在继续职业教育中使用用药错误模拟以实现实践变革。

Use of Medication Error Simulations in Continuing Professional Education to Effect Change To Practice.

作者信息

Frenzel Jeanne, Eukel Heidi, Brynjulson Rebecca

机构信息

College of Health Professions, North Dakota State University.

出版信息

Innov Pharm. 2020 Feb 4;11(1). doi: 10.24926/iip.v11i1.2215. eCollection 2020.

DOI:10.24926/iip.v11i1.2215

PMID:34017635

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8132531/

Abstract

INTRODUCTION

A novel continuing professional education CPE training program and simulation were used to teach pharmacists and pharmacy technicians about continuous quality improvement and how to identify, report, and communicate information regarding medication related errors using root cause analysis.

METHODS

Pharmacists and pharmacy technicians attending a statewide pharmacy association meeting voluntary attended a CPE training program and simulation. During the simulation, learners investigated and identified medication related errors in three different pharmacy settings. A collection of items found at each pharmacy and audio recordings were used by learners to identify the medication related error. After each simulation, facilitators led a debriefing to discuss the learners' experiences. Data was collected using online surveys. Descriptive statistics and chi-square tests were used to analyze the data.

RESULTS

Fourteen months following the program, 15 of the 67 participants responded to an anonymous survey. Of the 15 responding participants, 73.3% (11/15) were confident or very confident they could establish or maintain a high-quality continuous quality improvement plan at their practice site. Sixty percent (9/15) felt the experience reinforced their current practices, 13.3% (2/15) had implemented changes to their practice, and 13.3% (2/15) felt they needed more information before considering changes to their practice. Reported barriers to establishing a continuous quality improvement program were time constraints, 40.0% (6/15), system constraints, 26.7% (4/15), or lack of staff 20.0% (3/15).

CONCLUSION

A CPE training program and simulation reinforced practice for pharmacy personnel, resulted in changes to practice, and positively increased participants' confidence in establishing a continuous quality improvement plan in the workplace.

摘要

简介

采用一种新颖的继续职业教育（CPE）培训项目和模拟方法，向药剂师和药房技术员传授持续质量改进，以及如何使用根本原因分析来识别、报告和交流与用药错误相关的信息。

方法

参加全州药房协会会议的药剂师和药房技术员自愿参加了CPE培训项目和模拟。在模拟过程中，学习者在三种不同的药房环境中调查并识别与用药错误相关的问题。学习者利用在每个药房发现的物品集合和录音来识别与用药错误相关的问题。每次模拟结束后，主持人会主持一次总结讨论，以探讨学习者的体验。通过在线调查收集数据。使用描述性统计和卡方检验来分析数据。

结果

该项目开展14个月后，67名参与者中有15人回复了一项匿名调查。在这15名回复的参与者中，73.3%（11/15）有信心或非常有信心在其工作场所建立或维持一个高质量的持续质量改进计划。60%（9/15）的人认为这次经历强化了他们目前的做法，13.3%（2/15）的人对自己的做法进行了改变，13.3%（2/15）的人认为在考虑改变做法之前他们需要更多信息。报告的建立持续质量改进项目的障碍包括时间限制，占40.0%（6/15），系统限制，占26.7%（4/15），或人员短缺，占20.0%（3/15）。