沙特阿拉伯医院药房在灾难期间的准备工作及药剂师的作用。
Hospital Pharmacy Preparedness and Pharmacist Role During Disaster in Saudi Arabia.
作者信息
Aljabri Ahmed, Bakhsh Hussain, Baageel Abeer, Al-Nimari Sara, Alshehri Samah, Bakadam Bashayer, Almasrahi Shaima, Kutbi Hussam
机构信息
Department of Pharmacy Practice, Faculty of Pharmacy, King Abdulaziz University, Jeddah, 21589, Saudi Arabia.
Department of Pharmacy Practice, Faculty of Pharmacy, University of Tabuk, Tabuk, 71491, Saudi Arabia.
出版信息
Risk Manag Healthc Policy. 2021 Dec 18;14:5039-5046. doi: 10.2147/RMHP.S343789. eCollection 2021.
BACKGROUND
In case of emergencies, the number and severity of mass casualties may exceed medical services resources. Saudi Arabia is prone to different disasters, and all medical resources should be ready and prepared to serve during disasters. Pharmacists are essential during disasters; however, their roles have not been well studied during disasters in Saudi Arabia.
METHODS
An observational cross-sectional study targeted tertiary hospitals in Jeddah. An electronic survey, consisting of 34 questions, was developed and distributed to pharmacy directors or their representatives to investigate the hospital pharmacies' preparedness and pharmacist roles during disasters in the city of Jeddah.
RESULTS
Six hospitals participated in the survey, with a 100% response rate. All respondents confirmed the presence of disaster plans involving pharmacy departments. Hospital committee consensuses determined which medication to stock in five hospitals (83.3%). All six respondents (100%) agreed that the following medication supplies were adequate in the event of disasters: analgesics, rapid sequence intubation medications (ie, sedatives and paralytics), respiratory medications, antimicrobials, and maintenance intravenous (IV) fluids. There was disagreement on the adequacy of wound infection prophylaxis, vasopressors/inotropes, antiemetic medications, ophthalmic medications, and antidotes for chemical weapons. There were discrepancies on pharmacist roles during disaster, but hospitals agreed on the following roles: maintain effective distribution and control, collaborate on medication management, and develop and maintain first-aid skills.
CONCLUSION
All included facilities have emergency preparedness plans for the hospitals and the pharmacy departments. However, the type and quantities of stocked medications, as well as pharmacist roles, are not well recognized. The results highlight the need for national guidance to enhance and support the preparedness of healthcare facilities.
背景
在紧急情况下，大规模伤亡的数量和严重程度可能会超过医疗服务资源。沙特阿拉伯容易发生各种灾害，所有医疗资源都应做好准备并随时在灾害期间提供服务。药剂师在灾害期间至关重要；然而，在沙特阿拉伯，他们在灾害期间的作用尚未得到充分研究。
方法
一项观察性横断面研究以吉达的三级医院为目标。设计了一份包含34个问题的电子调查问卷，并分发给药房主任或其代表，以调查吉达市医院药房在灾害期间的准备情况和药剂师的作用。
结果
六家医院参与了调查，回复率为100%。所有受访者均确认存在涉及药房部门的灾害计划。医院委员会的共识确定了五家医院（83.3%）储备哪些药物。所有六位受访者（100%）都认为在发生灾害时以下药物供应充足：镇痛药、快速顺序诱导插管药物（即镇静剂和肌松剂）、呼吸药物、抗菌药物和维持性静脉输液。对于伤口感染预防药物、血管加压药/正性肌力药、止吐药、眼科药物和化学武器解毒剂的充足性存在分歧。在灾害期间药剂师的作用方面存在差异，但各医院在以下作用上达成了共识：维持有效的分发和控制、在药物管理方面进行协作以及培养和维持急救技能。
结论
所有纳入的机构都有针对医院和药房部门的应急准备计划。然而，储备药物的类型和数量以及药剂师的作用并未得到充分认识。结果凸显了需要国家指导来加强和支持医疗机构的准备工作。
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