Boyle Todd A, Bishop Andrea C, Hillier Chris, Mahaffey Thomas, MacKinnon Neil J, Zwicker Bev
Schwartz School of Business, St Francis Xavier University, Antigonish, Nova Scotia, Canada.
J Pharm Pract. 2014 Apr;27(2):138-49. doi: 10.1177/0897190013508138. Epub 2013 Oct 22.
Continuous quality improvement (CQI) programs provide an effective means to improve the safety and quality of community pharmacy practice. The role of formal support processes in ensuring the success of these CQI programs is explored in this research using the SafetyNET-Rx project.
The primary objectives of this research were to determine how knowledge of, and confidence in, mandated CQI standards differs among pharmacies with access to formal support mechanisms and those without and the challenges faced by both.
A survey questionnaire was mailed to 179 community pharmacies in Nova Scotia, Canada, in spring 2011. Quantitative results were analyzed using the Mann-Whitney U test for nonparametric data. Qualitative open-ended responses were analyzed using content analysis.
Performing the Mann-Whitney U test indicated that a number of differences exist between the 2 groups with respect to: (1) staff knowledge of reporting quality-related events (QREs) to an anonymous database; (2) conducting annual pharmacy safety self-assessments; (3) confidence in meeting these 2 elements; and (4) documenting changes to address QREs. A number of challenges were identified by respondents through the open-ended questions.
This research highlights the value of the active provision of formal support when developing standards related to quality improvement.
持续质量改进（CQI）项目为提高社区药房实践的安全性和质量提供了一种有效手段。本研究通过“SafetyNET-Rx”项目探讨了正式支持流程在确保这些CQI项目成功方面的作用。
本研究的主要目的是确定在有正式支持机制和没有正式支持机制的药房中，对法定CQI标准的了解程度和信心有何不同，以及两者面临的挑战。
2011年春季，向加拿大新斯科舍省的179家社区药房邮寄了调查问卷。定量结果采用非参数数据的曼-惠特尼U检验进行分析。定性的开放式回答采用内容分析法进行分析。
进行曼-惠特尼U检验表明，两组在以下方面存在一些差异：（1）员工向匿名数据库报告质量相关事件（QREs）的知识；（2）进行年度药房安全自我评估；（3）对满足这两个要素的信心；（4）记录为解决QREs而做出的变更。通过开放式问题，受访者确定了一些挑战。
本研究强调了在制定与质量改进相关的标准时积极提供正式支持的价值。
