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    Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic

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    Breen_et_al_RSAP.pdf (274.3Kb)
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    Publication date
    2022-09
    Author
    Peat, George W.
    Olaniyan, Janice
    Fylan, Beth
    Breen, Liz
    Grindey, C.
    Hague, I.
    Alldred, David P.
    Keyword
    Community pharmacy
    COVID-19 pandemic
    Resilient healthcare
    Patient safety
    Safety II
    Rights
    Crown Copyright © 2022 Published by Elsevier Inc. All rights reserved. Reproduced in accordance with the publisher's self-archiving policy. This manuscript version is made available under the CC-BY-NC-ND 4.0 license.
    Peer-Reviewed
    Yes
    Open Access status
    Green
    
    Metadata
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    Abstract
    Background The first UK wave of the Covid-19 pandemic in 2020 placed unprecedented stress on community pharmacy. Various policies and initiatives were announced during this period to support community pharmacy to continue to perform in a manner that prioritised patient safety. However, little is understood about how these policies and initiatives were implemented by staff working in community pharmacy, and the system adaptions and responses that were initiated to maintain patient safety. Objective The study aimed to investigate how staff working in UK community pharmacy during the first waves of the COVID-19 pandemic in 2020 responded and adapted to system stressors to maintain patient safety. Methods We adopted a qualitative interview approach, underpinned by Resilient Healthcare theory, with interview data collected between July 2020 and January 2021. Data were synthesised and analysed using Framework Analysis. Results 23 community pharmacy staff from England and Scotland were interviewed. We identified five themes supported by between two and six sub-themes: 1. Covid-19, an impending threat to the system. 2. Patient safety stressors during the first waves of Covid-19. 3. Altering the system, responding to system stressors. 4. Monitoring and adjusting. 5. Learning for the future. Conclusion Privileging the accounts of community pharmacy staff working on the frontline during the pandemic illuminated how responses and adaptions were developed and deployed, how continual monitoring occurred, and the factors that supported or hindered system resilience. The key learning derived from this study can serve to shorten the gap between ‘work as imagined’ and ‘work as done’, and in doing so, support the future resilience performance of community pharmacy during future outbreaks of Covid-19 or similar events.
    URI
    http://hdl.handle.net/10454/18735
    Version
    Accepted manuscript
    Citation
    Peat G, Olaniyan J, Fylan B et al (2022) Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Research In Social and Administrative Pharmacy. 18(9): 3534-3541.
    Link to publisher’s version
    https://doi.org/10.1016/j.sapharm.2022.01.004
    Type
    Article
    Collections
    Life Sciences Publications

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