School of Pharmacy, University of Waterloo, Waterloo, ON, Canada.
Department of Statistics and Actuarial Science, University of Waterloo, Waterloo, ON, Canada.
Int J Pharm Pract. 2021 May 25;29(3):265-270. doi: 10.1093/ijpp/riab013.
Pharmacy professionals are required to take all necessary steps to protect commonly misused drugs such as opioids at their pharmacies to minimize the risk of diversion. The aim of this study is to assess Canadian pharmacy professionals' knowledge and compliance with federal and provincial regulations using the computer-based educational platform Pharmacy5in5.
A Narcotic Inventory module was created and reviewed by experts representing provincial and federal regulators. Descriptive statistics were used to analyze users' performance in quizzes. Binomial regression and logistic regression models were used to investigate the effect of demographic factors on users' performance. P-values less than 0.05 were considered statistically significant.
The analysis included data collected over a period of three months. A total of 792 users accessed the Narcotic Inventory module on the Pharmacy5in5 website between July 2019 and November 2019. Most of the users were licenced pharmacists (64%), female (72%), received their training in Canada (68%), and were practising in Ontario (80%). Users performed best on the quiz addressing the steps for reconciliation of inventory (93%), and worst on the quiz reviewing how to prepare for a Health Canada visit (66%).
Overall, pharmacy professionals showed adequate knowledge of the CDSA and provincial/territorial regulations regarding opioids inventory management. Conversely, the study highlighted poor compliance with the reporting of losses and theft of controlled substances by pharmacy professionals. Innovative approaches are needed to influence pharmacy professionals' behaviours to improve their compliance with best practices concerning inventory management to reduce drug diversion.
药剂师需要采取一切必要措施来保护他们的药房中常见的被滥用药物（如阿片类药物），以最大程度地降低药物转移的风险。本研究的目的是使用基于计算机的教育平台 Pharmacy5in5 评估加拿大药剂师专业人员对联邦和省级法规的知识和遵守情况。
创建了一个麻醉药品清单模块，并由代表省级和联邦监管机构的专家进行了审查。使用描述性统计来分析用户在测验中的表现。使用二项式回归和逻辑回归模型来研究人口统计学因素对用户表现的影响。P 值小于 0.05 被认为具有统计学意义。
分析包括在三个月的时间内收集的数据。2019 年 7 月至 11 月期间，共有 792 名用户在 Pharmacy5in5 网站上访问了麻醉药品清单模块。大多数用户是持照药剂师（64%），女性（72%），在加拿大接受培训（68%），并在安大略省执业（80%）。用户在关于库存核对步骤的测验中表现最好（93%），而在审查如何为加拿大卫生部检查做准备的测验中表现最差（66%）。
总体而言，药剂师对 CSA 和省级/地区关于阿片类药物库存管理的法规表现出了足够的了解。然而，该研究强调了药剂师在报告受控物质损失和盗窃方面的合规性较差。需要创新方法来影响药剂师的行为，以提高他们在库存管理方面遵守最佳实践的合规性，以减少药物转移。
