摘要
目的初步了解我国医疗机构用药安全管理现状。方法合理用药国际网络(INRUD)中国中心组临床安全用药组和中国药理学会药源性疾病学专业委员会联合成立课题组,组织INRUD中国中心组临床安全用药组成员单位本着自愿的原则对本单位用药安全状况进行自我测评。自我测评采用《2011版ISMP医院用药安全自我评估标准(中文版)》中的调查问卷。该问卷包含10个关键元素,20个核心指标,270个测评项目。调查问卷发放时间为2018年8月17日,要求在2个月内完成问卷填写和提交。结果至规定时间共有16个省级行政区的67家医院提交了调查问卷,其中三级医院61家(91.0%),二级医院6家(9.0%)。67家参评医院用药安全自我测评平均总得分为58.9%(7.6%~90.0%)。67家医院均未对关键元素Ⅵ(药品治疗设备的采购、使用和监控维护)进行评估,其他9个关键元素的得分由高至低依次为Ⅶ(环境因素、工作流程及人员配备模式,67.6%)、Ⅳ(药品标签、包装和命名,66.2%)、Ⅸ(患者教育,65.1%)、Ⅲ(用药医嘱及其他药品信息的传递,64.8%)、Ⅷ(员工能力与教育,64.1%)、Ⅴ(药品标准化、储存和分发,58.2%)、Ⅹ(质量流程和风险管理,54.5%)、Ⅰ(患者信息,54.4%)和Ⅱ(药品信息,52.5%)。结论首次开展的全国性医疗机构用药安全自我评估问卷调查获得了16个省级行政区67家医院的用药安全相关数据,这些数据初步反映了我国医疗机构的用药安全现状。
ObjectiveTo preliminarily understand the current status of medication safety management of medical institutions in China.MethodsMedication Safety Panel in China Core Group of International Network for the Rational Use of Drugs (INRUD) and Chinese Pharmacological Society Professional Committee of Drug-induced Diseases jointly established a research group. Basing on the voluntary principle, members (medical institutions) of the group did medication safety self-assessment using the questionnaires of "2011 ISMP Medication Safety Self Assessment for Hospitals (Chinese version)", which included 10 key elements, 20 core indicators, and 270 assessment projects. The questionnaires were handed out on August 17, 2018 and needed to be completed and submitted within 2 months.ResultsAs of October 19, 2018, 67 hospitals of 16 provincial administrative regions in total had submitted their questionnaires, including 61 (91.0%) 3A hospitals and 6 (9%) 2A hospitals. The average value of total scores of medication safety self-assessment in the 67 hospitals was 58.9%(7.6%-90.0%). None of the 67 hospitals evaluated the key element Ⅵ(medication device acquisition, use, and monitoring). The scores of the other 9 key elements from high to low were 67.6%, 66.2%, 65.1%, 64.8%, 64.1%, 58.2%, 54.5%, 54.4%, and 52.5% respectively for element Ⅶ(environmental factors, workflow and staffing patterns), element Ⅳ(drug labeling, packaging and nomenclature), element Ⅸ(patient education), element Ⅲ(communication of drug orders and other drug information), element Ⅷ(staff competency and education), element Ⅴ(drug standardization, storage and distribution), element Ⅹ(quality processes and risk management), element Ⅰ(patient information), and element Ⅱ(drug information).ConclusionThe data of medication safety from 67 hospitals of 16 provincial administrative regions were obtained through the first national self-assessment questionnaire survey in medical institutions, which initially reflected the current status of medication safety in medical institutions in China.
作者
李晓玲
赵思邈
王雅葳
张青霞
闫素英
李玉珍
梅丹
陈孝
张伶俐
钟明康
姜玲
黄欣
杨卉
黄品芳
童荣生
孙维红
刘世霆
刘滔滔
封卫毅
张峻
泽碧
付秀娟
丁玉峰
马满玲
王育琴
Li Xiaoling;Zhao Simiao;Wang Yaiwei;Zhang Qingxia;Yan Suying;Li Yuzhen;Mei Dan;ChenXiao;Zhang Lingli;Zhong Mingkang;Jiang Ling;Huang Xin;Yang Hui;Huang Pinfang;Tong Rongsheng;Sun Weihong;Liu Shiting;Liu Taotao;Feng Weiyi;Zhang Jun;Ze Bi;Fu Xiujuan;Ding Yufeng;Ma Manling;Wang Yuqin(Department of Pharmacy, Xuamvu Hospital, Capital Medical University, Beijing 100053, China;Department of Pharmacy, the First Affiliated Hospital of Fujian Medical University, Fuzhou 350005, China;Department of Pharmacy, Sichuan Provincial People's Hospital,Sichuan Academy of Medical Sciences, Chengdu 610072, China;Department of Pharmacy , General Hospital of Ningxia Medical University, Yinchuan 750004, China;Department of Pharmacy, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China;Department of Pharmacy, the FirstAffiliated Hospital of Guangxi Medical University, Nanning 530027, China;Department of Pharmacy, the First Affiliated Hospital of Xi'an Jiaotong University, Xian 710061, China;Department of Pharmacy, First Affiliated Hospital of Kunming Medical University, Kunming 650032 , China;Department of Pharmacy,Tibet Autonomous Region People's Hospital, Lhasa 850000, China;Department of Pharmacy, the Second Hospital of Jilin University, Changchun 130022 ,China;Department of Pharmacy, Tongji Hospital, Tongji Medical College Huazhong University of Science & Technology, Wuhan 430030, China;Department of Pharmacy, Peking University People' s Hospital, Beijing 100044, China;Department of Pharmacy, the First Affiliated Hospital of Harbin Medical University, Harbin 150001, China;Department of Pharmacy, Peking Union Medical College Hospital, Chinese Academy of Medical Science, Beijing 100730, China;Department of Pharmacy, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080;Department of Pharmacy, West China Second University Hospital, Chengdu 610041, China;Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai 200040, China;Department of Pharmacy,Anhui Provincial Hospital, Hefei 230001, China;Department of Pharmacy, Shangdong Provincial Qianfoshan Hospital, Jinan 250014, China;Department of Pharmacy, Affiliated Hospital of Qinghai University, Xining 810001, China)
出处
《药物不良反应杂志》
CSCD
2019年第1期20-29,共10页
Adverse Drug Reactions Journal
基金
北京市科学技术委员会“北京老年人健康评估及维护关键技术研究”专项资助课题(D18110000021800)
国家卫生健康委员会医政医管局委托课题.
关键词
患者安全
安全管理
用药错误
用药体系
组织文化
电子处方
自我评价方案
Patient safety
Safety management
Medication errors
Medication systems
Organization culture
Electronic prescribing
Self-evaluation programs