Pharmacy Department, Clinic Hietzing, Vienna Healthcare Group, Vienna, Austria.
Karl Landsteiner Institute for Clinical Risk Management, Vienna, Austria.
Front Public Health. 2021 Sep 14;9:630398. doi: 10.3389/fpubh.2021.630398. eCollection 2021.
A version of the Institute for Safe Medication Practices (ISMP) questionnaire adapted to the Austrian inpatient setting was used to sample the estimates of a group of experts regarding the level of medication safety in a level II hospital. To synthesize expert opinions on a group level reproducibly, classical Delphi method elements were combined with an item weight and performance weight decision-maker. This newly developed information synthesis method was applied to the sample dataset to examine method applicability. Method descriptions and flow diagrams were generated. Applicability was then tested by creating a synthesis of individual questionnaires. An estimate of the level of medication safety in an Austrian level II hospital was, thus, generated. Over the past two decades, initiatives regarding patient safety, in general, and medication safety, in particular, have been gaining momentum. Questionnaires are state of the art for assessing medication practice in healthcare facilities. Acquiring consistent data about medication in the complex setting of a hospital, however, has not been standardized. There are no publicly available benchmark datasets and, in particular, there is no published method to reliably synthesize expertise regarding medication safety on an expert group level. The group-level information synthesis method developed in this study has the potential to synthesize information about the level of medication safety in a hospital setting more reliably than unstructured approaches. A medication safety level estimate for a representative Austrian level II hospital was generated. Further studies are needed to establish convergence characteristics and benchmarks for medication safety on a larger scale.
一份经过改编适用于奥地利住院环境的安全用药实践研究所（ISMP）问卷被用来抽样一组专家对二级医院药物安全性水平的估计。为了在群体水平上可重复地综合专家意见，经典德尔菲法元素与项目权重和表现权重决策者相结合。这种新开发的信息综合方法应用于样本数据集，以检验方法的适用性。生成了方法描述和流程图。然后通过创建个人问卷的综合来测试适用性。从而生成了对奥地利二级医院药物安全性水平的估计。在过去的二十年中，关于患者安全的举措，一般来说，以及药物安全，特别是，一直在获得动力。问卷调查是评估医疗保健设施中药物实践的最新方法。然而，在医院这种复杂环境中获取关于药物的一致数据尚未标准化。没有公开的基准数据集，特别是没有发表的方法可以可靠地在专家组层面上综合关于药物安全性的专门知识。本研究中开发的组级信息综合方法有可能比非结构化方法更可靠地综合有关医院环境中药物安全性水平的信息。为一家有代表性的奥地利二级医院生成了药物安全性水平的估计。需要进一步的研究来在更大的范围内建立药物安全性的收敛特征和基准。
