Barthélémy Isabelle, Lebel Denis, Vaillancourt Régis, Niro Chris, Mitchell Jonathan, Bussières Jean-François
, DPharm, is a Research Assistant with the Pharmacy Practice Research Unit, Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec. She is also a pharmacy intern at the Université Lyon, Lyon, France.
, BPharm, MSc, is Assistant Director of the Pharmacy Department and the Pharmacy Practice Research Unit, Centre hospitalier universitaire Sainte-Justine, Montréal, Quebec.
Can J Hosp Pharm. 2014 Mar;67(2):108-15. doi: 10.4212/cjhp.v67i2.1335.
A recent symposium on change management highlighted the relatively slow pace of change in the drug-use process. This study was undertaken to determine the degree of concordance between different sources that document levels of conformity with optimal drug-use processes.
The primary objective was to compare aggregate national results from the Managing Medications Standards (MMS) of Accreditation Canada and results from the biennial Hospital Pharmacy in Canada survey. The secondary objective was to discuss any significant discrepancies between the 2 sources.
In this retrospective cross-sectional study, attempts were made to pair each Accreditation Canada MMS criterion with specific results from the Hospital Pharmacy in Canada 2009/2010 Report. Average conformity per criterion from the 2010 Accreditation Canada on-site surveys was compared with conformity as documented in the Hospital Pharmacy in Canada 2009/2010 Report. A discrepancy ratio was calculated for each criterion, with ratios less than 0.80 or greater than 1.20 being considered significant.
Overall, 82 (61%) of 134 MMS criteria could be paired with results from the 2009/2010 Hospital Pharmacy in Canada survey. The average calculated discrepancy ratio (± standard deviation) between the 2 sets of results was 0.62 ± 0.29 (range 0.05 to 1.19). The average discrepancy ratios by domain were as follows: 0.49 for safely administering medications, 0.58 for accurately preparing and dispensing medications, 0.61 for working together to promote medication safety, 0.62 for carefully selecting and procuring medications, 0.69 for monitoring quality and achieving positive results, 0.71 for appropriately ordering medications and transcribing medication orders, and 0.76 for properly labelling and storing medications. For 59 criteria, there was a significant discrepancy between the 2010 MMS on-site surveys and the 2009/2010 Hospital Pharmacy in Canada survey.
Nearly two-thirds of the MMS criteria could be paired with results from the Hospital Pharmacy in Canada survey, but the average discrepancy ratio of 0.62 indicates substantial discrepancies in the data collected by these 2 methods. Further studies are required to explore the reasons for such discrepancies.
最近一次关于变革管理的研讨会强调了药物使用过程中变革的相对缓慢步伐。开展本研究以确定记录与最佳药物使用过程符合程度的不同来源之间的一致程度。
主要目的是比较加拿大认证管理药物标准（MMS）的全国汇总结果与加拿大医院药房两年一次调查的结果。次要目的是讨论这两个来源之间的任何显著差异。
在这项回顾性横断面研究中，试图将加拿大认证的每个MMS标准与《2009/2010年加拿大医院药房报告》的具体结果进行配对。将2010年加拿大认证现场调查中每个标准的平均符合率与《2009/2010年加拿大医院药房报告》中记录的符合率进行比较。计算每个标准的差异率，差异率小于0.80或大于1.20被视为显著差异。
总体而言，134个MMS标准中的82个（61%）可以与《2009/2010年加拿大医院药房报告》的结果配对。两组结果之间计算出的平均差异率（±标准差）为0.62±0.29（范围为0.05至1.19）。各领域的平均差异率如下：安全用药为0.49，准确配制和分发药物为0.58，共同促进用药安全为0.61，仔细选择和采购药物为0.62，监测质量并取得积极结果为0.69，适当订购药物和转录医嘱为0.71，正确贴标签和储存药物为0.76。对于59个标准，2010年MMS现场调查与《2009/2010年加拿大医院药房报告》之间存在显著差异。
近三分之二的MMS标准可以与加拿大医院药房调查的结果配对，但平均差异率0.62表明这两种方法收集的数据存在重大差异。需要进一步研究以探讨此类差异的原因。
