Domain 7
Patient Safety,
including Safe Prescribing
As an overarching principle, HK Doctors document stated :
"It is the duty of the Medical Council to protect, promote and maintain the health and safety of the public by ensuring the professional standard of registered medical practitioners. A high standard of medical education is required to meet the needs of the public. Patient safety must be the overriding priority at all stages of medical education and training. A doctor practising safe medicine must also be an ethical doctor."
Basic Training
Learning Objectives
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Understand the importance of patient safety and apply its principles in child safety, namely sedation and procedural safety and injury prevention.
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Select and prescribe common medications safely and appropriately for CYP.
Key Capabilities
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Apply the prevailing guidelines in drug prescription.
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Educate CYP on the safe use of medicine and their side effects
Illustrations
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Prescribe appropriate fluid therapy for newborns to young adults
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Prescribing antibiotics rationally and understand antibiotics stewardship programme.
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Prescribing sedatives, analgesics and opioids safely
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Practice measures to reduce prescription and medication errors (e.g. writing legibly, avoid unconventional abbreviations)
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Be knowledgeable of drug interactions of commonly used drugs
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Uses therapeutic drug monitoring to adjust dosing schedules.
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Familiarize the common side effects of common prescribed drugs
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Prescribe medications to CYP with an understanding of the pharmacokinetics, pharmacogenetics, dose calculation and dosage adjustment in renal and liver impairment.
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Understand the effect of maternal drugs on infants receiving breast milk.
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Safely prescribe parenteral nutrition
Higher Training
Learning Objectives
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Identify, report, investigate and mitigate actual and potential risks in clinical management
Key Capabilities
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Perform risk reporting and participate in the investigation and mitigation using the existing mechanisms
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Counsel CYP and the family on the safety implications of drug compliance and handle complicated compliance issues
Illustrations
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Demonstrates a working knowledge of risk assessment and its application
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Applies local policies for risk reporting.
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Effectively manages a complaint and learns from clinical errors.
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Discussion with CYP & family (especially chronic disease on medications) the importance of compliance, common side effects, and way for communication once problem encountered
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Understand idiosyncratic drug reactions like exanthematous drug eruption associated with antiepileptic drugs and antimicrobials.
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Carry out investigations of medication errors