Investigation and Analysis of Medication Safety among 24 Medical Institutions in Linyi City
- VernacularTitle:临沂市24家医疗机构用药安全现状的调查分析
- Author:
Yanlong QIU
1
;
Tao WANG
1
;
Xuesong ZHANG
1
;
Wenqiang SUN
1
;
Yan CHEN
2
;
Min ZHAO
3
;
Zhengrong LI
4
;
Fudong SUN
1
Author Information
1. Dept. of Pharmacy，Pingyi County People’s Hospital/Pingyi Branch，Qilu Hospital of Shandong University，Shandong Pingyi 273300，China
2. Feixian County Chengguan Town Rural Health Service Center，Shandong Feixian 273400，China
3. Linshu County Qingyun Town Baimao Center Health Center，Shandong Linshu 276700，China
4. Dept. of Pharmacy，Linyi Municipal People’s Hospital of Shandong University，Shandong Linyi 276003，China
- Publication Type:Journal Article
- Keywords:
Linyi city;
ISMP Self-assessment scale;
Urban hospital;
Rural hospital;
Medication safety;
Radar chart
- From:
China Pharmacy
2019;30(5):581-586
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE： To investigate the current situation of medication safety in 24 public medical institutions（referred to as “hospital”） from Linyi city and the differences in medication safety between urban and rural areas. METHODS： ISMP self-assessment scale [including 10 key elements （Ⅰ-Ⅹ，such as “Ⅰ patient’s information” “Ⅱ drug information”）， 20 key characteristics and 270 evaluation projects] developed by Institute of Safe Medication Practices was used to investigate 24 hospitals in Linyi city. The implementation rates of 10 key elements in urban and rural hospitals were analyzed statistically， and the top 10 evaluation projects were listed for the key elements with the lowest implementation rate. The key elements and top 10 evaluation projects with the largest difference in the implementation rate were compared between urban and rural hospitals. Radar maps were used for comparison and analysis intuitively. RESULTS： A total of 24 hospitals were surveyed， including 12 in urban and 12 in rural areas； there were significant differences in the implementation rate of 10 key factors among 24 hospitals； the elements with the highest implementation rate were “Ⅶ environmental factors， workflow and staffing pattern”（56.55％）；the elements with the lowest implementation rate was “Ⅱ drug information” （26.77％）. Among 33 evaluation projects of “Ⅱ drug information”， the implementation rate of No. 36 project （12.50％， related to opioids） was the lowest. Among the implementation rates of 10 key elements in 12 urban hospitals and 12 rural hospitals， the key elements with the greatest difference was “Ⅳ drug label， packaging and naming” （differing by 44.44％，59.72％ vs. 15.28％）； Among“Ⅸ patient education”evaluation project with the greatest gap， there was the greatest difference in No. 199 project （related to patients’ active participation in medication， 58.33％ in urban， 4.17％ in rural）. CONCLUSIONS： The results of medication safety investigation in 24 hospitals from Linyi city show that all the item in each hospital needs to be improved expecially in the implementation of “Ⅱ drug information”. Rural hospitals should strengthen medication education for patients.
