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Tytuł pozycji:

Quality of Handoffs in Community Pharmacies.

Tytuł:
Quality of Handoffs in Community Pharmacies.
Autorzy:
Abebe E; From the Systems Approach to Medication Safety Research Laboratory, Social and Administrative Sciences Division, University of Wisconsin - Madison School of Pharmacy, Madison, Wisconsin.
Stone JA
Lester CA
Chui MA
Źródło:
Journal of patient safety [J Patient Saf] 2021 Sep 01; Vol. 17 (6), pp. 405-411.
Typ publikacji:
Journal Article; Research Support, N.I.H., Extramural
Język:
English
Imprint Name(s):
Original Publication: Philadelphia, Pa. : Lippincott Williams & Wilkins, c2005-
MeSH Terms:
Community Pharmacy Services*
Patient Handoff*
Pharmacies*
Cross-Sectional Studies ; Humans ; Pharmacists ; United States
References:
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Grant Information:
UL1 TR000427 United States TR NCATS NIH HHS; UL1 TR002373 United States TR NCATS NIH HHS
Entry Date(s):
Date Created: 20170429 Date Completed: 20211124 Latest Revision: 20230928
Update Code:
20240105
PubMed Central ID:
PMC5659955
DOI:
10.1097/PTS.0000000000000382
PMID:
28452917
Czasopismo naukowe
Objectives: The aims of the study were to characterize handoffs in community pharmacies and to examine factors that contribute to perceived handoff quality.
Methods: A cross-sectional study of community pharmacists in a Midwest State of the United States. Self-administered questionnaires were used to collect information on participant and practice setting characteristics. Data were analyzed using descriptive statistics and multivariate logistic regression.
Results: A total of 445 completed surveys were returned (response rate, 82%). In almost half of the time, handoffs that occur in a community pharmacy setting were inaccurate or incomplete. Nearly half of the time handoffs occur in environments full of interruptions and distractions. More than 90% of the respondents indicated that they have undergone no formal training on proper ways of handing off information. Nearly 40% of respondents reported that their pharmacy dispensing technology does not have adequate functionality to support handing off information and that at least 50% of the time, poor handoffs result in additional work to the pharmacist because of the need for complete information before providing patient care. Multivariate analysis showed that being very familiar with patients, lower daily prescription volume, not having a 24-hour operation, and larger percentage of handoffs occurring in a synchronous fashion are all associated with better handoff quality.
Conclusions: Handoffs occur frequently and are problematic in community pharmacies. Current pharmacy environments offer limited support to conduct good handoffs, and as a result, pharmacists report loss of information. This could present as a significant patient safety hazard. Future interventions should target facilitating better communication during shift changes.
Competing Interests: The authors disclose no conflict of interest.
(Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.)

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