Mazan Jennifer L, Lee Margaret K, Quiñones-Boex Ana C
Chicago College of Pharmacy, Midwestern University.
Intermountain Healthcare, Utah Valley Hospital.
Innov Pharm. 2020 Dec 15;11(4). doi: 10.24926/iip.v11i4.3373. eCollection 2020.
Patient safety places emphasis on full disclosure, transparency, and a commitment to prevent future errors. Studies addressing the disclosure of medication errors in the profession of pharmacy are lacking.
This study examined attitudes and behaviors of American pharmacists regarding medication errors and their disclosure to patients.
A 4-page questionnaire was mailed to a nationwide random sample of 2,002 pharmacists. It included items to assess pharmacists' knowledge of and experience with medication errors and their disclosure. The data was collected over three months and analyzed using IBM SPSS 22.0. The study received IRB exempt status.
The response rate was 12.6% (n = 252). The average pharmacist respondent was a 57-year old (+ 12.1 years), Caucasian (79.8%), male (59.9%), with a BS Pharmacy degree (73.8%), and licensed for 33 years (+ 12.8 years). Most respondents were employed in a hospital (26.4%) or community (31.0 %) setting and held staff (30.9%), manager (29.1%), or clinical staff (20.6%) positions. Respondents reported having been involved in a medication error as a patient (31.0%) or a pharmacist (95.5%). The data suggest that full disclosure is not being achieved by pharmacists. Significant differences in some attitudes and behaviors were uncovered when community pharmacists were compared to their hospital counterparts.
There is room for improvement regarding proper medication error disclosure by pharmacists.
患者安全强调充分披露、透明度以及预防未来差错的承诺。目前缺乏针对药学专业中用药差错披露情况的研究。
本研究调查了美国药剂师对用药差错及其向患者披露情况的态度和行为。
向全国范围内随机抽取的2002名药剂师邮寄了一份4页的问卷。问卷包含评估药剂师用药差错知识、经验及其披露情况的项目。数据收集历时三个月，并使用IBM SPSS 22.0进行分析。该研究获得了机构审查委员会的豁免资格。
回复率为12.6%（n = 252）。参与调查的药剂师平均年龄为57岁（±12.1岁），白人（79.8%），男性（59.9%），拥有药学学士学位（73.8%），执业33年（±12.8年）。大多数受访者受雇于医院（26.4%）或社区药房（31.0%），担任员工（30.9%）、经理（29.1%）或临床工作人员（20.6%）职位。受访者报告曾作为患者（31.0%）或药剂师（95.5%）参与过用药差错事件。数据表明药剂师并未实现充分披露。将社区药剂师与其医院同行进行比较时，发现了一些态度和行为上的显著差异。
药剂师在正确披露用药差错方面仍有改进空间。
