首页> 外文期刊>The Canadian journal of hospital pharmacy. >Conformity with Optimal Drug-Use Processes: Comparison between the Accreditation Canada Managing Medications Standards and the Hospital Pharmacy in Canada Report
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Conformity with Optimal Drug-Use Processes: Comparison between the Accreditation Canada Managing Medications Standards and the Hospital Pharmacy in Canada Report

机译:符合最佳药物使用过程:加拿大管理药物认证标准与加拿大医院药房报告之间的比较

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Background: A recent symposium on change management highlighted the relatively slow pace of change in the drug-use process. This study was undertaken to determine the degree of concordance between different sources that document levels of conformity with optimal drug-use processes.Objective: The primary objective was to compare aggregate national results from the Managing Medications Standards (MMS) of Accreditation Canada and results from the biennial Hospital Pharmacy in Canada survey. The secondary objective was to discuss any significant discrepancies between the 2 sources. Methods: In this retrospective cross-sectional study, attempts were made to pair each Accreditation Canada MMS criterion with specific results from the Hospital Pharmacy in Canada 2009/2010 Report. Average conformity per criterion from the 2010 Accreditation Canada on-site surveys was compared with conformity as documented in the Hospital Pharmacy in Canada 2009/2010 Report. A discrepancy ratio was calculated for each criterion, with ratios less than 0.80 or greater than 1.20 being considered significant. Results: Overall, 82 (61%) of 134 MMS criteria could be paired with results from the 2009/2010 Hospital Pharmacy in Canada survey. The average calculated discrepancy ratio (+ standard deviation) between the 2 sets of results was 0.62 +- 0.29 (range 0.05 to 1.19). The average discrepancy ratios by domain were as follows: 0.49 for safely administering medications, 0.58 for accurately preparing and dispensing medications, 0.61 for working together to promote medication safety, 0.62 for carefully selecting and procuring medications, 0.69 for monitoring quality and achieving positive results, 0.71 for appropriately ordering medications and transcribing medication orders, and 0.76 for properly labelling and storing medications. For 59 criteria, there was a significant discrepancy between the 2010 MMS on-site surveys and the 2009/2010 Hospital Pharmacy in Canada survey. Conclusion: Nearly two-thirds of the MMS criteria could be paired with results from the Hospital Pharmacy in Canada survey, but the average discrepancy ratio of 0.62 indicates substantial discrepancies in the data collected by these 2 methods. Further studies are required to explore the reasons for such discrepancies.
机译:背景:最近在变更管理上的座谈会强调了毒品使用过程中变更的相对缓慢。这项研究的目的是确定证明最佳药物使用过程符合性水平的不同来源之间的一致性程度。目的:主要目的是比较《加拿大认可管理药物标准》(MMS)和两年一次的加拿大医院药房调查。第二个目的是讨论两个来源之间的任何重大差异。方法:在这项回顾性横断面研究中,尝试将每个加拿大认可MMS标准与加拿大医院药房2009/2010报告的特定结果配对。将2010年加拿大认可委员会现场调查中每个标准的平均符合性与《加拿大医院药房2009/2010年报告》中记录的符合性进行了比较。计算每个标准的差异率,认为小于0.80或大于1.20的比率很重要。结果:总体而言,134个MMS标准中的82个(61%)可以与2009/2010年加拿大医院药房调查的结果配对。两组结果之间的平均计算出的差异率(±标准差)为0.62±0.29(范围为0.05至1.19)。按域划分的平均差异率如下:安全使用药物为0.49,准确制备和分配药物为0.58,共同致力于提高药物安全性的0.61,精心选择和采购药物的0.62,监测质量并取得积极成果的0.69, 0.71用于适当地订购药物和记录药物订购,而0.76用于适当地标记和存储药物。对于59个标准,2010年MMS现场调查与2009/2010年加拿大医院药房调查之间存在显着差异。结论:将近三分之二的MMS标准可以与加拿大医院药房的调查结果相匹配,但是平均差异率为0.62表示这两种方法收集的数据存在很大差异。需要进行进一步的研究以探究这种差异的原因。

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