Teinilä Tuula, Halmepuro-Jaatinen Suvi, Yritys Kirsi, Manni Katri, Airaksinen Marja
Division of Social Pharmacy, Faculty of Pharmacy, University of Helsinki, Finland.
Int J Pharm Pract. 2012 Feb;20(1):15-24. doi: 10.1111/j.2042-7174.2011.00158.x. Epub 2011 Sep 19.
To adapt a US Institute for Safe Medication Practices' Medication Safety Self Assessment (MSSA) tool to, and test its usefulness in, Finnish community pharmacies.
A three-round Delphi survey was used to adapt self-assessment characteristics of the US MSSA tool to Finnish requirements, and to obtain a consensus on the feasibility and significance of these characteristics in assessing the safety of medication practices in community pharmacies. The Delphi modified self-assessment tool was piloted in 18 community pharmacies in order to refine the tool, using a questionnaire containing structured and open-ended questions.
A total of 211 self-assessment characteristics were accepted to the self-assessment tool for pilot use by expert panellists in the Delphi rounds. Most pilot users considered the tool as useful in: identifying medication safety targets for development; medication safety assessment; and identifying the strengths of medication safety. The substance of the self-assessment tool was considered as comprehensive and essential for medication safety. Most criticism was regarding: the multiplicity of self-assessment characteristics; interpretation of some characteristics; and that all the characteristics were not yet available. After the modification, according to the pilot users' comments, the final Finnish tool consisted of 230 medication safety characteristics.
The study indicated the feasibility of adapting a US medication safety self-assessment tool for use in community pharmacy practice in Finland. More efforts should be made to familiarise Finnish community pharmacists with the self-assessment tool and its benefits, and get them to use the tool as part of their long-term quality improvement.
使美国安全用药实践研究所的用药安全自我评估（MSSA）工具适用于芬兰社区药房，并测试其在芬兰社区药房的实用性。
采用三轮德尔菲调查，使美国MSSA工具的自我评估特征符合芬兰的要求，并就这些特征在评估社区药房用药实践安全性方面的可行性和重要性达成共识。在18家社区药房对经过德尔菲修改的自我评估工具进行试点，以完善该工具，使用包含结构化和开放式问题的问卷。
在德尔菲调查轮次中，专家小组成员共接受了211项自我评估特征用于试点的自我评估工具。大多数试点用户认为该工具在以下方面有用：确定用药安全发展目标；用药安全评估；以及识别用药安全优势。自我评估工具的内容被认为全面且对用药安全至关重要。大多数批评意见涉及：自我评估特征的多样性；某些特征的解释；以及并非所有特征都已具备。修改后，根据试点用户的意见，最终的芬兰工具包含230项用药安全特征。
该研究表明将美国用药安全自我评估工具改编用于芬兰社区药房实践是可行的。应做出更多努力，使芬兰社区药剂师熟悉自我评估工具及其益处，并促使他们将该工具作为其长期质量改进的一部分加以使用。
