Scobie Andrea C, Boyle Todd A, Mackinnon Neil J, Mahaffey Thomas
Can Pharm J (Ott). 2012 May;145(3):e1-6. doi: 10.3821/145.3.cpje1.
This research explores how perceptions of head office commitment to quality-related event (QRE) reporting differ between pharmacy staff type and between pharmacies with high and low QRE reporting and learning performance. QREs include known, alleged or suspected medication errors that reach the patient as well as medication errors that are intercepted prior to dispensing.
A survey questionnaire was mailed in the spring of 2010 to 427 pharmacy managers, pharmacists and pharmacy technicians in Nova Scotia. Nonparametric statistics were used to determine differences based on pharmacy staff type and pharmacy performance. Content analysis was used to analyze the responses to open-ended survey questions.
A total of 210 surveys were returned, for a response rate of 49.2%. However, the current study used only the subgroup of pharmacy staff who self-reported working at a chain pharmacy, for a total of 124 usable questionnaires. The results showed that community pharmacies viewed head office commitment to QRE reporting as an area to improve. In general, high-performing pharmacies ranked head office commitment higher than low-performing pharmacies.
One possible reason why high-performing pharmacies ranked the variables higher may be that increased levels of head office support for QRE processes have led these pharmacies to adopt and commit to QRE processes and thus increase their performance.
Demonstrated commitment to QRE reporting, ongoing encouragement and targeted messages to staff could be important steps for head office to increase QRE reporting and learning in community pharmacies.
本研究探讨了药房员工类型之间以及质量相关事件(QRE)报告和学习绩效高低不同的药房之间,对总部致力于QRE报告的认知差异。QRE包括已发生、声称或疑似的导致患者用药错误以及在配药前被拦截的用药错误。
2010年春季,向新斯科舍省的427名药房经理、药剂师和药房技术员邮寄了调查问卷。采用非参数统计来确定基于药房员工类型和药房绩效的差异。内容分析用于分析对开放式调查问题的回答。
共收回210份调查问卷,回复率为49.2%。然而,本研究仅使用了自我报告在连锁药房工作的药房员工子群体,共获得124份可用问卷。结果表明,社区药房将总部对QRE报告的投入视为一个需要改进的领域。总体而言,高绩效药房对总部投入的排名高于低绩效药房。
高绩效药房对这些变量排名较高的一个可能原因是,总部对QRE流程的支持水平提高,促使这些药房采用并致力于QRE流程,从而提高了它们的绩效。
对QRE报告表现出的投入、持续的鼓励以及向员工传达有针对性的信息,可能是总部提高社区药房QRE报告和学习水平的重要举措。