Engaging Community Pharmacies in Promoting Outpatient Medication Safety - Identifying and Prioritizing Research Needs by Modified Nominal Group Technique.

IF 2.7 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Risk Management and Healthcare Policy Pub Date : 2025-01-03 eCollection Date: 2025-01-01 DOI:10.2147/RMHP.S483642
Emilia Mäkinen, Anna-Kaisa Taimi, Charlotta Sandler, Anna Marietta Schoultz, Anna-Riia Holmström
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Abstract

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.

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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。
用药错误是危及患者安全的最严重因素之一,已成为改善世界各地卫生和社会保健系统的关键目标。当前的发展需求与门诊护理有关;然而,最新的药物安全研究和改进活动主要集中在医院环境上。为促进门诊用药安全,可以更有效地利用社区药房。目的:为促进社区药房在门诊用药风险管理中的应用,加强社区药房与卫生和社会保健系统其他部门的合作,确定最核心的研究需求。方法:采用改良的名义分组技术。一组芬兰患者和药物安全专家(n=28)参与了这项研究,并被分为四个名义组(包括一个试点组)。数据收集是通过电子调查进行的,并促进了在线小组会议。采用van Breda技术对收集到的数据进行定性归纳专题分析和定量描述分析。结果:最终数据包括83个研究需求,分为5个主题和22个副主题。最优先的研究需求涵盖了所有五个主要主题,即:药物安全合作(最终排名比例为30%);药物护理途径(27%);社区药房的操作流程(17%);用药安全事件报告(16%);以社区药房为基础的服务改善用药安全(11%)。结论:通过社区药房参与用药风险管理促进门诊用药安全的研究需求,涉及领域广泛。在实践发展和政策制定方面,特别需要提供有关这些领域活动的有效性和成本效益的证据,并更新支持实施所提供证据的法规。
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来源期刊
Risk Management and Healthcare Policy
Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health
CiteScore
6.20
自引率
2.90%
发文量
242
审稿时长
16 weeks
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.
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