Clinical Pharmacology Department, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain.
Instituto de Investigación Sanitaria Puerta de Hierro-Segovia de Arana (IDIPHISA), Majadahonda, Spain.
Nurs Open. 2022 Nov;9(6):2836-2846. doi: 10.1002/nop2.988. Epub 2021 Jul 22.
Less than 5% of all harmful medicine-related incidents (MIs) or adverse drug reactions received by the Spanish Pharmacovigilance system are notified by Registered Nurses (RNs). The main objective of this study was to determine the impact of a multifaceted institutional intervention (MII) in patient safety on the reporting competence of medication incidents of hospital RNs.
One-group pre-test-posttest design.
Tertiary, public, teaching hospital in Spain.
A total of 139 RNs responded to pre- and postintervention questionnaires constituting the paired sample subjected to analysis.
A MII, consisting of educational activities and materials, change in MI reporting form from paper to electronic and appointment of reporting support services, was designed and directed to all hospital RNs and midwifes.
Overall MIs reporting competence (OC) and its dimensions (attitudes, knowledge and skills) were measured through a synthetic variable (total OC value range: 34-170 points) by means of an electronic questionnaire.
A statistically significant 7.96-point increase in OC from baseline to the final measurement was obtained (CI: 5.05-10.85). There was an increase of 7.38 points in the skills dimension (CI: 5.06-9.68). After the MII, 73.4% nurses improved their OC and 33.8% reported at least one no-harm MI postintervention compared to 4.4% pre-intervention (p < .001). A one-point increase in OC improved the probability of becoming reporter by 2.9% and a one-point increase in skills by 6.4%.
MIs reporting competence among RNs increased after a multifaceted institutional intervention, due to an improvement in the skills dimension. The MII was also effective in raising both, the rate of RNs who become reporters and the number of no-harm MIs reported.
在西班牙药物警戒系统收到的所有与药物相关的有害事件（MIs）或药物不良反应中，不到 5%是由注册护士（RNs）报告的。本研究的主要目的是确定多方面的机构干预（MII）对提高医院护士报告药物事件能力的影响。
单组预-后测试设计。
西班牙的一家三级、公立、教学医院。
共有 139 名护士对干预前后的问卷做出了回应，这些问卷构成了分析的配对样本。
设计并针对所有医院护士和助产士实施了一项 MII，包括教育活动和材料、将 MIs 报告表格从纸质改为电子形式以及指定报告支持服务。
通过电子问卷，使用综合变量（总 OC 值范围：34-170 分）测量整体 MIs 报告能力（OC）及其维度（态度、知识和技能）。
OC 从基线到最终测量值增加了 7.96 分（CI：5.05-10.85），具有统计学意义。技能维度增加了 7.38 分（CI：5.06-9.68）。在 MII 之后，与干预前相比，73.4%的护士提高了 OC，33.8%报告了至少一起无伤害 MIs（p<0.001）。OC 每增加 1 分，报告者的可能性增加 2.9%，技能增加 1 分，可能性增加 6.4%。
在多方面的机构干预后，护士的 MIs 报告能力提高，这归因于技能维度的改善。该 MII 还提高了成为报告者的护士比例和报告的无伤害 MIs 数量。
