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一项针对阿联酋医院药师在药物重整方面的知识、认知、实践和障碍评估的全国性调查。

A national survey on assessment of knowledge, perceptions, practice, and barriers among hospital pharmacists towards medication reconciliation in United Arab Emirates.

机构信息

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.

出版信息

Sci Rep. 2024 Jul 4;14(1):15370. doi: 10.1038/s41598-024-64605-4.

DOI:10.1038/s41598-024-64605-4
PMID:38965258
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11224255/
Abstract

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.

摘要

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。

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本文引用的文献

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Improving Accuracy of Medication Reconciliation for Hospitalized Children: A Quality Project.提高住院儿童用药核对准确性的质量改进项目
Hosp Pediatr. 2024 Apr 1;14(4):300-307. doi: 10.1542/hpeds.2023-007396.
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The impact of hospital-based post-discharge pharmacist medication review on patient clinical outcomes: A systematic review.基于医院的出院后药师药物审查对患者临床结局的影响:一项系统综述。
Explor Res Clin Soc Pharm. 2023 Jul 13;11:100305. doi: 10.1016/j.rcsop.2023.100305. eCollection 2023 Sep.
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The impact of pharmacist-led medication reconciliation and interprofessional ward rounds on drug-related problems at hospital discharge.药剂师主导的用药核对和跨专业病房查房对出院时药物相关问题的影响。
Int J Clin Pharm. 2023 Feb;45(1):117-125. doi: 10.1007/s11096-022-01496-3. Epub 2022 Nov 3.
4
A mixed methods evaluation of medication reconciliation in the primary care setting.基层医疗环境中药物重整的混合方法评估。
PLoS One. 2021 Dec 2;16(12):e0260882. doi: 10.1371/journal.pone.0260882. eCollection 2021.
5
Twelve-week project to improve medication reconciliation at hospitals in Wellington, New Zealand.新西兰惠灵顿医院改善用药医嘱核对的 12 周项目。
BMJ Open Qual. 2021 Jun;10(2). doi: 10.1136/bmjoq-2019-000787.
6
Implementation strategies in the context of medication reconciliation: a qualitative study.药物重整背景下的实施策略:一项定性研究
Implement Sci Commun. 2021 Jun 10;2(1):63. doi: 10.1186/s43058-021-00162-5.
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Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.精细化循证工具包和指导实施对 18 家医院药物重整的影响:MARQUIS2 研究结果。
BMJ Qual Saf. 2022 Apr;31(4):278-286. doi: 10.1136/bmjqs-2020-012709. Epub 2021 Apr 29.
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Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources.避免医疗失误:一个用于优化患者安全和重新分配医院资源的结构化药物重整框架及标准化审核工具。
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