Skip to main content
SpringerLink
Log in

Analysis of high alert medication knowledge of medical staff in Tianjin: A convenient sampling survey in China

  • Published:
Journal of Huazhong University of Science and Technology [Medical Sciences] Aims and scope Submit manuscript

Summary

The current situation of medical staff’s awareness about high alert medication was investigated in order to promote safe medication and standardized management of the high alert medication in China. Twenty questions were designed concerning elementary knowledge of high alert medications, storage management, medication issues and risks. In order to understand the knowledge level and education status of high alert medication, a convenient survey was conducted among 300 medical staffs in Tianjin. Medical staff’s average score of high alert medication knowledge was 12.43±0.27, and the average scores of elementary knowledge of high alert medication, storage management, medication issues and risks were 3.38±0.11, 2.46±0.14, 3.17±0.11 and 3.41±0.12 respectively. Occupation (F=4.86, P=0.003), education background (F=5.57, P=0.019) and professional titles (F=13.44, P≤0.001) contributed to the high alert medications knowledge scores. Currently, the most important channel to obtain high alert medication knowledge was hospital files or administrative rules, and clinical pharmacist seminars were the most popular education form. It was suggested that the high alert medication knowledge level of the medical staff needs to increase, and it might benefit from targeted, systematic and diverse training to the medical staff working in the different circulation nodes of the medications. Further research to develop and validate the instrument is needed.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Barker KN, Flynn EA, Pepper GA, et al. Medication errors observed in 36 health care facilities. Arch Intern Med, 2002,162(16):1897–1903

    Article  PubMed  Google Scholar 

  2. Hicks RW, Cousins DD, Williams RL. Selected medication-error data from USP’s MEDMARX program for 2002. Am J Health Syst Pharm, 2004,61(10):993–1000

    PubMed  Google Scholar 

  3. Sakowski J, Newman JM, Dozier K. Severity of medication administration errors detected by a bar-code medication administration system. Am J Health-System Pharm, 2008,65(17):1661–1666

    Article  Google Scholar 

  4. Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003), 2012,52(5):584–602

    Article  Google Scholar 

  5. Miller DF, Fortier CR, Garrison KL. Bar code medication administration technology: Characterization of high-alert medication triggers and clinician workarounds. Ann Pharmacother, 2011,2(45):162–168

    Google Scholar 

  6. Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol, 2014,70(6):637–645

    Article  CAS  PubMed  Google Scholar 

  7. Lan BE, Mou P. Discussion on the hospital management pattern of high risk drugs. Zhongguo Zhiye Yaoshi (Chinese), 2013,10(12):41–47

    Google Scholar 

  8. Zhang XG, Wu YP. Research on high-risk drug safety management practice and countermeasures. Zhonghua Yiyuan Guanli Zazhi (Chinese), 2009,25(9):600–602

    Google Scholar 

  9. Li HX. America society of hospital pharmacists of pharmaceutical care in hospital national survey: dispensing and administration. Zhongguo Yiyuan Yaoxue Zazhi (Chinese), 2007,27(12):1767–1770

    Google Scholar 

  10. Yang Y, Jiang JF, Cui ZM. A survey of medical staff high risk medical knowledge in a hospital. Zhonghua Yiyuan Guanli Zazhi (Chinese), 2012,28(9):690–694

    Google Scholar 

  11. Qian XZ, Jin HJ, Chen C. Practice and experience of high-risk drug management in my hospital. Zhongguo Linchuang Heli Yongyao Zazhi (Chinese), 2014,7(3):169–171

    Google Scholar 

  12. Sun SG, Li XM, Jie Cui, et al. Research on management mode of high-alert medications in hospital. Pharm Care Res, 2010,10(4):256–259

    Google Scholar 

  13. Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care, 2014,26(3):308–320

    Article  PubMed  Google Scholar 

  14. Maaskant JM, Eskes A, Bikker P, et al. High-alert medications for pediatric patients: an international modified Delphi study. Expert Opin Drug Saf, 2013,12(6):805–814

    Article  CAS  PubMed  Google Scholar 

  15. Lai YY, Zhou J. Application of JCI accreditation standards in high-alert medications management. Hosp Admin J Chin PLA (Chinese), 2012,19(6):509–510

    Google Scholar 

  16. Hsaio G, Chen I, Yu S, et al. Nurses’ knowledge of high-alert medications: instrument development and validation. J Adv Nurs, 2010,66(1):177–190

    Article  PubMed  Google Scholar 

  17. Phillips J, Beam S, Brinker A, et al. Retrospective analysis of mortalities associated with medication errors. Am J Health Syst Pharm, 2001,58(19):1835–1841

    CAS  PubMed  Google Scholar 

  18. Rothschild JM, Landrigan CP, Cronin JW, et al. The Critical Care Safety Study: The incidence and nature of adverse events and serious medical errors in intensive care. Crit Care Med, 2005,33(8):1694–1700

    Article  PubMed  Google Scholar 

  19. Zhao Z, Li k. Analysis of high-risk drugs knowledge and demand in different levels nurses. Chin J Mod Drug Appl, 2014,8(8):248–249

    Google Scholar 

  20. Lo T, Yu S, Chen IJ, et al. Faculties’ and nurses’ perspectives regarding knowledge of high-alert medications. Nurse Educ Today, 2013,33(3):214–221

    Article  PubMed  Google Scholar 

  21. Hsaio GY, Chen IJ, Yu S, et al. Nurses’ knowledge of high-alert medications: instrument development and validation. J Adv Nurs, 2010,66(1):177–190

    Article  PubMed  Google Scholar 

  22. Lu M, Yu S, Chen IJ, et al. Nurses’ knowledge of high-alert medications: A randomized controlled trial. Nurse Educ Today, 2013,33(1):24–30

    Article  CAS  PubMed  Google Scholar 

  23. Tian M, Chen Y, Zhao R, et al. Chronic disease knowledge and its determinants among chronically ill adults in rural areas of Shanxi Province in China: a cross-sectional study. BMC Public Health, 2011,11:948

    Article  PubMed Central  PubMed  Google Scholar 

  24. Lv BY, Xiang YX, Zhao R, et al. Impact evaluation of HIV/AIDS education in rural Henan province of China. J Huazhong Univ Sci Technolog Med Sci, 2013,33(6):905–911

    Article  PubMed  Google Scholar 

  25. Thomas M. Evaluation of the personalized bar-code identification card to verify high-risk, high-alert medications. Comput Inform Nurs, 2013,31(9):412–421

    Article  PubMed  Google Scholar 

  26. Cohen MM, Kimmel NL, Benage MK, et al. Medication safety program reduces adverse drug events in a community hospital. Qual Saf Health Care, 2005,14(3):169–174

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  27. Sheu SJ, Wei IL, Chen CH, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs, 2009,18(4):559–569

    Article  PubMed  Google Scholar 

  28. Trooskin SZ. Low-technology, cost-efficient strategies for reducing medication errors. Am J Infect Control, 2002,30(6):351–354

    Article  PubMed  Google Scholar 

  29. Neoh CY, Tian EA, Choi C, et al. Improving adherence to safe prescription guidelines for Dapsone: harnessing an enhanced electronic medical records system and a team approach. Int J Dermatol, 2012,51(3):349–354

    Article  PubMed  Google Scholar 

  30. Tang FI, Sheu SJ, Yu S, et al. Nurses relate the contributing factors involved in medication errors. J Clin Nurs, 2007,16(3):447–457

    Article  PubMed  Google Scholar 

  31. Benner P, Sheets V, Uris P, et al. Individual, practice, and system causes of errors in nursing: a taxonomy. J Nurs Adm, 2002, 32(10):509–523

    Article  PubMed  Google Scholar 

  32. Wakefield BJ, Wakefield DS, Uden-Holman T, et al. Nurses’ perceptions of why medication administration errors occur. Medsurg Nurs, 1998,7(1):39–44

    CAS  PubMed  Google Scholar 

  33. Gladstone J. Drug administration errors: a study into the factors underlying the occurrence and reporting of drug errors in a district general hospital. J Adv Nurs, 1995,22(4):628–637

    Article  CAS  PubMed  Google Scholar 

  34. Winterstein AG, Johns TE, Rosenberg EI, et al. Nature and causes of clinically significant medication errors in a tertiary care hospital. Am J Health Syst Pharm, 2004,61(18):1908–1916

    PubMed  Google Scholar 

  35. Kelly WN. Potential risks and prevention, Part 4: Reports of significant adverse drug events. Am J Health Syst Pharm. 2001,58(15):1406–1412

    CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. School of Medicine and Health Management, Huazhong University of Science and Technology, Wuhan, 430030, China

    Shang-feng Tang  (唐尚锋) & Man-li Wang  (王曼丽)

  2. School of Pharmacy, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China

    Rui Huang  (黄 锐)

  3. Department of Pharmacy, TEDA International Cardiovascular Hospital, Tianjin, 300457, China

    Xin Wang  (王 欣), Ye Zhang  (张 叶) & Jie Hou  (侯 杰)

  4. Sun Yat-sen University Cancer Center, Guangzhou, 510060, China

    Lu Ji  (季 露)

Authors
  1. Shang-feng Tang  (唐尚锋)
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Xin Wang  (王 欣)
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ye Zhang  (张 叶)
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jie Hou  (侯 杰)
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Lu Ji  (季 露)
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Man-li Wang  (王曼丽)
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Rui Huang  (黄 锐)
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Rui Huang  (黄 锐).

Additional information

This project was supported by grants from Basic Scientific Research Business Expenses Foundation of Huazhong University of Science and Technology, China (No. 2014QN136), and Natural Science Foundation of Hubei Province, China (No. 2014CFB955).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Tang, Sf., Wang, X., Zhang, Y. et al. Analysis of high alert medication knowledge of medical staff in Tianjin: A convenient sampling survey in China. J. Huazhong Univ. Sci. Technol. [Med. Sci.] 35, 176–182 (2015). https://doi.org/10.1007/s11596-015-1407-4

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11596-015-1407-4

Key words

Search

Navigation