基于MSO构建儿科门诊药房规范化培训体系

Establish a standardized training in ambulatory care pharmacy for pediatric based on medication safety management

关键词:  儿科  门诊药房  用药安全管理  规范化培训  Delphi法

Key words:  pediatric  ambulatory care pharmacy  medication safety management  standardized training  Delphi method

摘要:

目的 基于用药安全管理,根据儿童用药风险点,构建儿科门诊药房规范化培训体系。方法 运用文献分析法构建门诊药师规范化培训体系基本框架、收集儿童门诊药品调剂风险因素,运用问卷调研法在试点儿童医院及其他妇儿医院门诊调研儿童门诊药品调剂风险因素,明确可通过规范化培训降低的风险因素,据此拟定儿科门诊规范化培训体系的模型,设计专家函询问卷。采用Delphi法进行两轮专家函询。结果 两轮问卷的回收率分别为100. 00% 及86.96%；两轮专家的权威系数分别为0.89、0. 90；两轮专家意见协调程度卡方检验的p值均小于0.05。最终确立了4个层次的条目,其中一级条目5个、二级条目25个、三级条目43个,四级条目13个。结论 本研究基于用药安全管理构建的儿科门诊药房规范化培训体系具有权威性、科学性、实用性以及儿科门诊药品调剂风险的针对性,作为用药安全总监 (medication safety officer,MSO)管理的工具可降低药师人为因素对儿童门诊药品调剂风险的影响,保障儿童用药安全。

Abstract:

OBJECTIVE To establish a standardized training in ambulatory care pharmacy for pediatric according to the risk factors in pediatric based on medication safety management. METHODS To analysis the literature to build the basic framework of standardized training in ambulatory care pharmacy, to collect risk factors in drug dispensing of ambulatory care for pediatric, using questionnaire survey to investigate the risk factors in drug dispensing of ambulatory care for pediatric in pilot and other pediatric hospitals, to identify the risk factors that can be reduced through standardized training, to develop a model of standardized training in ambulatory care pharmacy for pediatric, then design expert questionnaire, using Delphi method to conduct two rounds of expert consultation. RESULTS Recovery rates of two rounds questionnaires were 100. 00% and 86.96%. Authority coefficients of two rounds were 0.89 and 0. 90. The p values of the chi-square test for the coordination degree of two rounds were less than 0.05. The items of the standardized training has 4 levels with 5 in first level, 25 in second level，43 in third level and 13 in fourth level. CONCLUSION The standardized training based on medication safety management in ambulatory care pharmacy for pediatric is authoritative, scientific, practical and targeted to the risk factors in drug dispensing of ambulatory care for pediatric, as a management tool of MSO (medication safety officer), it can reduce the impact of pharmacist factors on the risk of drug dispensing in ambulatory care for pediatric and ensure the safety of children""s medication.