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社区药店使用患者安全信息源的障碍。

Barriers to the use of patient safety information sources by community pharmacies.

机构信息

Dalhousie University, Halifax, Nova Scotia, B3H 4R2, Canada.

Saint Francis Xavier University, 5005 Chapel Square, Antigonish, Nova Scotia, B2G 2W5, Canada.

出版信息

Res Social Adm Pharm. 2019 Jul;15(7):895-901. doi: 10.1016/j.sapharm.2019.02.015. Epub 2019 Feb 27.

DOI:10.1016/j.sapharm.2019.02.015
PMID:30852087
Abstract

BACKGROUND

When patient safety information is communicated across a regulatory jurisdiction or country, the potential to enhance the safety of community pharmacy practice is significant. While there currently exists a number of sources for patient safety information (e.g., websites, safety bulletins, online tools), knowledge of the barriers that may inhibit the use of such information sources within community pharmacies is limited.

OBJECTIVE

This research explores community pharmacy manager use of Canadian patient safety information sources and the barriers that may limit the use of such sources.

METHODS

A qualitative research study design using semi-structured interviews was conducted with 15 community pharmacy managers in the Halifax Regional Municipality of Nova Scotia, Canada. The study explored how pharmacists access and engage a variety of information sources, including corporate intranets, websites, and tools provided by third party data base repositories. Interview data were analyzed using thematic analysis.

RESULTS

Five general barriers were identified: lack of time to access information sources and its contents; too many sources of available information; too much information not relevant to community pharmacy practice; complexity navigating online information sources; and lack of community pharmacy involvement in source design.

CONCLUSION

While pharmacies do use safety information sources to enhance practice safety, their ability to incorporate this information is inhibited by their general lack of time available to access and read safety information, lack of knowledge about where to get this information, and lack of tailored information for the community pharmacy context. Future initiatives should address increasing information awareness of available sources, consolidating and reducing information overload of such sources, and packaging information to better fit with pharmacists' needs.

摘要

背景

当患者安全信息在监管辖区或国家之间传递时,提高社区药房实践安全性的潜力是巨大的。虽然目前有许多患者安全信息来源(例如,网站、安全公告、在线工具),但对于可能限制社区药房使用这些信息来源的障碍知之甚少。

目的

本研究探讨了社区药房经理对加拿大患者安全信息来源的使用情况,以及可能限制这些来源使用的障碍。

方法

采用半结构化访谈的定性研究设计,对加拿大新斯科舍省哈利法克斯地区的 15 名社区药房经理进行了研究。该研究探讨了药剂师如何访问和使用各种信息来源,包括内部网、网站和第三方数据库存储库提供的工具。使用主题分析对访谈数据进行了分析。

结果

确定了五个一般障碍:没有时间访问信息来源及其内容;可用信息来源太多;太多与社区药房实践无关的信息;在线信息来源导航的复杂性;以及社区药房参与来源设计的缺乏。

结论

虽然药房确实使用安全信息来源来增强实践安全性,但由于他们普遍缺乏访问和阅读安全信息的时间,缺乏获取这些信息的知识,以及缺乏针对社区药房环境的定制信息,他们整合这些信息的能力受到限制。未来的举措应关注提高对可用来源的信息意识,整合和减少这些来源的信息过载,并包装信息以更好地满足药剂师的需求。

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