照片编码:在药房系统重新设计中测量干预准确性的务实方法
Stephanie M Resendiz1, Shiying Mai1, Aaron M Gilson2
1Division of Social and Administrative Sciences, University of Wisconsin-Madison School of Pharmacy, 777 Highland Ave, Madison, WI, 53705, USA.
Implementation science communications
|December 27, 2025
概括
摄影编码为测量干预准确性提供了一种实用的方法,在维持布局方面取得了很高的成功,但在老年安全TM干预中,随着时间的推移,药物分类有所下降.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 人类因素工程 人类因素工程
- 药房实践 在药房实践.
背景情况:
- 衡量干预忠实度对于将基于证据的实践转化为社区环境至关重要.
- 传统的忠实度测量方法 (自我报告,直接观察) 在成本,时间和外部有效性方面存在局限性.
- 照片编码为观察真实性评估提供了一种务实,新的方法.
研究的目的:
- 评估摄影编码的可行性和有效性,以测量干预准确度.
- 评估高级安全TM干预措施的忠实性,旨在改善药房中老年人处方药安全.
- 确定支持或阻碍干预采用和可持续性的组件.
主要方法:
- 高级安全TM干预涉及将OTC药物按安全级别重新排列,并添加清晰的标志,以人为因素原则为指导.
- 药房照片是在两个时间点 (T1,T2) 拍摄的,以评估干预布局和药物分类的准确性,使用构建的代码书.
- 建立了≥80%一致性的高保真标准;编码由研究助理和PharmD学生进行.
主要成果:
- 在67个实施Senior SafeTM的药房网站中评估了忠诚度.
- 所有站点在两个时间点都实现了Layout Codebook的≥80%的准确性.
- 药物分类忠实度在统计学上显著下降,T1高忠实度为97%,T2高忠实度为85%.
结论:
- 干预忠实度测量对于评估基于证据的实践的可持续性和成功的社区过渡至关重要.
- 照片编码提供了一种创新的方法来测量干预忠实度,揭示一致和不一致的层次.
- 组织应调查干预忠实性,以确定适应需求并确保成功实施.
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