Department of Clinical Sciences, College of Pharmacy and Health Sciences, Ajman University, Ajman, UAE.
Department of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Penang, Malaysia.
Sci Rep. 2024 Jul 4;14(1):15370. doi: 10.1038/s41598-024-64605-4.
Medication reconciliation (MedRec) helps prevent medication errors. This cross-sectional, nationwide study assessed the knowledge, perceptions, practice, and barriers toward MedRec amongst hospital pharmacy practitioners in the United Arab Emirates. A total of 342 conveniently chosen stratified hospital pharmacists responded to the online survey (88.6% response rate). Mann-Whitney U test and Kruskal-Wallis test were applied at alpha = 0.05 and post hoc analysis was performed using Bonferroni test. The overall median knowledge score was 9/12 with IQR (9-11) with higher levels among clinical pharmacists (p < 0.001) and previously trained pharmacists (p < 0.001). Of the respondents, 35.09% (n = 120) practiced MedRec for fewer than five patients per week despite having a strong perception of their role in this process. The overall median perception score was 32.5/35 IQR (28-35) with higher scores among clinical pharmacists (p < 0.001) and those who attended previous training or workshops (p < 0.001). The median barrier score was 24/30 with an IQR (21-25), where lack of training and knowledge were the most common barriers. Results showed that pharmacists who did not attend previous training or workshops on MedRec had higher barrier levels than those who attended (p = 0.012). This study emphasizes the significance of tackling knowledge gaps, aligning perceptions with practice, and suggesting educational interventions.
药物重整(MedRec)有助于预防用药错误。本横断面、全国性研究评估了阿联酋医院药剂师对 MedRec 的知识、认知、实践和障碍。共有 342 名方便选择的分层医院药剂师对在线调查做出了回应(88.6%的回应率)。Mann-Whitney U 检验和 Kruskal-Wallis 检验应用于α=0.05,并用 Bonferroni 检验进行事后分析。总体知识中位数评分为 9/12,IQR(9-11),临床药师得分较高(p<0.001)和之前接受过培训的药师(p<0.001)。在受访者中,尽管他们强烈认为自己在这一过程中发挥了作用,但仍有 35.09%(n=120)每周为少于 5 名患者实施 MedRec。总体认知中位数评分为 32.5/35,IQR(28-35),临床药师得分较高(p<0.001)和参加过之前培训或研讨会的得分较高(p<0.001)。障碍中位数评分为 24/30,IQR(21-25),缺乏培训和知识是最常见的障碍。结果表明,未参加过 MedRec 之前培训或研讨会的药剂师比参加过的药剂师障碍水平更高(p=0.012)。本研究强调了解决知识差距、使认知与实践保持一致以及提出教育干预措施的重要性。