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揭示影响约旦公众对用药错误的认知和行为的因素:一项横断面研究。

Unveiling the factors influencing public knowledge and behaviours towards medication errors in Jordan: a cross-sectional study.

机构信息

Department of Basic Medical Sciences, Faculty of Medicine, Al-Balqa Applied University, As-Salt, Jordan.

Pharmacological and Diagnostic Research Center, Biopharmaceutics and Clinical Pharmacy Department, Faculty of Pharmacy, Al-Ahliyya Amman University, Amman, Jordan.

出版信息

BMC Health Serv Res. 2024 Jul 10;24(1):798. doi: 10.1186/s12913-024-11230-6.

Abstract

BACKGROUND

Medication errors are preventable incidents resulting from improper use of drugs that may cause harm to patients. They thus endanger patient safety and offer a challenge to the efficiency and efficacy of the healthcare system. Both healthcare professionals and patients may commit medication errors.

METHODS AND OBJECTIVES

A cross-sectional, observational study was designed using a self-developed, self-administered online questionnaire. A sample was collected using convenience sampling followed by snowball sampling. Adult participants from the general population were recruited regardless of age, gender, area of residence, medical history, or educational background in order to explore their practice, experience, knowledge, and fear of medication error, and their understanding of this drug-related problem.

RESULTS

Of the 764 participants who agreed to complete the questionnaire, 511 (66.9%) were females and 295 (38.6%) had a medical background. One-fifth of participants had experienced medication errors, with 37.7% of this segment reporting these medication errors. More than half of all medication errors (84, 57.5%) were minor and thus did not require any intervention. The average anxiety score for all attributes was 21.2 (The highest possible mean was 36, and the lowest possible was 0). The highest level of anxiety was seen regarding the risk of experiencing drug-drug interactions and the lowest levels were around drug costs and shortages. Being female, having no medical background, and having experience with medication errors were the main predictors of high anxiety scores. Most participants (between 67% and 92%) were able to recognise medication errors committed by doctors or pharmacists. However, only 21.2 to 27.5% of participants could recognise medication errors committed by patients. Having a medical background was the strongest predictor of knowledge in this study (P < 0.001).

CONCLUSION

The study revealed that the prevalence of self-reported medication errors was significantly high in Jordan, some of which resulted in serious outcomes such as lasting impairment, though most were minor. Raising awareness about medication errors and implementing preventive measures is thus critical, and further collaboration between healthcare providers and policymakers is essential to educate patients and establish effective safety protocols.

摘要

背景

用药错误是指由于药物使用不当而导致的可对患者造成伤害的可预防事件,从而危及患者安全并对医疗保健系统的效率和效果构成挑战。医疗保健专业人员和患者都可能犯用药错误。

方法和目的

本研究采用自行设计的在线问卷调查进行横断面观察性研究。采用便利抽样和滚雪球抽样采集样本。从一般人群中招募成年参与者,无论其年龄、性别、居住地、病史或教育背景如何,旨在探讨他们对用药错误的实践、经验、知识和恐惧,以及对这一与药物相关问题的理解。

结果

在同意完成问卷的 764 名参与者中,511 名(66.9%)为女性,295 名(38.6%)有医疗背景。五分之一的参与者经历过用药错误,其中 37.7%的人报告了这些用药错误。所有用药错误中有一半以上(84 例,占 57.5%)是轻微的,因此不需要任何干预。所有属性的平均焦虑得分为 21.2(最高可能平均分为 36,最低可能分为 0)。对药物-药物相互作用的风险感到最焦虑,而对药物成本和短缺的焦虑程度最低。女性、无医疗背景和用药错误经历是高焦虑评分的主要预测因素。大多数参与者(67%至 92%之间)能够识别医生或药剂师犯的用药错误。然而,只有 21.2%至 27.5%的参与者能够识别患者犯的用药错误。有医疗背景是本研究中知识最强的预测因素(P<0.001)。

结论

研究表明,约旦自我报告的用药错误发生率显著较高,其中一些导致严重后果,如持续损伤,尽管大多数是轻微的。提高对用药错误的认识并实施预防措施至关重要,医疗保健提供者和政策制定者之间进一步合作对于教育患者和建立有效的安全协议至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d2d/11238437/941822edca79/12913_2024_11230_Fig1_HTML.jpg

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