The knowledge of nursing staff to drug use safety,and reporting,and the implementation of drug use safety-a study based on a medical center in southern Taiwan

• Main Authors: Mei-Ling Kao, 郭美玲
• Other Authors: Yong-yuan Chang
• Format: Others
• Language: zh-TW
• Published: 2005
• Online Access: http://ndltd.ncl.edu.tw/handle/93197711663652660889

碩士 === 高雄醫學大學 === 公共衛生學研究所碩士在職專班 === 93 === Objectives The rate of abnormal drug delivery is not high clinically, but patient safety is something that cannot be neglected. Research on way to decrease the rate of abnormal drug delivery is help medical organization to understand their internal defect while improving their quality of care. It is important to implement drug delivery mistake information system, mainly by the information system, we can understand mishap and way to improve drug delivery management system within the organization. It also promoted an active attitude toward study the mishap and it actual cause. Therefore, we hope that we can further supervise the internal process, safety drug usage and set up drug mishap prevention and information system, so that every patient can receive safe and effective treatment. Method This study collects materials through structured questionnaire that included personal basic data and work information, nurse perception on safety drug usage, information system on drug safety, their view point on drug safety, how drug safety is carried out and about the extent of support from each unit on drug safety, a total of six different measurement charts. Samples were taken from a southern medical center. After reliability and validity analysis, subjects were nurses of different rank working in internal medicine, surgical ward, ICU, ER and chronic ward (psychological and rehabilitation ward). A total of 553 nurses were included. Analyse were done by percentage, mean, SD, t-test, one-way ANOVA, Pearson’s product moment correlation and stepwise multiple regression analysis. Results This study collected a total of 553 female nurses. Most were of age between 26 to 30 years old stand 21.9%(287 nurses). Most were unmarried (64.7%), and with education of college of below (72.2%). Nurse gets index score of 70 for “convenient”, “privacy”, “safety” and “extend of agree”. “Extend of encourage “ get the lowest index score (66.9 ), Study on unit or supervisor support and feeling about drug safety and information system get mean 81 index score. Nurse answers about drug safety recognition get a mean 0.97 mark (1 as the highest mark). 0.8 mark for nurse’s recognition for drug safety. Mark for nurse to carry out drug safety order was high, mean 89.4 mark. “ Recognition on drug safety”,” Recognition on drug safety information system”, and “ Carry out drug safety” were having significant positive correlation. After stepwise regression analysis “Recognition on drug safety information system”, “sense of working pressure” and “fix date of unit supervision” for drug safety recognition ,R2 was 11.3%(P<0.001), “ Recognition on drug safety”, “different working environment”, “ rank of nurse” and “age” for drug safety recognition ,R2 was 35.6%(P<0.001). It showed that this regression model has significant predictive value for the management of drug safety Conclusion and Suggestions This study has 3 dimensions of suggestion for clinical nursing, nursing management and nursing research. It seem that the extent of unit support and promotion can predict how extensive drug safety was carry out, thus guaranty of good nursing service quality. The unit manager should make sure to have regular and not regular supervision on drug safety process to improve nurse recognition on drug safety and management system. Research organization set up the information system by using scientific technique, but nurse within the organization attitude the drug safety-inform system and encouragement were low. Few related reference could be obtained from the country. It thus suggested that without increasing the cost of organization, to increase not financial encouragement to increase the incentive of information. Most patient safety research belonged to medical error and mishap study, while the medical organization patient safety research was rare. So it is difficult to compare to other similar studies. Hope that through this study can build an environment and hospital culture that stress more on patient safety.