Brown Sara W, Oliveri Lauren M, Ohler Kirsten H, Briars Leslie
J Pediatr Pharmacol Ther. 2019 Jul-Aug;24(4):304-311. doi: 10.5863/1551-6776-24.4.304.
Assess the competency of community pharmacists in identifying errors in pediatric prescriptions and to determine how often pharmacists perform interventions known to mitigate the likelihood of error. The study sought to recognize factors that may impact the pharmacist's ability to identify and mediate these errors, and to detect barriers that limit the role of the pharmacist pediatric patient care.
A survey was distributed through the University of Illinois at Chicago College of Pharmacy Alumni Network and the Illinois Pharmacists Association email listservs. Pharmacists practicing in a retail setting within the last 5 years were included. Three prescription scenarios for commonly used pediatric medications with corresponding questions were created to assess a pharmacist's ability to identify errors. Demographics pertaining to the pharmacist and the practice site, as well as information about dispensing practices, were collected. Logistic regression was used to identify factors that might impact the pharmacists' ability to identify errors.
One hundred sixty-one respondents began the survey and 138 met inclusion criteria. In 15% to 59% of scenario-based questions, pharmacists did not appropriately identify errors or interventions that would decrease the likelihood of error. Correct identification of doses was associated with total prescription volume in one scenario and with pediatric prescription volume in another scenario. Pharmacists did not consistently label prescriptions for oral liquids in milliliters or dispense oral syringes. Barriers to pharmacist involvement included availability and interest of the caregiver, ability to contact prescriber, and pharmacy staffing.
Community pharmacists did not consistently identify medication errors or use interventions known to mitigate error risk.
评估社区药剂师识别儿科处方错误的能力，并确定药剂师进行已知可降低错误可能性干预措施的频率。该研究旨在识别可能影响药剂师识别和调解这些错误能力的因素，并发现限制药剂师在儿科患者护理中作用的障碍。
通过伊利诺伊大学芝加哥药学院校友网络和伊利诺伊药剂师协会电子邮件列表分发了一份调查问卷。纳入过去5年内从事零售工作的药剂师。创建了三种常用儿科药物的处方情景及相应问题，以评估药剂师识别错误的能力。收集了与药剂师和执业地点相关的人口统计学信息，以及有关配药实践的信息。使用逻辑回归来识别可能影响药剂师识别错误能力的因素。
161名受访者开始参与调查，138名符合纳入标准。在15%至59%基于情景的问题中，药剂师未能正确识别错误或能降低错误可能性的干预措施。在一种情景中，正确识别剂量与总处方量相关，在另一种情景中与儿科处方量相关。药剂师并非始终用毫升为口服液体制剂的处方贴标签，也未配发口服注射器。药剂师参与的障碍包括护理人员的可及性和兴趣、联系开处方者的能力以及药房人员配备情况。
社区药剂师并非始终能识别用药错误或采用已知可降低错误风险的干预措施。
