[Translated article] Analysis of the degree of implementation of medication error prevention practices in Spanish hospitals (2022).

Autor:	Otero MJ; Instituto para el Uso Seguro de los Medicamentos (ISMP-España), IBSAL-Hospital Universitario de Salamanca, Salamanca, Spain. Electronic address: mjotero@telefonica.net., Pérez-Encinas M; Pharmacy Service, Hospital Universitario Fundación Alcorcón, Madrid, Spain., Tortajada-Goitia B; Pharmacy Service, Hospital Costa del Sol, Marbella, Málaga, Spain., Rodríguez-Camacho JM; Pharmacy Service, Hospital Universitario Reina Sofía, Córdoba, Spain., Paniagua SP; Pharmacy Service, Hospital Universitario de Albacete, Albacete, Spain., Fernández-Megía MJ; Pharmacy Service, Hospital Universitari i Politècnic La Fe, Valencia, Spain., Cartelle HE; Pharmacy Service, Complejo Hospitalario Universitario Santiago de Compostela, Santiago, Spain., Caro-Teller JM; Pharmacy Service. Hospital Universitario 12 de Octubre, Madrid, Spain.
Jazyk:	English; Spanish; Castilian
Zdroj:	Farmacia hospitalaria : organo oficial de expresion cientifica de la Sociedad Espanola de Farmacia Hospitalaria [Farm Hosp] 2023 Nov-Dec; Vol. 47 (6), pp. T268-T276. Date of Electronic Publication: 2023 Sep 30.
DOI:	10.1016/j.farma.2023.09.001
Abstrakt:	Objective: To assess the degree of implementation of medication error prevention practices in Spanish hospitals. Method: Descriptive multicenter study of the degree of implementation of the safety practices included in the "Medication use-system safety self-assessment for hospitals. Version. II". Spanish hospitals that completed the questionnaire between October, 2021 and September, 2022 participated. The survey contains 265 items for evaluation grouped into 10 key elements. Mean score and mean percentages based on the maximum possible values for the overall survey, for the key elements, and for each individual item of evaluation were calculated. The results were compared with those of the previous 2011 study. Results: A total of 131 hospitals from 15 autonomous regions participated in the study. The mean score of the overall questionnaire in all hospitals was 898.2 (57.4% of the maximum possible score). No differences were found according to dependency, size, or type of hospital, either in the overall questionnaire or in the key elements. The lowest values were found for key elements VIII, I and VI, on competence and training of health professionals in safety practices (45.1%), availability and accessibility of essential information on patients (48%), and devices for administering drugs (52.3%). With respect to 2011, significant increases were found both in the overall questionnaire and in the key elements, except V and VII, referring to standardization, storage, and distribution of medications, and environmental factors and human resources. Several evaluation items on the safe management of high-risk drugs, medication reconciliation, incorporation of clinical pharmacists into the healthcare teams, and implementation of technologies that allow full traceability throughout the medication system, showed low percentages. Conclusions: There has been appreciable progress in the degree of implementation of some medication error prevention practices in Spanish hospitals, but many proven efficacy practices recommended by the World Health Organization and safety organizations are still poorly implemented. The information obtained can be useful for prioritizing the practices to be addressed and as a new baseline for monitoring progress. Competing Interests: Conflict of interest All the authors state that they have no conflicts of interest. (Copyright © 2023 Sociedad Española de Farmacia Hospitalaria (S.E.F.H). Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze:	MEDLINE
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