Bain Amie, Kavanagh Sallianne, McCarthy Sinead, Babar Zaheer
School of Applied Sciences, University of Huddersfield, Huddersfield HD1 3DH, UK.
Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield S5 7AU, UK.
Pharmacy (Basel). 2019 Jan 30;7(1):16. doi: 10.3390/pharmacy7010016.
Despite numerous strategies introduced to promote the safe use of insulin, insulin-related medication errors persist. Our aim was to examine the knowledge and self-reported confidence of a range of healthcare professionals regarding insulin use in a large teaching hospital in the North of England. A 16-item electronic questionnaire was prepared in light of locally reported insulin-related incidents and distributed electronically to all healthcare professionals at the hospital over a 4-week study period. A range of healthcare professionals, including nurses, pharmacists, pharmacy technicians, junior doctors and consultants, completed the questionnaires (n = 109). Pharmacists achieved the greatest percentage of mean correct answers overall (49%), followed by consultant doctors (38%) and pharmacy technicians (37%), junior doctors (34%) and nurses (32%). Healthcare professionals were mainly "slightly confident" in their knowledge and use of insulin. Confidence level positively correlated to performance, but number of years' experience did not result in higher confidence or performance. This small-scale study allowed for a broad assessment of insulin-related topics that have been identified both nationally and locally as particularly problematic. Identifying knowledge gaps may help tailor strategies to help improve insulin knowledge and patient safety.
尽管已推出多种策略来促进胰岛素的安全使用，但胰岛素相关用药错误仍然存在。我们的目的是调查英格兰北部一家大型教学医院中一系列医疗保健专业人员关于胰岛素使用的知识和自我报告的信心。根据当地报告的胰岛素相关事件编制了一份包含16个条目的电子问卷，并在为期4周的研究期间以电子方式分发给医院的所有医疗保健专业人员。包括护士、药剂师、药房技术员、初级医生和顾问在内的一系列医疗保健专业人员完成了问卷（n = 109）。总体而言，药剂师的平均正确答案百分比最高（49%），其次是顾问医生（38%）、药房技术员（37%）、初级医生（34%）和护士（32%）。医疗保健专业人员对自己胰岛素知识和使用的信心主要为“略有信心”。信心水平与表现呈正相关，但工作年限并未带来更高的信心或表现。这项小规模研究对国家和地方都已确定为特别有问题的胰岛素相关主题进行了广泛评估。识别知识差距可能有助于制定策略以提高胰岛素知识和患者安全。
