Perception of risk of exposure in the management of hazardous drugs in home hospitalization and hospital units
Por:
Bernabeu-Martinez, M, Sanchez-Tormo, J, Garcia-Salom, P, Sanz-Valero, J and Wanden-Berghe, C
Publicada:
1 ene 2021
Ahead of Print:
1 jul 2021
Resumen:
Objective To assess the perception of risk of exposure in the management of hazardous drugs (HDs) through home hospitalization and hospital units. Material and methods A questionnaire was released, at the national level, to health professionals with HD management expertise. Questionnaire included 21 questions that were scored using a Likert scale: 0 (null probability) to 4 (very high probability). The internal consistency and reliability of the questionnaire were calculated using Cronbach's alpha and the intraclass correlation coefficient, respectively. Results 144 questionnaires (response rate 70.2%) were obtained: 65 (45.1%) were nurses, 42 (28.9%) occupational physicians, and 37 (26.1%) were pharmacists. Cronbach's alpha was 0.93, and intraclass correlation coefficient was 0.94 (95% CI 0.91-0.97; p-value < 0.001). The mean probability was 1.95 +/- 1.02 (median 1.9; minimum: 0.05; 1st quartile 1.1; 3rd quartile 2.6; and maximum 4). Differences were observed in scoring among professional groups (occupational physicians versus nurses (1.6/2.1, p = 0.044); pharmacists versus nurses (1.7/2.1, p = 0.05); and occupational physicians versus pharmacists (1.6/1.7, p = 0.785), due mainly to the administration stage (p = 0.015). Conclusions The perception of risk of exposure was moderate, being higher for nurses. It would be advisable to integrate HDs into a standardized management system (risk management model applicable to any healthcare center) to improve the safety of health professionals.
Filiaciones:
:
Miguel Hernandez Univ, Sch Med, Dept Publ Hlth & Hist Sci, Elche, Spain
Univ Gen Hosp, Pharm Serv, Sant Joan dAlacant, Spain
Sanchez-Tormo, J:
Univ Oberta Catalunya, Fac Hlth Sci, Barcelona, Spain
:
Univ Gen Hosp, Pharm Serv, Alicante, Spain
:
Miguel Hernandez Univ, Sch Med, Dept Publ Hlth & Hist Sci, Elche, Spain
Carlos III Hlth Inst, Natl Sch Occupat Med, Madrid, Spain
:
Univ Gen Hosp, Hlth & Biomed Res Inst Alicante, Alicante, Spain
Green Published, gold
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