Dilliard Reginald, Hagemeier Nicholas E, Ratliff Brady, Maloney Rebecca
Tennessee Board of Pharmacy, 665 Mainstream Dr, Nashville, TN 37243, United States of America.
East Tennessee State University Gatton College of Pharmacy, Johnson City, TN, United States of America.
Explor Res Clin Soc Pharm. 2021 Jun 29;2:100042. doi: 10.1016/j.rcsop.2021.100042. eCollection 2021 Jun.
Lay press investigations have been published that describe pharmacist errors and the workplace environment in the community pharmacy setting. However, recent studies that explore pharmacists' perceptions of patient safety in the workplace are limited.
Actively licensed Tennessee pharmacists were recruited from January 1 and June 30, 2019 to complete a 13-item survey of workplace patient safety perceptions ( =1391). Descriptive statistics were calculated, and nonparametric statistical tests employed to compare differences in perceptions across practice setting type, pharmacist roles, and hours worked per shift and per week.
Statistically significant differences in workplace patient safety perceptions were noted across practice setting type (p values <.001) and pharmacist roles (p values <.001). The extent to which pharmacists agreed/strongly agreed that their employer provides a work environment that allows for safe patient care ranged from 29.7% of chain community pharmacists to 85% of compounding pharmacists. Fifty-two percent of staff pharmacists, 56.5% of relief pharmacists, and 58.5% of managers/pharmacists in charge agreed or strongly agreed that their employer provides a work environment that allows for safe patient care, whereas 89.3% of regional managers/directors/vice-presidents and 72.5% of clinical/specialty pharmacists indicated the same. Average hours per shift was inversely correlated with perceptions of workplace patient safety (p values <.001).
Tennessee pharmacists' perceptions of workplace patient safety varied widely across practice setting type and pharmacist roles. Perceptions of safety were notably lower in the chain community pharmacy setting. Additional research is warranted to better understand the relationship between pharmacist perceptions and quantifiable patient safety metrics, particularly in the chain community pharmacy setting.
已有关于社区药房环境中药剂师差错及工作场所情况的大众媒体调查报道。然而,近期探索药剂师对工作场所患者安全认知的研究有限。
1)描述药剂师对工作场所患者安全的认知;2)比较不同执业环境类型、药剂师角色、每班平均工作时长及每周平均工作时长的药剂师对工作场所患者安全的认知。
2019年1月1日至6月30日招募田纳西州的在职药剂师,完成一项关于工作场所患者安全认知的13项调查(n = 1391)。计算描述性统计数据,并采用非参数统计检验比较不同执业环境类型、药剂师角色以及每班和每周工作时长的认知差异。
不同执业环境类型(p值<.001)和药剂师角色(p值<.001)在工作场所患者安全认知方面存在统计学显著差异。药剂师同意/强烈同意其雇主提供安全患者护理工作环境的比例,连锁社区药剂师为29.7%,配制药剂师为85%。52%的 staff药剂师、56.5%的替班药剂师以及58.5%的主管经理/药剂师同意或强烈同意其雇主提供安全患者护理工作环境,而89.3%的区域经理/总监/副总裁以及72.5%的临床/专科药剂师也表示如此。每班平均工作时长与工作场所患者安全认知呈负相关(p值<.001)。
田纳西州药剂师对工作场所患者安全的认知因执业环境类型和药剂师角色而异。连锁社区药房环境中的安全认知明显较低。有必要进行更多研究以更好地理解药剂师认知与可量化的患者安全指标之间的关系,尤其是在连锁社区药房环境中。