Boyle Todd A, Bishop Andrea C, Overmars Craig, MacMaster Kaleigh, Mahaffey Thomas, Zwicker Bev, MacKinnon Neil J
Gerald Schwartz School of Business, St Francis Xavier University, Antigonish, Nova Scotia, Canada
Department of Psychology, Saint Mary's University, Halifax, Nova Scotia, Canada.
J Pharm Pract. 2015 Oct;28(5):442-9. doi: 10.1177/0897190014522066. Epub 2014 Feb 14.
Quality-related events (QREs), including medication errors and near misses, are an inevitable part of community pharmacy practice. As QREs have significant implications for patient safety, pharmacy regulatory authorities across North America are increasing their expectations regarding QRE reporting and learning. Such expectations, commonly encapsulated as standards of practice (SoP), vary greatly between pharmacy jurisdictions and may range from the simple requirement to document QREs occurring within the pharmacy, all the way to requiring that quality improvement plans have been put in place. This research explores the uptake of QRE reporting and learning SoP and how this uptake varies based on pharmacy characteristics including location, prescription volume, and pharmacy type. Secondary data analysis of 91 community pharmacy assessments in Nova Scotia, Canada, was used to explore uptake of QRE standards. Overall, pharmacies are performing relatively well on reporting QREs. However, despite initial success with basic QRE reporting, community pharmacy uptake of QRE learning activities is lagging.
与质量相关的事件(QREs),包括用药错误和险些发生的差错,是社区药房实践中不可避免的一部分。由于QREs对患者安全有重大影响,北美各地的药房监管机构对QRE报告和学习的期望越来越高。这些期望通常被概括为实践标准(SoP),在不同的药房辖区之间差异很大,可能从简单要求记录药房内发生的QREs,一直到要求制定质量改进计划。本研究探讨了QRE报告和学习SoP的采用情况,以及这种采用情况如何因药房特征(包括位置、处方量和药房类型)而有所不同。利用加拿大新斯科舍省91家社区药房评估的二级数据分析来探索QRE标准的采用情况。总体而言,药房在报告QREs方面表现相对良好。然而,尽管在基本的QRE报告方面取得了初步成功,但社区药房对QRE学习活动的采用却滞后了。