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协议与实践:揭开英格兰社区药房的临床检查差异 - 一项多方法研究
Ali Elgebli1, Jason Hall2, Denham L Phipps3
1Division of Pharmacy and Optometry, Faculty of Biology, Medicine and Health, The University of Manchester, Room 1.132, Stopford Building, Oxford Road, Manchester, M13 9PL, UK. ali.elgebli@manchester.ac.uk.
社区药剂师 (CP) 在处方检查过程中经常偏离标准化操作程序 (SOP),这表明文化趋势. 这影响了风险管理,并强调了需要平衡灵活性与严格遵守协议的必要性.
科学领域:
- 药房实践 在药房实践.
- 风险管理 风险管理
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 标准化操作程序 (SOP) 对社区药房的风险管理至关重要,确保安全和质量.
- 在社区药房中,标准操作程序是强制性的,对于维持高标准的护理至关重要.
研究的目的:
- 调查社区药剂师 (CP) 在处方检查期间遵守标准操作规则.
- 确定既定协议与实际药房实践之间的差异原因.
主要方法:
- 八个SOP集的层次任务分析 (HTA) 定义了规范性临床检查.
- 模拟的处方检查由十二名CP与口头化的思维过程.
- 对转录数据的内容分析和焦点小组讨论以确定实践变化.
主要成果:
- 通过HTA开发了一个具有6个主要和28个子任务的临床检查模型.
- 临床医生经常省略子任务,偏离规定的标准操作程序.
- 偏差源于专业判断,依赖同事和优先考虑患者偏好,这表明一种文化规范.
结论:
- 社区药房在检查处方时,表现出与标准操作规范 (SOP) 的持续偏差,这表明文化倾向.
- 需要进一步研究管理与这些偏差相关的风险.
- 在运营灵活性与严格遵守协议之间取得平衡是关键的挑战.
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