提高药剂师、护士和医务人员对高危药物的认识。

Enhancing High Alert Medication Knowledge Among Pharmacy, Nursing, and Medical Staff.

机构信息

From the Massachusetts College of Pharmacy and Health Sciences, Boston, Massachusetts.

Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

出版信息

J Patient Saf. 2021 Jun 1;17(4):311-315. doi: 10.1097/PTS.0b013e3182878113.

DOI:10.1097/PTS.0b013e3182878113

PMID:33994533

Abstract

OBJECTIVES

Limited data exist regarding staff's knowledge and perceptions of high alert medications (HAMs) and associated procedures. Objectives of this study were to conduct an initial assessment of institution-specific HAM knowledge among pharmacy, nursing, and medical staff; implement interventions to enhance staff knowledge of HAMs; and conduct a similar assessment 1 year later to determine if interventions successfully enhanced HAM knowledge.

METHODS

A 6-question electronic survey was distributed to 1006 pharmacy staff, nurses, and physicians in June 2009. In response to results achieved, HAM-related interventions were implemented over a 6-month period. A similar electronic survey was distributed to hospital staff 1 year later to determine any change in HAM knowledge.

RESULTS

A total of 203 staff completed the presurvey (20% response rate), whereas 170 completed the postsurvey (17% response rate). Before the HAM interventions, 42.9% of respondents expressed confidence in their knowledge of HAMs and the procedures defined by the institution. This increased to 73.5% after the interventions (P < 0.001). More respondents correctly identified HAMs and safety procedures on postsurveys: insulin IV bolus (83.3% vs. 92.4%; P < 0.01), neonatal medications (79.3% vs. 88.2%; P < 0.05), total parenteral nutrition (57.1% vs. 73.5%; P = 0.001), and "documentation of 2 independent registered nurse checks for HAM IV infusion rate changes" (76.4% vs. 92.9%; P < 0.001).

CONCLUSIONS

An assessment of staff HAM knowledge and handling procedures allows for customized interventions for institution-specific HAM improvements. Hospital staff knowledge of HAMs increased 1 year after implementing interventions.

摘要

目的

关于员工对高危药物（HAM）和相关程序的知识和认知的相关数据有限。本研究的目的是对药学、护理和医务人员的特定机构 HAM 知识进行初步评估；实施干预措施，以提高员工对 HAM 的认识；并在 1 年后进行类似评估，以确定干预措施是否成功提高了 HAM 的知识。

方法

2009 年 6 月，向 1006 名药师、护士和医生分发了一份包含 6 个问题的电子调查。根据所取得的结果，在 6 个月内实施了与 HAM 相关的干预措施。1 年后，向医院工作人员分发了一份类似的电子调查，以确定 HAM 知识是否有任何变化。

结果

共有 203 名员工完成了预调查（20%的回复率），而 170 名员工完成了后调查（17%的回复率）。在 HAM 干预之前，42.9%的受访者表示对他们对 HAM 和机构规定的程序的认识有信心。干预后，这一比例增加到 73.5%（P < 0.001）。更多的受访者在后调查中正确识别了 HAM 和安全程序：胰岛素 IV 推注（83.3%对 92.4%；P < 0.01）、新生儿药物（79.3%对 88.2%；P < 0.05）、全胃肠外营养（57.1%对 73.5%；P = 0.001）和“记录 HAM IV 输注速率变化的 2 次独立注册护士检查”（76.4%对 92.9%；P < 0.001）。