| Nature of error |
Severity of outcome |
29 |
all categories |
| Type of drug |
4 |
doctor, pharmacist, assistant medical officer |
| Frequency of errors |
8 |
FMS, doctor, pharmacist, pharmacist assistant |
| Unimportant errors |
7 |
doctor, pharmacist, pharmacist assistant, assistant medical officer |
| Repetition of errors |
8 |
doctor, pharmacist, pharmacist assistant, assistant medical officer |
| Reporting system |
Reporting mode |
|
|
| • MERS (online and/or paper-based) |
5 |
pharmacist |
| • PF and/or QAP form |
9 |
pharmacist, pharmacist assistant |
| • Incident Reporting |
7 |
FMS, doctor, assistant medical officer, nurse |
| • Daily activity log book |
4 |
nurse |
| • Verbal |
5 |
doctor, assistant medical officer, pharmacist assistant |
| Confidentiality |
4 |
doctor, pharmacist, pharmacist assistant |
| Reporting form |
5 |
doctor, pharmacist, nurse, pharmacist assistant |
| Targeted reporting |
5 |
pharmacist |
| Organisational factors |
Education and training |
21 |
all categories |
| Push factor |
9 |
pharmacist, pharmacist assistant, assistant medical officer, nurse |
| Dedicated officer |
5 |
doctor, pharmacist, assistant medical officer |
| Feedback |
10 |
FMS, doctor, pharmacist |
| Maintain professional relationship |
4 |
pharmacist, assistant medical officer |
| Maintain clinic reputation |
3 |
doctor, pharmacist, assistant medical officer |
| Reporting culture |
|
|
| • Blaming culture |
2 |
pharmacist, assistant medical officer |
| • Concern of superiors’ reaction |
4 |
pharmacist, nurse |
| • Concern of repercussion from patient |
3 |
FMS, doctor |
| • Concern of colleague’s reaction |
1 |
pharmacist assistant |
| • Concern others will know |
2 |
nurse, pharmacist assistant |
| • Concern of getting low mark in annual performance appraisal |
2 |
pharmacist assistant |
| • Concern of being labelled as incompetent staff |
1 |
doctor |
| Reporter’s burden |
Overlapping reporting |
6 |
pharmacist, pharmacist assistant |
| Workload pressure |
10 |
FMS, doctor, pharmacist, assistant medical officer |
| Shortage of staff |
4 |
doctor, pharmacist, pharmacist assistant |
| Huge paperwork |
5 |
pharmacist |
| Provider related factors |
Unknowingness |
13 |
FMS, doctor, pharmacist assistant, assistant medical officer, nurse |
| Role in reporting |
21 |
all categories |
| Responsibility |
16 |
all categories |
| Routine task |
4 |
nurses |
| Benefit from reporting |
Change in practise |
18 |
all categories |
| Prevent reoccurrence |
8 |
FMS, doctor, pharmacist, assistant medical officer, nurse |
| Self-protection |
7 |
doctor, pharmacist, assistant medical officer, pharmacist assistant, nurse |
| Vigilance |
5 |
FMS, assistant medical officer, pharmacist assistant, nurse |
