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沙特阿拉伯的药物安全:评估现状并确定改进领域。

Medication Safety in Saudi Arabia: Evaluating the Current Situation and Identifying the Areas for Improvement.

作者信息

Alghamdi Anwar A

机构信息

Health Information Technology Department, The Applied College, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

Pharmacovigilance and Medication Safety Unit, Center of Research Excellence for Drug Research and Pharmaceutical Industries, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

出版信息

Pharmacy (Basel). 2025 Apr 1;13(2):50. doi: 10.3390/pharmacy13020050.

Abstract

Drug safety is crucial in healthcare, ensuring the secure and effective administration of medications to protect patient welfare. Drug and medication safety is a major concern among Saudi healthcare providers, with numerous studies outlining the incidence of medication errors and the need for enhanced safety standards. This review will examine the existing level of drug-related safety in Saudi Arabia, categorizing the areas for improvement and highlighting concepts to improve safety practices. The overview discusses the history and evolution of pharmaceutical safety procedures, the present regulatory framework, major stakeholders, and the types and origins of prescription errors. It also examines the role of healthcare personnel and the use of technology and patient education in promoting pharmaceutical safety. The data reveal that the rate of pharmaceutical errors in Saudi hospitals is shockingly high, ranging from 13 to 56 per 100 medication orders, highlighting the urgent need for effective medication safety standards. Despite the formation of the Saudi Food and Drug Authority (SFDA) and the National Pharmacovigilance and Drug Safety Centre, issues such as poor understanding among healthcare providers and the need for more effective reporting methods remain a challenge. The evaluation highlights the deficiencies in ongoing education, such as real-world case scenarios and related trainings, inadequate incorporation of skills in assessment methods, and deficiency in standardized protocols for error reporting. To address these gaps, it is proposed to implement structured competency-based training, simulation exercises must be preferred for periodic skill assessments, and a safe reporting culture should be encouraged for the sake of transparency and learning from errors. We recognize the use of technology, such as electronic health records and computerized physician order input systems, as an important technique for improving medication safety. Future directions include creating national guidelines, establishing a centralized pharmaceutical error reporting system, and fostering a safety culture inside healthcare organizations. By addressing these obstacles and capitalizing on the opportunities indicated, we may improve pharmaceutical safety and, ultimately, patient care and outcomes in Saudi Arabia.

摘要

药物安全在医疗保健中至关重要,它确保药物的安全有效使用,以保护患者的健康。药物及药品安全是沙特医疗保健提供者主要关注的问题,众多研究概述了用药错误的发生率以及提高安全标准的必要性。本综述将审视沙特阿拉伯药物相关安全的现有水平,对需要改进的领域进行分类,并强调改善安全实践的理念。概述部分讨论了药品安全程序的历史和演变、当前的监管框架、主要利益相关者以及处方错误的类型和来源。它还审视了医护人员的作用以及技术和患者教育在促进药品安全方面的应用。数据显示,沙特医院的用药错误率高得惊人,每100份用药医嘱中就有13至56例错误,这凸显了制定有效用药安全标准的迫切需求。尽管成立了沙特食品药品管理局(SFDA)和国家药物警戒与药品安全中心,但医护人员理解不足以及需要更有效报告方法等问题仍然是一项挑战。评估突出了持续教育中的不足,如缺乏实际案例场景及相关培训、评估方法中技能融入不足以及错误报告标准化协议的欠缺。为填补这些差距,建议实施基于能力的结构化培训,定期技能评估最好采用模拟练习,并鼓励建立安全报告文化以实现透明度和从错误中学习。我们认识到使用电子健康记录和计算机化医生医嘱录入系统等技术是提高用药安全的一项重要技术。未来的方向包括制定国家指南、建立集中化的用药错误报告系统以及在医疗保健组织内部培育安全文化。通过克服这些障碍并利用所指出的机会,我们可以提高沙特阿拉伯的药品安全,最终改善患者护理和治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a43/12030464/f9775cc5829a/pharmacy-13-00050-g001.jpg

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