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Medication safety: patients' experiences, beliefs, and behaviors.

机译:药物安全性:患者的经验,信念和行为。

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OBJECTIVE: To measure patients' experiences with medication errors and examine how these experiences relate to their beliefs about pharmacy safety and their engagement in medication-safety behaviors. DESIGN: Cross-sectional study. SETTING: Primarily Michigan. PARTICIPANTS: 920 employees and retirees from the University of Michigan. INTERVENTIONS: Mail survey. MAIN OUTCOMES MEASURES: Patients' experiences, beliefs, and behaviors related to medication safety. RESULTS: Of the respondents, 168 (18.3%) reported that they had experienced a medication error at some time in their lives and 193 (21.0%) knew a family member or friend who experienced an error; 63 (6.8%) had experienced an error within the past year and 5 (0.5%) had required additional medical attention because of an error. The majority of respondents did not worry about pharmacy safety and generally believed that the drug dispensing process at their pharmacy was safe. Approximately 80%-90% of respondents engaged in basic safety-related behaviors when receiving a prescription medication (e.g., checked for their name on the label or checked the directions on the label). While 72.3% of respondents reported that they read the medication pamphlet provided by the pharmacy, only 27.3% talked to the pharmacist about their medications. Respondents who had personal experiences with medication errors--or knew someone who had encountered such errors--had lower perceptions of pharmacy safety and were more likely to engage in several safety-related behaviors. CONCLUSION: Patients who have experienced medication errors have lower perceptions of pharmacy safety and are more likely to engage in behaviors to protect themselves from future errors, as compared with those who have not had an error experience.
机译:目的:评估患者的用药错误经验,并检查这些经历与他们对药物安全性的信念以及他们对药物安全行为的参与程度之间的关系。设计:横断面研究。地点:主要是密歇根州。参加者:密歇根大学的920名员工和退休人员。干预措施:邮件调查。主要观察指标:患者与药物安全性相关的经验,信念和行为。结果:在受访者中,有168名(18.3%)报告说他们一生中曾经历过用药错误,而有193名(21.0%)知道自己的家人或朋友有过错误。过去一年中,有63(6.8%)人遇到了错误,而由于错误,有5(0.5%)人需要进一步的医疗护理。大多数受访者并不担心药房安全,通常认为他们药房的药品分发过程是安全的。大约80%-90%的受访者在接受处方药时(例如,检查标签上的姓名或检查标签上的指示)从事与安全相关的基本行为。尽管72.3%的受访者表示他们阅读了药房提供的药物手册,但只有27.3%的受访者与药剂师谈论了自己的用药情况。对药物错误有亲身经历或认识某人遇到此类错误的受访者对药房安全性的认知较低,并且更有可能参与多种与安全性有关的行为。结论:与没有错误经历的患者相比,经历过药物错误的患者对药物安全性的认识较低,并且更有可能采取行为来保护自己免受未来错误的影响。

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