摘要
目的通过对某省7家三甲综合医院的药师和1家三甲综合医院的医师、护士、药师的高危药品认知调查,进一步完善医院高危药品管理制度,提高医务人员对高危药品的风险防范意识,促进临床用药安全。方法对某省7家三甲综合医院的药师及1家三甲综合医院的医师、护士、药师发放调查问卷,包括是非题(包含药品使用和药物管理)、药物接触种类、药物差错情况、成因和自我评价5部分。结果 7家三甲综合医院的药师:150名药师20道是非题的平均正确率为83.2%;大多数药师认为抗凝血药是他们在工作中接触最多,也是最易发生错误而需要加强管理的高危药品种类;药师的工作年限、职称、是否接受过相关培训等因素均对其得分产生影响;71.3%的药师认为"高危药品与其他药品相混"是其工作时最易发生差错的环节;多数药师认为自己对高危药品相关知识的了解程度"一般",76.7%的药师希望获得额外培训,同时他们的得分也相对较高。1家三甲综合医院的医务人员:168名医务人员20道是非题的平均正确率为83.0%;对工作中接触最多和最易发生错误而需要加强管理的药物以及工作时最易发生差错的环节,医师、药师和护士的选择不尽相同;除学历外,职称、工作年限、职业、是否获得过有关高危药物知识培训均对被调查者所得分数有影响,药师的得分高于护士;大多数医务人员认为自己对高危药品相关知识的了解程度"一般",且绝大多数希望获得额外培训。结论被调查者对高危药品的定义有较为清晰的认识(平均正确率均>80%),对高危药品的管理措施较为清楚(平均正确率80%左右),且多数医务人员认为须接受高危药品相关知识培训。医院可以针对药师、医师和护士的不同特点开展高危药品知识的培训,提高他们对于高危药品的认知度和警惕性,完善医院高危药品管理制度,提高临床用药安全。
Itemive To survey medical personnels＇ knowledge and awareness of high-risk medications, and to improve hospital management of high-risk medications, risk awareness of medical personnel and clinical drug safety. Methods Questionnaires were designed to survey pharmacists from 7 class 3-A comprehensive hospitals and pharmacists, doctors and nurses from 1 top class comprehensive hospital. The questionnaire consisted of 5 parts： True or False（including drug administration and drug regulation）, Drug Exposure Category, Error condition, Contributing Factors, and Selfevaluation. Results The 150 pharmacists from the 7 hospitals had an average accuracy rate of 83.2% in the 20 True or False statements. Most pharmacists thought they contacted anticoagulants most in their work, which were most easily mistaken and needed strengthened management. Work experience, academis title and releted training had impact on the score; 71.3% of pharmacists found ＂High-risk drugs mixed with other drugs＂ most easily mistaken; 76.7% who scored relatively high hoped to gain more training. The accuracy rate of True or False questions was 83.0% in the 168 doctors and nurses; Academic title, work experience, occupation, and releted training all had impact on the score. The score of pharmacists was higher than that of doctors and nurses who also longed for more trainning. Conclusion The respondents show a relatively clear understanding of high-risk medication（average accuracy rate 80%） and of management measures（average accuracy rate of about 80%）. Hospitals should offer more training in high-risk drugs to enhance their awareness and vigilance and improve the hospital management system of high-risk drugs.
出处
《中南药学》
CAS
2014年第6期596-605,共10页
Central South Pharmacy
关键词
高危药品
医务人员
认知
high-risk medication medical personnel acknowledge
