Competency Area R2: Quality, Safety and Process Improvement

Members of the Section of Pharmacy Practice Leaders (SPPL) identified these resources that may be incorporated into the program content in order to develop a well-rounded Health-System Pharmacy Administration and Leadership (HSPAL) resident. Below is an optional list of educational resources for residents to reference to enhance their learning experiences and is in no way a requirement for completion of their residency program or necessary for program accreditation.

• Goal R2.1: Apply methods for measuring and improving internal and external customer satisfaction with pharmacy services.

  • Objective R2.1.1: (Applying) Participate in an assessment of customer satisfaction with a specific aspect of pharmacy services.
    • Error Root Cause and Analysis. BJA Education, 17 (10): 323–333 (2017).
    • National Patient Safety Foundation. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015.
    • Root Cause for Beginners. Quality Progress. 37(7):45-53 (2004).
    • Guidance for Performing Root Cause Analysis (RCA) with Performance Improvement Projects (PIPs)
      
      

• Goal R2.2: Participate in coordination of a safety oversight program.

  • Objective R2.2.1: (Applying) Participates in medication safety oversight programs.
    • Nebeker JR, Barach P, Samore MH.Clarifying Adverse Drug Events: A Clinician’s Guide to Terminology, Documentation, and Reporting. Ann Intern Med. 2004; 140:795-801.
    • Reason J. Human error: models and management. BMJ. 2000; 320:768–70.
    • Smith GC, Pell JP. Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials. BMJ. Dec 20;327(7429):1459-61.
  • Objective R2.2.2: (Evaluating) Lead a root cause analysis, gap analysis, or other safety assessments based on a significant patient safety event.
    • American Society of Health-System Pharmacists. ASHP guidelines on preventing medication errors in hospitals. Am J Health-Syst Pharm. 2018; 75:1493–1517.
    • Burs LH, Cohen MR, Denham CR. A New Leadership Role for Pharmacists: A Prescription for Change. J Patient Saf. 2010 Mar;6(1):31-7.
    • Fasset WE. Key Performance Outcomes of Patient Safety Curricula: Root Cause Analysis, Failure Mode and Effects Analysis, and Structured Communications Skills. Am J Pharm Educ. 2011; 75 (8) Article 164.
  • Objective R2.2.3: (Creating) Participate in the development or revision of the pharmacy’s quality improvement plan or policy.
    • American Society of Health-System Pharmacists. ASHP guidelines on preventing medication errors in hospitals. Am J Health-Syst Pharm. 2018; 75:1493–1517.