Analysis of self-assessment results on medication safety in 10 pediatric medical institutions
10.3760/cma.j.cn114015-20221123-01048
- VernacularTitle:10家儿科医疗机构用药安全自我评估结果分析
- Author:
Hui LUO
1
;
Nan WANG
;
Weifeng MA
;
Chang LIU
;
Jing CAO
;
Chunhui GAO
;
Yuanyuan ZENG
;
Wei HUANG
;
Baoyan CHEN
;
Zhimin XUE
;
Xiaoling WANG
Author Information
1. 江西省儿童医院药学部，南昌 330199
- Publication Type:Journal Article
- Keywords:
Hospitals, pediatric;
Patient safety;
Safety management;
Self-evaluation programs
- From:
Adverse Drug Reactions Journal
2023;25(5):287-298
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand preliminarily the current status of medication safety management in pediatric medical institutions in China.Methods:Self-assessment of medication safety situation were conducted in 10 pediatric medical institutions of the Pharmacy Professional Committee of Futang Children′s Medical Development Research Center using the "optimized version of 2011 Medication Safety Self Assessment ? for Hospitals (161 assessment items)" (self-assessment criteria). The self-assessment criteria included 10 key elements, 20 core characteristics, and 161 assessment items. The self-assessment results on medication safety among participating institutions were summarized, and the percentage scores and implementation proportions of the key elements, core characteristics, and assessment items were descriptively analyzed. Results:All 10 participating medical institutions completed the questionnaires within the specified time. The results showed that the overall percentage score of medication safety self-assessment was 74.72%. The element Ⅲ (communication of medication orders and other medicines information, 83.89%) and element Ⅹ (quality process and risk management, 67.84%) were with the highest and lowest percentage scores, respectively. The element Ⅲ (66.67%) and element Ⅸ (patient education, 40.00%) were with the highest and lowest percentage of full implementation, respectively. The element Ⅸ (46.25%) and element Ⅲ (26.67%) were with the highest and lowest percentage of partial implementation, respectively. The element Ⅹ (quality process and risk management, 18.38%) and element Ⅵ (procurement, use, and monitoring maintenance of drug treatment equipment, 6.25%) were with the highest and lowest percentage of non-implementation, respectively. Among the 20 core characteristics, characteristic 10 (guaranteeing the isolation of non-pharmaceutical chemicals from patients and avoiding harm to patients due to misuse, 96.25%) and characteristic 7 (adopting measures such as developing clinical pathways and establishing standardized administration time to ensure patients receive standardized diagnosis and treatment, 57.50%) were with the highest and lowest percentage scores, respectively. The characteristic 20 (following hospital infection control measures during drug storage, formulation, preparation, and administration, 90.00%) and characteristic 17 (establishing a fair and just drug safety culture within the hospital, encouraging and advocating safe behavior, rather than punitive measures for medical personnel related to medication errors, 25.00%) were with the highest and lowest percentage of complete implementation, respectively. The characteristic 7 (55.00%) and characteristic 20 (5.00%) were with the highest and lowest percentage of partial implementation, respectively. The characteristic 17 (22.86%) and characteristic 10 (0) were the highest and lowest percentage of non-implementation, respectively.Conclusions:The 10 pediatric medical institutions participating in the self-assessment have a higher level of management in the communication of medication orders and other drug information, as well as in the storage and distribution of drugs. However, there are shortcomings in the construction of a fair culture, proactive prevention of medication risks, and improvement of information systems.
