Regional Patient Safety Center, Korean Pharmaceutical Association, Seoul, Republic of Korea.
J Patient Saf. 2023 Oct 1;19(6):353-361. doi: 10.1097/PTS.0000000000001147.
This systematic aimed to understand the global status using the results of survey studies based on the Community Pharmacy Survey on Patient Safety Culture and set the directions of development in terms of the patient safety culture of community pharmacies.
Electronic searches were performed in EMBASE, MEDLINE, PubMed, and CINAHL databases by using the words "patient safety," "culture," and "community pharmacy" with synonyms or associated words in the original English language research articles published between January 1, 2012, and March 2, 2023. This systematic review was conducted based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines.
Eleven surveys from 10 countries were selected. Five studies were conducted on pharmacists, whereas 6 studies were carried out on all pharmacy staff members such as pharmacists, technicians, clerks, and pharmacy students on apprenticeship. There was a considerable variation in the positive response rates across the dimensions of all the surveys. The highest positive response score was demonstrated for "teamwork" and "patient counseling," whereas the "staffing, work pressure, and pace" dimension was essential for improving patient safety culture in community pharmacy settings. For overall rating of the pharmacy on patient safety, 84.8% of pharmacy staff members gave good, very good, or excellent as their responses.
Despite the differences among studies, findings of this study are expected to be used as valuable evidence to develop patient safety improvement strategies after reflecting each country's health care setting or community pharmacy practice. Furthermore, the results would offer meaningful assistance to achieve the goals of global campaigns such as the World Health Organization Patient Safety Challenge.
本系统旨在通过基于患者安全文化的社区药房调查研究结果了解全球现状，并为社区药房的患者安全文化发展方向设定目标。
使用“患者安全”、“文化”和“社区药房”这三个英文单词及其同义词或相关词汇，在 EMBASE、MEDLINE、PubMed 和 CINAHL 数据库中进行电子检索，检索时间限定为 2012 年 1 月 1 日至 2023 年 3 月 2 日期间发表的原始英文语言研究文章。本系统评价基于系统评价和荟萃分析的首选报告项目进行。
从 10 个国家中选择了 11 项调查。其中 5 项研究针对药剂师，6 项研究则针对所有药房工作人员，包括药剂师、技术员、职员和在药房实习的药学学生。所有调查的各个维度的积极反应率都存在相当大的差异。所有维度中，“团队合作”和“患者咨询”的积极反应得分最高，而“人员配备、工作压力和工作节奏”维度对改善社区药房的患者安全文化至关重要。对于整体的患者安全评分，84.8%的药房工作人员对其给予了良好、非常好或优秀的评价。
尽管研究之间存在差异，但本研究的结果有望作为有价值的证据，在反映每个国家的医疗保健环境或社区药房实践后，用于制定患者安全改进策略。此外，该结果将为实现全球活动（如世界卫生组织患者安全挑战）的目标提供有意义的帮助。
