Instituto para el Uso Seguro de los Medicamentos (ISMP-España), IBSAL-Hospital Universitario de Salamanca, Salamanca, Spain.
Servicio de Medicina Intensiva, Hospital Can Misses, Ibiza, Balearic Islands, Spain.
Med Intensiva (Engl Ed). 2022 Dec;46(12):680-689. doi: 10.1016/j.medine.2022.05.009. Epub 2022 May 31.
To assess the level of implementation of medication safety practices in Intensive Care Units (ICUs) and to identify opportunities for improvement.
A descriptive multicenter study was carried out.
Intensive Care Units.
PARTICIPANTS/PROCEDURE: A total of 40 ICUs voluntarily completed the "Medication use-system safety self-assessment for Intensive Care Units" between March and September 2020. The survey comprised 147 items for evaluation grouped into 10 key elements.
Calculation was made of the mean scores and mean percentages based on the maximum possible values for the overall survey, referred to the key elements and to each individual item for evaluation.
The mean score of the overall questionnaire among the participating ICUs was 436.8 (49.2% of the maximum possible score). No differences were found according to functional dependence, size of the hospital or type of ICU. The key elements referred to the incorporation of clinical pharmacists in these Units, as well as the competence and training of the professionals in safety practices yielded the lowest values (31.2% and 33.2%, respectively). Three other key elements related to accessibility to information about patients and medicines; to the standardization, storage and distribution of medicines; and to the quality and risk management programs, yielded percentages <50%.
Numerous effective safety medication practices have been identified with a low level of implementation in ICUs. This situation must be addressed in order to reduce medication errors in critically ill patients.
评估重症监护病房（ICU）实施药物安全措施的水平，并确定改进的机会。
描述性多中心研究。
重症监护病房。
参与者/程序：共有 40 家 ICU 自愿参加了 2020 年 3 月至 9 月间进行的“重症监护病房用药系统安全自我评估”。该调查包括 147 个评估项目，分为 10 个关键要素。
根据总体调查的最大可能值计算总体问卷的平均得分和平均百分比，并参考关键要素和每个评估项目的平均得分和平均百分比。
参与 ICU 的总体问卷平均得分为 436.8（最大可能得分的 49.2%）。根据功能依赖性、医院规模或 ICU 类型，没有发现差异。关键要素涉及临床药师在这些单位的参与，以及专业人员在安全实践方面的能力和培训得分最低（分别为 31.2%和 33.2%）。另外三个关键要素涉及到患者和药物信息的可及性、药物的标准化、储存和分发，以及质量和风险管理方案，其百分比均<50%。
重症监护病房中发现了许多有效的安全药物措施，但实施水平较低。为了减少危重病患者的药物错误，必须解决这一问题。
