Grant Morgan, Remines Jamie, Nadpara Pramit, Goode Jean-Venable Kelly R
Kroger Pharmacy.
Academia SME, Kroger Health & Wellness - Mid-Atlantic.
Innov Pharm. 2020 Jul 31;11(3). doi: 10.24926/iip.v11i3.3291. eCollection 2020.
To compare community-based pharmacy medication errors before and after a one-hour live interactive training session for both pharmacists and technicians.
A one group pre-post intervention design study was conducted in 20 community-based pharmacies in a district of a large national community pharmacy chain. A one-hour live, interactive session was developed based on incident reports and medication error trends including medication error definition, ways in which medication errors occur, strategies for mitigating errors, information about human error, and methods and habits to improve patient safety. At least 50% of full-time staff for each of the 20 pharmacies were required to attend a training session between December 1, 2017-January 15, 2018. Participants completed a demographics survey documenting gender, age, credentials, number of years of experience, and years of service with the company. Pharmacies were categorized as low, medium or high volume based on prescription count. Medication errors were compared six months pre- and post-live education session. Data were analyzed using SAS version 9.4.
One hundred and thirty- five errors and 111 errors were reported pre-and post-live training (mean 6.85 and 5.55, p < 0.301), respectively. Nine pharmacies were low, eight medium, and three high volume with the mean number of medication errors reported pre- and post-live training; low 4.33 vs 4.11 p<0.478, medium 9.37 vs 6.87 p<0.443, and high 7.66 vs 6.33 p<0.593, respectively. Sixty pharmacy staff (34 pharmacists, 26 technicians) attended one of the live training sessions; 73% female; most frequently reported age range 35-50 years; 23 Doctor of Pharmacy, 11 Bachelor of Science in Pharmacy, and 26 Certified Technician; and average number of years' experience was 13.6 and average service with the company was 8.6 years.
A live training session for both pharmacists and technicians did not significantly decrease medication errors, but could be incorporated as an element of a medication safety program. It should be considered for implementation in other districts of this large national pharmacy chain as a part of an improved patient safety effort.
比较针对药剂师和技术人员开展的一小时现场互动培训课程前后社区药房的用药差错情况。
在一家大型全国性社区药房连锁企业某一区的20家社区药房开展了一项单组前后干预设计研究。基于事件报告和用药差错趋势开发了一个一小时的现场互动课程，内容包括用药差错定义、用药差错发生的方式、减轻差错的策略、人为差错信息以及提高患者安全的方法和习惯。要求这20家药房中至少50%的全职员工在2017年12月1日至2018年1月15日期间参加一次培训课程。参与者完成了一份人口统计学调查问卷，记录性别、年龄、资质、工作年限以及在公司的服务年限。药房根据处方量分为低、中、高三个类别。对现场培训课程前后六个月的用药差错情况进行了比较。使用SAS 9.4版本对数据进行分析。
现场培训前和培训后分别报告了135起和111起差错（均值分别为6.85和5.55，p<0.301）。九家药房为低处方量，八家中等处方量，三家高处方量，报告的现场培训前后用药差错平均数分别为：低处方量药房4.33对4.11，p<0.478；中等处方量药房9.37对6.87，p<0.443；高处方量药房7.66对6.33，p<0.593。60名药房工作人员（34名药剂师、26名技术人员）参加了其中一次现场培训课程；73%为女性；最常报告的年龄范围为35至50岁；23名药学博士、11名药学理学学士和26名认证技术人员；平均工作年限为13.6年，在公司的平均服务年限为8.6年。
针对药剂师和技术人员的现场培训课程并未显著减少用药差错，但可作为用药安全计划的一个要素纳入其中。作为改善患者安全工作的一部分，应考虑在这家大型全国性药房连锁企业的其他地区实施该培训课程。
