日本医院中药物处方警报的管理和治理:一项全国性调查。

IF 1.6 Q4 HEALTH CARE SCIENCES & SERVICES
Noriyuki Nakayama, Makiko Takizawa, Yuko Ohishi, Yasuhiro Komatsu, Kazumi Tanaka
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引用次数: 0

摘要

背景:有效的处方提醒对于确保用药安全至关重要。然而,低特异性警报的频繁出现会导致警报疲劳,反复出现的非关键警报会降低临床医生对所有警报的反应能力。在减少警报疲劳和确保关键警报的有效运作之间取得平衡仍然是药物安全的关键挑战。然而,没有全国性的调查或政府机构或学术团体的报告涉及警报管理。因此,本研究旨在调查警报管理系统的现状,澄清管理药物处方警报方面存在的挑战,并支持政策的制定。方法:我们进行了一项全国性的调查,以检查日本医院如何管理药物处方警报系统。选择在患者安全方面保持高标准的医院,以提供对当前警报管理实践的见解。向符合条件的医院医疗信息系统部门发送调查邀请函。参与者被要求通过网络表格(b谷歌表格)或邮件完成调查。数据收集于2021年12月至2022年1月期间进行。结果:共向1055家医院发放问卷,收到回复率为24.5%的259家医院。共有110家(42.6%)医院报告不知道所有类型的药物处方警报。许多医院报告称无法测量警报数据。只有42家(16.3%)医院建立了增加新警报的政策和程序。结论:仅有少数医院建立了定量评价和综合控制处方报警系统。各医院应实施警报管理的政策和程序,并建立警报数据测量系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Management and governance of medication prescribing alerts among hospitals in Japan: a nationwide survey.

Background: Effective medication prescribing alerts are crucial for ensuring medication safety. However, the frequent occurrence of low-specificity alerts contributes to alert fatigue, where repeated non-critical alerts diminish clinicians' responsiveness to all alerts. Striking a balance between reducing alert fatigue and ensuring the effective functioning of critical alerts remains a key challenge in medication safety. Nevertheless, no nationwide surveys or reports from government bodies or academic societies have addressed alert management. Therefore, this study aimed to investigate the current landscape of alert management systems, clarify existing challenges in managing medication prescribing alerts and support the development of policies.

Methods: We conducted a nationwide survey to examine how medication prescribing alert systems are managed in Japanese hospitals. Hospitals recognised for maintaining high standards in patient safety were selected to provide insights into current alert management practices. Survey invitation letters were sent to the healthcare information systems departments of the eligible hospitals. Participants were asked to complete the survey through a web-based form (Google Forms) or by mail. Data collection took place between December 2021 and January 2022.

Results: Questionnaires were sent to 1055 hospitals, with responses received from 259 (response rate of 24.5%). A total of 110 (42.6%) hospitals reported being unaware of all types of medication prescribing alerts. Many hospitals reported an inability to measure alert data. Only 42 (16.3%) hospitals had established policies and procedures for adding new alerts.

Conclusions: Only a few hospitals have a system for the quantitative evaluation and comprehensive control of medication prescribing alerts. Each hospital should implement a policy and procedure for alert management and develop an alert data measuring system.

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来源期刊
BMJ Open Quality
BMJ Open Quality Nursing-Leadership and Management
CiteScore
2.20
自引率
0.00%
发文量
226
审稿时长
20 weeks
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