Description
Determination of which contributing factor(s) related to policies or procedures are known.
On-Screen Instructions
Select all that apply.Field Type
Checkbox (multiselect)Responses
Clarity of policy or procedure
Lack of clarity of a policy or procedure (either as written or understood) contributed to the event.
Policy or procedure absent
Absence of a policy or procedure contributed to the event.
Includes
Excludes
Outdated policy or procedure (select "Other policy or procedure factor")
Pharmacist, technician or staff unfamiliar with policy or procedure
Pharmacist’s or staff member’s lack of familiarity with the policy or procedure contributed to the event.
Includes
Incomplete understanding
Acting based on an older version of the policy or procedure
Excludes
Pharmacist or staff familiar with policy or procedure, but performed it incorrectly (select “Organizational: staff competencies”)
Policy or procedure unrealistic
Policy or procedure was not adhered to because it was felt to be unrealistic, which contributed to the event.
Policy or procedure too cumbersome
Policy or procedure was not adhered to because it was felt to be too cumbersome, which contributed to the event.
Work-around more efficient
Policy or procedure was not followed because a work-around was felt to be more efficient, which contributed to the event.
Other (please describe)
Any other factor related to procedures or policies, not included in the list above, which contributed to the event.
Includes
Outdated policy or procedure; policy or procedure is inconsistent with guidelines from professional associations
Policy or procedure is inaccurate
Policy or procedure is poorly presented or formatted
Excludes
Policy or procedure not followed (select appropriate available category: Pharmacist, technician or staff unfamiliar with policy or procedure; Policy or procedure too cumbersome; Policy or procedure unrealistic, Work-around more efficient)
Guide for Use
If “Other” is selected, a text box for a description will also appear.History
Start Date | 2006 |
|---|---|
End Date | n/a |
Change History | 2013: PSRP implementation |