LIU Fang1, ZHANG Ting1, ZHANG Xiao-le1*, SHEN Qun-hong2, TANG Li-yang2
1. Department of Pharmacy, Peking University Third Hospital, Beijing 100191, China; 2.Health and Development Institute, Tsing Hua University, Beijing 100084, China
Abstract��
OBJECTIVE To understand and analyze the status of medication safety issues in China��s healthcare system and give our recommendations on the strategy/tactics feasible for medication safety improvement, providing empirical support to the decision-making process made by competent governmental bodies for the purpose of medication safety improving. METHODS Online questionnaire survey is conducted in order to obtain necessary information for this empirical research; as the sole and exclusive link for this survey, www.cmei.org.cn-China Pharmaceutical Industry Information Website-opened and maintained by the Science & Technology Development Center of China Pharmaceutical Association, is used to release and return the survey letter and questionnaire; the CONCLUSION of this empirical research is based on our statistics and analysis on the information carried on the returned questionnaires. RESULTS Totally 129 hospitals located within 26 provinces, autonomous regions and municipalities in China responded to the Survey; among them, 116 hospitals completed the questionnaires with a response rate of 88.92%, including 96 class-3 hospitals (82.76%) and 20 class-2 hospitals (17.24%); there are in total 6 001 pharmacist samples in those 116 hospitals; among them, 2 292 pharmacists completed the questionnaires, with a return rate of questionnaire of 38.19%. CONCLUSION Across the four basic dimensions on medication safety, the overall assessment on hospital pharmacists is: attitude (3.72)> practice (3.68)> awareness (3.45)> atmosphere (3.35). Awareness has a direct impact on practice, so the pharmacists awareness of medication safety should be improved and enhanced; pharmacists gave a low rating (2.70) to the administration/management works for promoting medication safety; the work-related fatigue of pharmacists has a serious effect on medication safety; the rules and regulations about medication safety were improperly implemented in actual practices, a potential element giving adverse effect on medication safety; the standardization of doctor��s prescription(completeness and clearness) can dramatically affect the medication safety; the atmosphere of medication safety culture should be highlighted and improved; hospital pharmacists have not become clearly aware of and assume the liabilities for medication safety, and the drug distributing preformed by pharmacists is still under conventional supply mode, at its infant stage for mode transition; hospital pharmacists had a blindly optimistic trending for medication safety, and the survey result(3.53) is much lower than the subjective assessment (4.30) given by the pharmacists.
LIU Fang-,
ZHANG Ting-,
ZHANG Xiao-Le-* etc
.Empirical Research on Medication Safety of Pharmacists in 116 Hospital[J] Chinese Pharmaceutical Journal, 2014,V49(21): 1961-1965
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2014, Vol. 49 