Analysis on self-assessment results of medication safety in 24 medical institutions in Linyi City

Abstract

Objective To understand preliminarily the current status of medication safety management in medical institutions in Linyi. Methods Self assessments of medication safety on the principle of voluntariness were conducted in the member units of the Clinical Pharmacy Committee of Linyi Medical Association (all were public hospitals), which were organized by the Linyi Pharmaceutical Affairs Quality Control Center. The investigation was conducted in using the questionnaires of 2011 ISMP Medication Safety Self Assessment® for Hospitals (Chinese version) . The questionnaire included 10 key elements, 20 core indicators, and 270 assessment projects. Twenty-nine of the 67 member units expressed willingness to participate. A WeChat version of the questionnaire was sent on February 28, 2018 and required to complete and submit within 3 months. After the questionnaire was collected, the overall implementation status of each key element and each assessment project in all participated hospitals were counted. The results were expressed in the proportion of implementation, partial implementation, and non-implementation, and the implementation status in urban hospitals and rural hospitals were descriptively analyzed. Results As of May 28, 2018, the questionnaires in 24 of 29 hospitals were submitted and the recovery rate was 82.8%. Twenty-four hospitals were from one district and 7 counties (3 districts and 9 counties in total), including 12 urban hospitals (4 tertiary hospitals and 8 secondary hospitals) and 12 rural hospitals (all were primary hospitals). Among the 10 key elements, the elements Ⅶ (environmental factors, workflow and staffing patterns) had the highest proportion of overall implementation [56.55% (285/504)] in the 24 hospitals, and the elements Ⅱ (drug information) had the lowest one [26.77% (212/792)] . In the 24 hospitals, the implementation proportion of 270 assessment projects was 37.11% (2 405/6 480), the partial implementation proportion was 26.33% (1 706/6 480), and the non-implementation proportion was 36.56% (2 369/6 480). The key elements with the highest and lowest implementation proportions in the 12 urban hospitals were Ⅶ[62.70% (158/252)] and Ⅱ[33.08% (131/396)], respectively. The key elements with the highest and lowest implementation proportion in the 12 rural hospitals were Ⅶ [50.40% (127/252)] and Ⅳ [drug labeling, packaging, and nomenclature, 15.28% (33/216)], respectively. The proportions of implementation, partial implementation, and non-implementation of 270 assessment projects in the urban hospitals were 49.32% (1 598/3 240), 29.48% (955/3 240), and 21.20% (687/3 240), respectively, and 24.91% (807/3 240), 23.18% (751/3 240), and 51.91% (1 682/3 240) in the rural hospitals, respectively. The implementation proportion of key elements in the rural hospitals was lower than that in the urban hospitals. Conclusions The results of the questionnaire preliminarily reflected the current status of medication safety management in urban and rural hospitals in Linyi City. There are great differences in the implementation of key elements related to medication safety between the urban and the rural hospitals, but the levels of medication safety management in both rural and urban hospitals need to be improved. Key words: Patient safety; Safety management; Self-evaluation programs; Hospitals, urban; Hospitals, rural; Medication systems, hospital