Table 2.

Sociotechnical factors related to medication safety

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