Pharmacist recognition of and adherence to medication-use policies and safety practices.
Am J Health Syst Pharm
; 64(19): 2050-4, 2007 Oct 01.
Article
em En
| MEDLINE
| ID: mdl-17893416
ABSTRACT
PURPOSE:
Pharmacist recognition of and adherence to medication-use policies and safety practices were assessed.METHODS:
Simulation testing was used to assess the performance of pharmacists in hypothetical scenarios simulating real-life situations. Fifty test case medication orders were developed, some requiring specific intervention and some requiring no special action. Orders were classified into four categories those posing safety concerns n ( = 16), those with formulary and product standardization issues (n = 4), those with pharmacy and therapeutics (P&T) committee restrictions (n = 4), and those requiring no special action (n = 26). Potential barriers to compliance were identified by the project team and the orders categorized accordingly. The orders were processed by 25 pharmacists using a simulation testing procedure. Data were analyzed by pharmacists' demographics, order category, and perceived barriers to compliance.RESULTS:
Pharmacists were correctly able to recognize 77.3% of test orders 67.3% with safety concerns, 98.9% with formulary issues, and 98.5% with restrictions. Appropriate action was taken with 74.2% of test orders 64.5% of safety orders, 96.6% of formulary orders, and 92.4% of restriction orders. There was no correlation between pharmacists' performance and demographic characteristics. The two barriers to correct response identified most often were ambiguous responsibility and low perceived level of importance.CONCLUSION:
Pharmacists generally recognized and took appropriate action with simulated medication orders that contained problems related to formulary or P&T committee restrictions. They were less able to recognize and act appropriately on orders with safety-related problems. Ambiguous responsibility and low perceived importance were the most significant factors contributing to noncompliance with P&T committee policies and guidelines.
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Bases de dados:
MEDLINE
Assunto principal:
Farmacêuticos
/
Serviço de Farmácia Hospitalar
/
Política Organizacional
/
Competência Clínica
/
Erros de Medicação
Tipo de estudo:
Diagnostic_studies
/
Guideline
/
Prognostic_studies
Limite:
Humans
Idioma:
En
Revista:
Am J Health Syst Pharm
Assunto da revista:
FARMACIA
/
HOSPITAIS
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos