School of Applied Sciences, University of Huddersfield, Huddersfield, UK.
Department of Pharmacy, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Diabet Med. 2020 Dec;37(12):2027-2034. doi: 10.1111/dme.14351. Epub 2020 Jul 8.
To describe the use and validation of a survey tool to elicit the opinion of hospital pharmacists and medicines safety officers in the UK regarding the perceived effectiveness of strategies to improve insulin prescribing safety in hospitals.
One respondent from each participating organization completed the survey on behalf of the main acute hospital in their trust (n = 92). A five-point Likert scale was used to determine opinion on how effective 22 different interventions were at promoting insulin safety at the respondent's trust. The tool, the Perception of Effectiveness of Prescribing Safety Interventions for Insulin (PEPSII) questionnaire, underwent content validity testing. The reliability was estimated using Cronbach's alpha (α).
The PEPSII questionnaire demonstrated good reliability (α = 0.867). Outreach team review and mandatory insulin education were the highest-scoring interventions; the insulin passport was amongst the lowest scoring interventions. Most interventions were considered more effective by trusts using them compared to those who didn't, except for self-administration policies, electronic prescribing and the insulin passport.
The perceived effectiveness of a variety of insulin prescribing safety strategies in UK hospitals was described by leveraging a purposely developed survey tool. The results describe current levels of support for recommended interventions, and may facilitate the direction of both local and national insulin prescribing safety improvement efforts.
描述一种调查工具的使用和验证情况，该工具旨在收集英国医院药剂师和药品安全官员对改善医院胰岛素处方安全策略的看法，以评估这些策略的有效性。
每个参与组织的一名代表代表其信托机构的主要急性医院完成了这项调查（n=92）。采用 5 点李克特量表来确定受访者对 22 种不同干预措施在提高其信托机构胰岛素安全性方面的有效性的看法。该工具，即胰岛素处方安全干预措施的有效性感知（PEPSII）问卷，经过了内容有效性测试。使用 Cronbach's alpha（α）来评估可靠性。
PEPSII 问卷具有良好的可靠性（α=0.867）。外展团队审查和强制性胰岛素教育是得分最高的干预措施；胰岛素护照是得分最低的干预措施之一。与未使用这些干预措施的信托机构相比，使用这些干预措施的信托机构认为大多数干预措施更有效，除了自我给药政策、电子处方和胰岛素护照。
通过使用专门开发的调查工具，描述了英国医院中各种胰岛素处方安全策略的有效性。研究结果描述了当前对推荐干预措施的支持水平，并可能有助于指导本地和国家胰岛素处方安全改善工作的方向。
