Tarrahi Mohammad Javad, Farzi Sedigheh, Farzi Kolsoum, Shahzeydi Amir, Saraeian Samaneh, Moladoost Azam, Pebdeni Atefeh Saljooghi
Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran.
Nursing and Midwifery Care Research Center, Department of Adult Health Nursing, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
J Educ Health Promot. 2023 Jun 30;12:195. doi: 10.4103/jehp.jehp_1096_22. eCollection 2023.
Medication safety as an indicator of care quality is the measures taken by healthcare team members to prevent or adjust adverse drug events at the time of medication administration. This study was conducted to investigate the medication safety climate from healthcare providers' perspectives.
This cross-sectional descriptive study was conducted in a selected educational hospital affiliated with the Isfahan University of Medical Sciences, Isfahan, Iran, in 2021. Participants were healthcare providers who are involved in the medication process. The sampling was done using the quota method. The study instruments were a demographic questionnaire and the Medication Safety Climate (MSC).
The total mean of positive responses to MSC items was 64.11%, denoting a moderate-level MSC. Collected data were managed using the SPSS software (v. 16.0) and were summarized using the measures of descriptive statistics, namely mean, standard deviation, frequency, and percentage. The lowest and the highest dimensional mean scores were related to the management support for medication safety dimension (mean: 48.42%) and the Teamwork dimension (mean: 80.43%), respectively.
Managers' inattention and insufficient understanding of safety provide the basis for medication errors and threaten patient safety. Healthcare team members are highly motivated to provide quality and safe care by observing the managers' positive performance regarding patient safety. To improve the medication safety climate, healthcare team members are required to work in a safe workplace and have sufficient job satisfaction. Health center managers need to employ a proactive approach to prevent errors.
用药安全作为护理质量的一个指标，是医疗团队成员在给药时为预防或调整药物不良事件而采取的措施。本研究旨在从医疗服务提供者的角度调查用药安全氛围。
本横断面描述性研究于2021年在伊朗伊斯法罕医科大学附属的一所选定的教学医院进行。参与者是参与用药过程的医疗服务提供者。采用配额抽样法。研究工具包括一份人口统计学调查问卷和用药安全氛围量表（MSC）。
对MSC项目的积极回应的总均值为64.11%，表明用药安全氛围处于中等水平。收集的数据使用SPSS软件（版本16.0）进行管理，并使用描述性统计量进行汇总，即均值、标准差、频率和百分比。最低和最高维度均值分数分别与用药安全维度的管理支持（均值：48.42%）和团队合作维度（均值：80.43%）相关。
管理者对安全的忽视和理解不足为用药错误提供了基础，并威胁到患者安全。医疗团队成员有很高的积极性，通过观察管理者在患者安全方面的积极表现来提供高质量和安全的护理。为了改善用药安全氛围，医疗团队成员需要在安全的工作场所工作并有足够的工作满意度。健康中心管理者需要采取积极主动的方法来预防错误。
