Lesar Timothy, Mattis Arnold, Anderson Ernest, Avery Jean, Fields John, Gregoire Jill, Vaida Allen
Albany Medical Center, Albany, New York, USA.
Jt Comm J Qual Saf. 2003 May;29(5):211-26. doi: 10.1016/s1549-3741(03)29026-2.
The 194-item Institute for Safe Medication Practices (ISMP) Medication Safety Self-Assessment for hospitals is being used by a 21-hospital collaborative as a framework for understanding, evaluating, and systematically implementing medication use system safety improvements.
The results of the self-assessment were used to prioritize and organize the review of medication use processes, in which each self-assessment-defined "representative characteristic" is reviewed in detail, and "best implementation practices" for the characteristic are established. The collaborative concurrently identifies educational needs and develops tools to assist organizations in implementing improvements.
By December 2002 participating organizations had implemented a wide variety of medication safety improvements. Collaborative member scores for the self-assessment increased approximately 20% during the initial assessment when the self-assessment was repeated by members in the second quarter of 2002.
Participant progress in improving medication safety practices is supportive of collaborative methods and the value of completing the ISMP self-assessment, expanding on the knowledge gained, developing effective implementation tools, and systematically applying lessons learned.
一个由21家医院组成的协作组织将194项的安全用药实践研究所（ISMP）医院用药安全自我评估作为理解、评估和系统实施用药系统安全改进的框架。
自我评估结果用于确定用药流程审查的优先级并进行组织，其中会对每个自我评估定义的“代表性特征”进行详细审查，并为该特征确立“最佳实施实践”。该协作组织同时确定教育需求并开发工具，以协助各机构实施改进措施。
到2002年12月，参与机构已实施了各种各样的用药安全改进措施。当协作成员在2002年第二季度重复进行自我评估时，初次评估期间自我评估的协作成员得分提高了约20%。
参与者在改进用药安全实践方面取得的进展支持了协作方法以及完成ISMP自我评估的价值，即在此基础上扩展所获知识、开发有效的实施工具并系统应用所学经验教训。
