Health-System Pharmacy Administration Resident, University of Kansas Hospital (KUH), Kansas City, USA.
Am J Health Syst Pharm. 2011 Apr 15;68(8):689-94. doi: 10.2146/ajhp100212.
The use of recommended practices for preventing and detecting diversion of prescription controlled substances at U.S. acute-care institutions, as reported by a sample of pharmacy service providers, were characterized.
A 41-item questionnaire was developed for an online survey of directors of pharmacy regarding strategies to combat controlled-substance diversion at their institutions. The survey questions were based on recommendations presented in a 2007 series of articles in the professional literature focusing on diversion control in three areas (the pharmacy, the operating room, and nursing units). Only institutions that had an accredited pharmacy residency program or were members of the University HealthSystem Consortium (UHC), an alliance of U.S. academic medical centers and affiliated hospitals, were targeted for the survey. Four hundred ninety-nine pharmacists were invited to participate in the survey, and 140 survey responses were received; all respondents did not answer all questions.
The survey responses indicated considerable variation among the institutions in the use of 37 specific recommended practices, as reported by the pharmacy providers. Statistical analysis of comparative data suggested that larger institutions (400 or more licensed beds) were more likely to be using more of the recommended practices.
The results of a survey of directors of pharmacy at a sample of U.S. institutions (hospitals that had pharmacy residency programs or were UHC members) suggest wide variation in facilities' use of recommended practices for the prevention and detection of controlled-substance diversion.
本研究旨在描述美国急症护理机构的药剂服务提供商报告的推荐实践在预防和检测处方管制药物滥用方面的使用情况。
针对机构内对抗管制药物滥用的策略，我们为药剂主管开发了一份 41 项的在线调查问卷。这些调查问题基于专业文献中 2007 年三篇系列文章中的建议，重点关注三个领域（药房、手术室和护理单元）的药物滥用控制。这项调查仅针对拥有认证药剂实习项目或隶属大学健康联盟（UHC）的机构，这是一个由美国学术医疗中心和附属医院组成的联盟。邀请了 499 名药剂师参与调查，共收到 140 份调查回复；所有回复者并非都回答了所有问题。
药剂服务提供商报告的调查回复显示，在 37 种具体推荐实践的使用方面，各机构之间存在相当大的差异。对比较数据的统计分析表明，较大的机构（拥有 400 张或更多床位）更有可能采用更多的推荐实践。
对美国医疗机构（拥有药剂实习项目或隶属 UHC）的药剂主管进行的调查结果表明，在预防和检测管制药物滥用方面，各机构对推荐实践的使用存在广泛差异。
