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评估癌症医院医护人员对用药错误的认知以及教育干预影响的研究。

Study to evaluate awareness about medication errors and impact of an educational intervention among healthcare personnel in a cancer hospital.

作者信息

Kunwor Puskar, Basyal Bijaya, Pathak Nabin, Vaidya Pankaj, Shrestha Sudip

机构信息

Department of Clinical Pharmacy, Nepal Cancer Hospital and Research Center, Lalitpur, Nepal.

Pharmaceutical Sciences Program, School of Health and Allied Sciences, Faculty of Health Sciences, Pokhara University, Kaski, Nepal.

出版信息

J Oncol Pharm Pract. 2025 Apr;31(3):347-354. doi: 10.1177/10781552241235898. Epub 2024 Feb 25.

DOI:10.1177/10781552241235898
PMID:38404015
Abstract

IntroductionMedication errors (MEs) are preventable incidents that can result in harm to patients. Therefore, it is essential for healthcare professionals (HCPs) to be well-informed about MEs. This study aims to assess the awareness levels of HCPs and the impact of educational intervention on their understanding of MEs.MethodsResponses to a 17-question structured, self-administered questionnaire assessing the awareness of HCPs regarding fundamental aspects of MEs, ME reporting systems, and their ability to make recommendations for improving the system for handling the MEs were collected both before and after two weeks of educational intervention administration.ResultsOf a total of 114 HCPs who initially participated in the study, six dropped following the intervention. The awareness regarding the Class A questionnaire was good in most physicians (60%), nurses (60%), and pharmacists (57%) before the intervention, which improved postintervention, with physicians (80%), nurses (32%), and pharmacists (78%) demonstrating excellent awareness. The awareness level in the Class B questionnaire was also improved to excellent in most physicians (70%), pharmacists (85%), and nurses (85%) following the intervention, while it was excellent only in 50%, 35%, and 1% of physicians, pharmacists, and nurses, respectively, preintervention. In the Class C questionnaire, most physicians (40%) and nurses (60%) had good awareness, while pharmacists (35%) demonstrated excellent awareness preintervention. Postintervention, most physicians (70%), nurses (77%), and pharmacists (64%) exhibited excellent awareness.ConclusionMost oncology practice HCPs demonstrate a good to average level of awareness regarding MEs. Clinical pharmacists' educational interventions can significantly enhance awareness among HCPs concerning MEs.

摘要

引言

用药错误(MEs)是可预防的事件,可能会对患者造成伤害。因此,医疗保健专业人员(HCPs)充分了解用药错误至关重要。本研究旨在评估HCPs的认知水平以及教育干预对他们理解用药错误的影响。

方法

在进行为期两周的教育干预前后,收集了一份17题的结构化自填问卷的回复,该问卷评估了HCPs对用药错误基本方面、用药错误报告系统的认知,以及他们对改进用药错误处理系统提出建议的能力。

结果

最初参与研究的114名HCPs中,有6人在干预后退出。在干预前,大多数医生(60%)、护士(60%)和药剂师(57%)对A类问卷的认知良好,干预后有所提高,医生(80%)、护士(32%)和药剂师(78%)表现出卓越的认知。在B类问卷中,干预后大多数医生(70%)、药剂师(85%)和护士(85%)的认知水平也提高到了卓越,而在干预前,只有50%的医生、35%的药剂师和1%的护士认知卓越。在C类问卷中,干预前大多数医生(40%)和护士(60%)认知良好,而药剂师(35%)认知卓越。干预后,大多数医生(70%)、护士(77%)和药剂师(64%)表现出卓越的认知。

结论

大多数肿瘤学实践中的HCPs对用药错误的认知水平处于良好到中等水平。临床药剂师的教育干预可以显著提高HCPs对用药错误的认知。

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