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Maria Miller 847 ppt
 

Maria Miller 847 ppt

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    Maria Miller 847 ppt Maria Miller 847 ppt Presentation Transcript

    • Cognitive Apprenticeship in a Long-Term Care Pharmacy Maria Miller Clemson University
      • Green Pharmacy dispenses prescriptions to residents of long-term care facilities
      • Problem: packaging mistakes leading to potentially harmful or fatal patient outcomes
            • Wrong medication
            • Wrong strength
            • Wrong quantity
      • Adverse outcomes to medication errors can produce serious results
      • Sub-theraputic or overdosing
      • Patient harm or death
      • Legal action
      • Fines
      • Loss of licensure
      • Green Pharmacy went on a Performance Improvement/Root Cause Analysis journey to determine the cause of packaging errors
      • The analysis determined that the performance gap was due to training issues
      • Pharmacy technicians spend 9 months in a classroom-based vocational training program
      • New technicians begin work without much hands-on experience
      • They learn the trade by being paired with an experienced technician
    • The Apprenticeship Model
      • Modeling : the instructor demonstrates and narrates how to perform a task
      • Coaching : the student performs the task while the instructor watches and coaches
      • Scaffolding : as the student becomes increasingly more competent, the instructor pulls away support
      • Instructors would explain how to perform tasks, but not necessarily why a task needed to be performed a particular way
      • The work was not organized in a way conducive to training a new technician
      • Having multiple instructors made it difficult for trainees to see the ‘big picture’ view
      • Sometimes trainees picked up bad habits
      The downside to the apprenticeship model
    • The Cognitive Apprenticeship Model
      • Adds these features
      • Articulation : the trainer questions the student and also stimulates the student to ask questions
      • Reflection : encouraging the student to be aware of his/her own strengths and weaknesses
      • Exploration : encouraging students to formulate and pursue learning goals
      • The cognitive apprenticeship model bridges the gap between schooling and work by helping students use the information learned in school within the context of the work setting
      • Knowledge + Appropriate Training = Success
    • Conclusion
      • Green Pharmacy has adopted the cognitive apprenticeship model to training new pharmacy technicians with the expectation that better trained technicians will make fewer errors