{"title":"参与社区药房促进门诊用药安全-用改良的名义群体技术确定和优先考虑研究需求。","authors":"Emilia Mäkinen, Anna-Kaisa Taimi, Charlotta Sandler, Anna Marietta Schoultz, Anna-Riia Holmström","doi":"10.2147/RMHP.S483642","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Medication errors are one of the most endangering factors for patient safety, and they have become a key target for improvement in health- and social care systems worldwide. The most current development needs are related to outpatient care; however, up-to-date medication safety research and improvement activities have primarily focused on hospital environments. To promote medication safety in outpatient care, community pharmacies could be more effectively utilized.</p><p><strong>Objective: </strong>To identify the most central research needs, which would promote the use of community pharmacies in outpatient medication risk management and enhance collaboration between community pharmacies and other parts of the health- and social care system.</p><p><strong>Methods: </strong>The study applied a modified nominal group technique. A group of Finnish patient and medication safety experts (n=28) participated in the study and were divided into four nominal groups (incl. a pilot group). Data collection was conducted through electronic surveys and facilitated online group meetings. The collected data were analyzed using qualitative inductive thematic analysis and quantitative descriptive analysis by the van Breda technique.</p><p><strong>Results: </strong>The final data comprised 83 research needs organized under five main themes with 22 subthemes. The most prioritized research needs covered all five main themes, which were: medication safety collaboration (final rank proportion 30%); medication care pathways (27%); operating processes of community pharmacies (17%); medication safety incident reporting (16%); and community pharmacy-based services improving medication safety (11%).</p><p><strong>Conclusion: </strong>The identified research needs for promoting outpatient medication safety by involving community pharmacies in medication risk management, covered a wide range of areas. Producing evidence about the effectiveness and cost-effectiveness of activities in these areas is particularly needed for practice development and policymaking, together with updating regulations supporting the implementation of the produced evidence.</p>","PeriodicalId":56009,"journal":{"name":"Risk Management and Healthcare Policy","volume":"18 ","pages":"1-18"},"PeriodicalIF":2.7000,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705973/pdf/","citationCount":"0","resultStr":"{\"title\":\"Engaging Community Pharmacies in Promoting Outpatient Medication Safety - Identifying and Prioritizing Research Needs by Modified Nominal Group Technique.\",\"authors\":\"Emilia Mäkinen, Anna-Kaisa Taimi, Charlotta Sandler, Anna Marietta Schoultz, Anna-Riia Holmström\",\"doi\":\"10.2147/RMHP.S483642\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Medication errors are one of the most endangering factors for patient safety, and they have become a key target for improvement in health- and social care systems worldwide. The most current development needs are related to outpatient care; however, up-to-date medication safety research and improvement activities have primarily focused on hospital environments. To promote medication safety in outpatient care, community pharmacies could be more effectively utilized.</p><p><strong>Objective: </strong>To identify the most central research needs, which would promote the use of community pharmacies in outpatient medication risk management and enhance collaboration between community pharmacies and other parts of the health- and social care system.</p><p><strong>Methods: </strong>The study applied a modified nominal group technique. A group of Finnish patient and medication safety experts (n=28) participated in the study and were divided into four nominal groups (incl. a pilot group). Data collection was conducted through electronic surveys and facilitated online group meetings. The collected data were analyzed using qualitative inductive thematic analysis and quantitative descriptive analysis by the van Breda technique.</p><p><strong>Results: </strong>The final data comprised 83 research needs organized under five main themes with 22 subthemes. The most prioritized research needs covered all five main themes, which were: medication safety collaboration (final rank proportion 30%); medication care pathways (27%); operating processes of community pharmacies (17%); medication safety incident reporting (16%); and community pharmacy-based services improving medication safety (11%).</p><p><strong>Conclusion: </strong>The identified research needs for promoting outpatient medication safety by involving community pharmacies in medication risk management, covered a wide range of areas. Producing evidence about the effectiveness and cost-effectiveness of activities in these areas is particularly needed for practice development and policymaking, together with updating regulations supporting the implementation of the produced evidence.</p>\",\"PeriodicalId\":56009,\"journal\":{\"name\":\"Risk Management and Healthcare Policy\",\"volume\":\"18 \",\"pages\":\"1-18\"},\"PeriodicalIF\":2.7000,\"publicationDate\":\"2025-01-03\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11705973/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Risk Management and Healthcare Policy\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.2147/RMHP.S483642\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Risk Management and Healthcare Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.2147/RMHP.S483642","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Engaging Community Pharmacies in Promoting Outpatient Medication Safety - Identifying and Prioritizing Research Needs by Modified Nominal Group Technique.
Introduction: Medication errors are one of the most endangering factors for patient safety, and they have become a key target for improvement in health- and social care systems worldwide. The most current development needs are related to outpatient care; however, up-to-date medication safety research and improvement activities have primarily focused on hospital environments. To promote medication safety in outpatient care, community pharmacies could be more effectively utilized.
Objective: To identify the most central research needs, which would promote the use of community pharmacies in outpatient medication risk management and enhance collaboration between community pharmacies and other parts of the health- and social care system.
Methods: The study applied a modified nominal group technique. A group of Finnish patient and medication safety experts (n=28) participated in the study and were divided into four nominal groups (incl. a pilot group). Data collection was conducted through electronic surveys and facilitated online group meetings. The collected data were analyzed using qualitative inductive thematic analysis and quantitative descriptive analysis by the van Breda technique.
Results: The final data comprised 83 research needs organized under five main themes with 22 subthemes. The most prioritized research needs covered all five main themes, which were: medication safety collaboration (final rank proportion 30%); medication care pathways (27%); operating processes of community pharmacies (17%); medication safety incident reporting (16%); and community pharmacy-based services improving medication safety (11%).
Conclusion: The identified research needs for promoting outpatient medication safety by involving community pharmacies in medication risk management, covered a wide range of areas. Producing evidence about the effectiveness and cost-effectiveness of activities in these areas is particularly needed for practice development and policymaking, together with updating regulations supporting the implementation of the produced evidence.
期刊介绍:
Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include:
Public and community health
Policy and law
Preventative and predictive healthcare
Risk and hazard management
Epidemiology, detection and screening
Lifestyle and diet modification
Vaccination and disease transmission/modification programs
Health and safety and occupational health
Healthcare services provision
Health literacy and education
Advertising and promotion of health issues
Health economic evaluations and resource management
Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.