加拿大:通过全国调查,探索智能的实施,管理和标准的遵守
Ashley Sproul1, Hillary Newman2
1, BScPharm, PharmD, is with Horizon Health Network, Saint John, New Brunswick.
The Canadian journal of hospital pharmacy
|July 6, 2023
概括
加拿大医院不符合智能药物库的标准,管理,培训和资源不一致. 优先考虑这些标准和所需资源对于患者安全至关重要.
科学领域:
- 医疗保健技术 技术 医疗保健 技术
- 药物安全 药物安全
- 临床信息学 临床信息学
背景情况:
- 智能技术和药物库管理的最佳实践还没有得到很好的定义.
- 加拿大医院遵循加拿大认证机构和美国安全药物实践研究所 (ISMP) 对IV智能的指南.
- 缺乏创建和管理药物库的操作细节,导致解释变化.
研究的目的:
- 评估加拿大医院遵守智能药物库标准和指导方针.
- 描述药物库的设置,管理,培训和支持流程.
- 确定分配给智能药物库活动的资源.
主要方法:
- 2021年春季分发了一份43个问题的在线调查.
- 该调查针对涉及IV智能实施和药物库管理的多学科团队.
- 从加拿大医院收集了55个完整或部分反应.
主要成果:
- 大多数医院都没有达到加拿大认证局和ISMP对智能药物图书馆的标准.
- 只有30%的图书馆每季度更新; 47%的图书馆每半年进行质量审查.
- 药物库的设置,管理,培训,支持和可用的人力资源存在显著差异.
结论:
- 加拿大卫生组织未能满足当前ISMP和加拿大认证机构对智能的标准.
- 观察到药物库创建/管理的策略不一致,以及培训/资源分配的差异.
- 卫生当局必须优先考虑满足标准,并评估有效使用智能所需的资源.
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