Ernawati Desak Ketut, Widhiartini Ida Ayu Alit, Budiarti Endang
Department of Pharmacology and Therapy, Universitas Udayana, Denpasar, Indonesia.
Bethesda Hospital, Yogyakarta, Indonesia.
J Basic Clin Physiol Pharmacol. 2021 Jun 25;32(4):357-362. doi: 10.1515/jbcpp-2020-0411.
This study aimed to evaluate the knowledge and attitudes of healthcare professionals on prescribing errors.
This was a cross-sectional study employing a questionnaire that consisted of 12 items on knowledge and 10 items on healthcare professionals' attitudes toward errors in prescribing process. The participants responded to the questionnaire with a 5-Likert scale of agreement. The domains assessed in the questionnaire were respondents' knowledge and attitudes on prescribing errors, professionals responsible for the errors, and professionals' competence on drug dose adjustment. Additionally, the questionnaire had two case scenarios to further assess the healthcare professionals' knowledge of prescribing errors. There were 300 questionnaires administered to physicians, nurses, and pharmacists who attended conferences in Denpasar from July to October 2019.
There were 30 physicians, 58 nurses, and 69 pharmacists who responded to the survey. A response rate of 52.3% (157/300) was obtained. All healthcare professionals agreed that errors may occur in prescribing, dispensing, and administration process. All healthcare professionals understood that physician is responsible for ensuring drug safety in prescribing process and also supported a standardized form on drugs which may need drug dose personalization. Concerning item on the importance of collaboration in drug dose adjustment, although the healthcare professionals agreed on the statement, they had significant differences on the level agreement on the statement (p=0.029). The healthcare professionals also supported having regular training on drug dose adjustment based on individual patients' regimentation. The healthcare professionals' responses showed that the significant differences found on the statement of healthcare professionals should have competency on personalized dose calculation (p<0.001). All healthcare professionals agreed that physicians should have competency on drug dose adjustment, yet physicians showed less agreement that other health professionals should have the competency.
All healthcare professionals understood that medication errors may occur during the prescribing process but showed different attitudes on professionals who had competence in drug dose calculation. They emphasize the need to have a standardized prescription format for medication with dose changes. The respondents also recommend having regular training on medication safety for healthcare professionals.
本研究旨在评估医疗保健专业人员对处方错误的认知和态度。
这是一项横断面研究，采用了一份问卷，该问卷包含12项关于知识的问题和10项关于医疗保健专业人员对处方过程中错误的态度的问题。参与者以5级李克特量表的同意程度来回答问卷。问卷中评估的领域包括受访者对处方错误的认知和态度、对错误负责的专业人员以及专业人员在药物剂量调整方面的能力。此外，问卷还有两个案例场景，以进一步评估医疗保健专业人员对处方错误的了解。2019年7月至10月期间，向参加登巴萨会议的医生、护士和药剂师发放了300份问卷。
有30名医生、58名护士和69名药剂师回复了调查。获得了52.3%（157/300）的回复率。所有医疗保健专业人员都同意在处方、配药和给药过程中可能会出现错误。所有医疗保健专业人员都明白医生在处方过程中负责确保药物安全，并且也支持针对可能需要个性化药物剂量的药物采用标准化表格。关于药物剂量调整中协作重要性的项目，尽管医疗保健专业人员同意该陈述，但他们在该陈述的同意程度上存在显著差异（p=0.029）。医疗保健专业人员还支持根据个体患者的用药方案定期进行药物剂量调整培训。医疗保健专业人员的回答表明，在医疗保健专业人员应具备个性化剂量计算能力的陈述上存在显著差异（p<0.001）。所有医疗保健专业人员都同意医生应具备药物剂量调整能力，但医生对其他卫生专业人员应具备该能力的认同度较低。
所有医疗保健专业人员都明白在处方过程中可能会出现用药错误，但在具备药物剂量计算能力的专业人员方面表现出不同的态度。他们强调需要有一份针对有剂量变化的药物的标准化处方格式。受访者还建议为医疗保健专业人员定期开展用药安全培训。
