Ljungberg Persson Christina, Nordén Hägg Annika, Södergård Björn
School of Public Health and Community Medicine, Sahlgrenska Academy, Gothenburg, Sweden
FarmFast, Uppsala, Sweden.
BMJ Open. 2025 Jan 20;15(1):e088323. doi: 10.1136/bmjopen-2024-088323.
The patient safety climate in community pharmacies was measured nationally in Sweden in 2008. Since that time the Swedish pharmacy market has undergone a re-regulation which probably has affected the patient safety climate in pharmacies.
The aim was to evaluate the patient safety climate among pharmacists working in Swedish community pharmacies and compare it with historical data.
The patient safety climate among pharmacists was analysed in two cross-sectional surveys. Historical data from 2008 and data collected in 2022 were compared. The Safety Attitudes Questionnaire (SAQ), containing items on safety culture arranged in six dimensions, was used in both surveys. It uses a 5-point Likert scale to create a quantitative description of the respondents' perception of patient safety climate.
Community pharmacies in Sweden.
These surveys were census studies because all pharmacists working in community pharmacies in Sweden were invited to participate and no sampling occurred.
The number of respondents was 2738 in 2008 and 1931 in 2022. The patient safety climate in Swedish community pharmacies appears to have worsened between 2008 and 2022 according to the pharmacists. All values of the dimensions included in the SAQ have decreased, except for the dimension of Stress Recognition, where an increase indicated a larger awareness among the pharmacists of how stress impacts their work. The overall negative trend in SAQ values seen between 2008 and 2022 was consistent, irrespective of the respondent's level of education, their role in the pharmacy or the number of years since their education was completed.
The patient safety climate in community pharmacies in Sweden seems to have deteriorated. With an increasingly strained healthcare system, community pharmacists must be reliable defenders of patient safety, and it is essential to ensure that the climate in their workplace supports the important work being carried out.
2008年瑞典在全国范围内对社区药房的患者安全氛围进行了测量。自那时起，瑞典药房市场经历了重新监管，这可能对药房的患者安全氛围产生了影响。
旨在评估瑞典社区药房药剂师的患者安全氛围，并将其与历史数据进行比较。
在两项横断面调查中分析了药剂师的患者安全氛围。比较了2008年的历史数据和2022年收集的数据。两项调查均使用了安全态度问卷（SAQ），该问卷包含按六个维度排列的安全文化项目。它使用5点李克特量表对受访者对患者安全氛围的认知进行定量描述。
瑞典的社区药房。
这些调查是普查研究，因为邀请了瑞典社区药房工作的所有药剂师参与，未进行抽样。
2008年的受访者为2738人，2022年为1931人。根据药剂师的说法，2008年至2022年期间，瑞典社区药房的患者安全氛围似乎有所恶化。SAQ中包含的各个维度的所有值均有所下降，除了压力识别维度，该维度的增加表明药剂师对压力如何影响其工作的认识有所提高。2008年至2022年期间SAQ值的总体负面趋势是一致的，无论受访者的教育水平、他们在药房中的角色或完成学业后的年数如何。
瑞典社区药房的患者安全氛围似乎已经恶化。随着医疗系统压力越来越大，社区药剂师必须成为患者安全的可靠捍卫者，确保他们工作场所的氛围支持正在开展的重要工作至关重要。
