探索中国药物错误报告的多维决定因素:使用理论领域框架的定性研究
Hui Guo1, Qian Guo2, Xiuping Wang1
1Shanxi Cardiovascular Hospital, Department of Pharmacy, Taiyuan, Shanxi, China.
Frontiers in pharmacology
|June 25, 2025
概括
在中国,药物错误报告不足是一个重大问题. 这项研究使用了理论领域框架 (TDF) 来确定医疗保健专业人员中的关键障碍和促进者,为改善患者安全提供了见解.
科学领域:
- 医疗保健质量和患者安全研究.
- 在医疗保健环境中的行为科学.
- 药物安全和错误报告系统.
背景情况:
- 药物错误是一个关键的全球医疗保健挑战,尽管有监管努力,但在中国报告不足是系统性的.
- 以前的研究受到孤立的理论框架的限制,未能捕捉到报告行为的复杂决定因素.
- 了解多方面的障碍和促进因素对于加强药物错误报告至关重要.
研究的目的:
- 系统地探索影响中国医疗保健专业人员中药物错误报告的障碍和促进因素.
- 应用全面的理论领域框架 (TDF) 来分析报告行为.
- 确定影响药物错误报告不足的特定背景因素.
主要方法:
- 在中国医院对27名医疗保健专业人员 (护士,药剂师,医生) 进行了半结构化采访.
- 利用理论领域框架 (TDF) 引导面试问题,探索报告障碍.
- 使用NVivo 14.0的框架分析进行数据分析,直到主题和.
主要成果:
- 在14个TDF领域中确定了21个障碍和15个促进者,影响了药物错误报告.
- 主要障碍包括:知识,技能,关于能力的信念,关于后果的信念,记忆,注意力和决策过程,环境背景和资源,社会影响和情绪.
- 突出了诸如知识碎片化,对影响的恐惧和效率低下的报告系统等特定障碍.
结论:
- 个人,文化和系统因素在很大程度上影响了中国的药物错误报告.
- 该TDF提供了一个强大的模型,用于识别特定上下文的报告障碍.
- 干预措施应侧重于有针对性的培训,简化报告,为非惩罚性环境提供领导支持,以及加强政策执行,以改善药物安全文化.
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