HİZMET KALİTE STANDARTLARI VERSİYON 4 VE VERSİYON 5’İN HASTANELERDE İLAÇ GÜVENLİĞİ AÇISINDAN KARŞILAŞTIRILMASI

Year 2016, Volume: 5 Issue: 2, 69 - 74, 31.08.2016

Elif Aksöz , Oğuzhan Korkut

Abstract

GİRİŞ ve AMAÇ: Hastanelerde ilaçla ilişkili problemler artık dünya çapında endişe uyandırmaktadır. TC Sağlık Bakanlığı hastaneler tarafından sağlanan sağlık kalitesini artırmak ve değerlendirmek için, bir rehber kitap üretmiştir: Hastane Hizmet Kalite Standartları. Rehber yıllar içinde güncellenmiş ve 2015 yılında Versiyon 5 yayımlanmıştır. Birçok başka konuya ek olarak rehber, ilaç güvenliği hakkında da bilgi içermektedir. Bu çalışmanın amacı, hastanelerde ilaç güvenliği açısından Versiyon 4 ve Versiyon 5’i karşılaştırmaktır.

YÖNTEM ve GEREÇLER: Her iki rehber de ilaçla ilgili bilgiler için tarandı. İlaçla ilgili maddeler saptanarak 6 ana başlık altında sınıflandırıldı (muhafaza, doktor istemi, hazırlama ve transfer, uygulama ve izlem, eğitim, düzenlemeler) ve ilgili literatür ışığında değerlendirildi.

BULGULAR: Toplamda, Versiyon 4 içeriğinin %15,15’i ilaçla ilişkiliydi; ayrıca, ilaçla ilişkili kalite puanları hastane personeline dağıtılan ödemeleri % 15’lere varan oranlarda etkilemekteydi. Bununla beraber, Versiyon 5 içeriğinin %6,64’ü ilaçla ilişkiliydi; ve ilgili kalite puanları hastane personeline dağıtılan ödemeleri sadece %7,84 oranında etkilemekteydi.

TARTIŞMA ve SONUÇ: Versiyon 5’te ilaç güvenliği standartları daha düzenli ve geliştirilmiş olmasına rağmen, bu standartlar için ayrılan puanların genel hastane kalite puanlarına etkisi Versiyon 4’ün sadece yarısı kadar olduğundan ve bu da personelin ek ödemelerinde azalma ile sonuçlandığından, uygulamada V5, V4 kadar etkili olmayabilir. Öte yandan, her iki rehber de hastanelerde ilaç güvenliğini sağlamak için yararlı araçlar gibi görünmektedir.

Keywords

İlaçla ilişkili problemler, İlaç Güvenliği, İlaç Hataları, Hastaneler

A COMPARISON OF THE VERSION 4 AND VERSION 5 SERVICE QUALITY STANDARDS IN TERMS OF THE MEDICATION SAFETY IN HOSPITALS

Abstract

INTRODUCTION: Drug-related problems (DRPs) in hospitals represent a worldwide concern nowadays. To evaluate and improve the quality of healthcare provided by hospitals, the Ministry of Health of Turkey produced a guidebook; The Hospital Service Quality Standards. The guidebook has been updated in years and Version 5 was published in 2015. In addition to numerous other topics, the guidebook contains information on medication safety. The aim of this study was to compare the Version 4 with the Version 5 in terms of drug safety.

METHODS: Both guidebooks were reviewed for drug related information. Drug-related sections were determined and classified under the following six main headings (storage, physician orders, preparation and transfer, implementation and monitoring, training and regulations) and evaluated with the relevant literature.

RESULTS: In total, 15,15% of the contents of the version 4 were drug-related; furthermore, drug-related quality scores affected the payments distributed to hospital personnel by up to 15%. However, 6,64 % of the contents of the version 5 were drug-related; and related scores affected the payments distributed to hospital personnel by just 7,84%.

DISCUSSION AND CONCLUSION: The impact of the scores allocated to drug safety on the overall hospital quality scores in version 5 was the only half of version 4. Therefore, V5 may not be as effective as V4. On the other hand, both guidebooks appear to be useful tools for ensuring medication safety in hospitals.

Keywords

Drug-related problems, Medication Safety, Medication Errors, Hospitals

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