on all medicines when they are opened and follow storage instructions appropriately. |
02/01/2025 |
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