Findings from the ISMP Medication Safety Self-Assessment for hospitals.
Jt Comm J Qual Saf
; 29(11): 586-97, 2003 Nov.
Article
en En
| MEDLINE
| ID: mdl-14619351
BACKGROUND: Hospital medication practices should be assessed, awareness of the characteristics of a safe medication system heightened, and baseline data to identify national priorities established. DESIGN: A cross-sectional survey of U.S. hospitals (N = 6,180) was conducted in May 2000. The survey instrument contained 194 self-assessment items organized into 20 core characteristics and 10 larger domains. Hospitals were asked to voluntarily submit their confidential assessment data to the Institute for Safe Medication Practices (ISMP) for aggregate analysis. METHOD: A weighting structure was applied to the individual items and used to calculate core characteristic scores, domain scores, and overall self-assessment scores. These scores were then compared to identify areas most in need of improvement. RESULTS: The 1,435 participating hospitals scored highest in domains related to drug storage and distribution; environmental factors; infusion pumps; and medication labeling, packaging, and nomenclature issues. These hospitals scored lowest in domains related to accessible patient information, communication of medication orders, patient education, and quality processes such as double-check systems and organizational culture. CONCLUSIONS: Enormous opportunities exist to improve medication safety, especially in domains related to culture, information management, and communication.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Servicio de Farmacia en Hospital
/
Programas de Autoevaluación
/
Evaluación de Procesos, Atención de Salud
/
Administración de la Seguridad
/
Benchmarking
/
Errores de Medicación
/
Sistemas de Medicación en Hospital
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Humans
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Jt Comm J Qual Saf
Asunto de la revista:
SERVICOS DE SAUDE
Año:
2003
Tipo del documento:
Article
País de afiliación:
Estados Unidos
Pais de publicación:
Estados Unidos