Situation on Emergency Drug Management Systems in Primary Care Units, Chiangmai Province
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Abstract
Objective: To study the situation on inputs, processes and productivity of emergency drug management systems in Primary Care Units (PCU), Chiang Mai. Method: This study employed mixed methodology. Quantitatively, a questionnaire was used to collect data from two groups of subjects including 267 nurses/public health providers at all PCUs in Chiang Mai province (167 completed the survey) and 23 pharmacists from host hospitals (all replied). For qualitative part, group discussions were held with two groups of informants including 6 nurses/public health providers from PCUs and 8 pharmacists from host hospitals. Results: Regarding input factors, it was found that hypoglycemia was the condition for which emergency drugs were most often used in PCUs. Regarding personnel, 98.50% of PCUs were supported with full-time professional nurses. About 73.72% of full-time nurses working in PCUs had working experience in hospitals and 83.94% of nurses were trained in the programs and registered as required by the Nursing Council. In regard to process, 74.85% of PCU providers followed guidelines on treatment/the use of emergency drugs. In addition, about 43.47% of host hospitals provided fast track systems for replenishing stocks of PCUs emergency drugs. Regarding productivity, 75.46% of PCU’s providers made decisions on administering emergency drugs in the first instance, and then contacted the host hospitals to consult or deliver patients to them. Regarding safety, 82.93% of PCUs had no recording systems for medication errors on emergency drugs. The important suggestions from the subjects were to continue educating about emergency drugs and to support treatment guidelines/guidelines for emergency drugs use from the host hospital. Conclusion: Emergency drug management systems in PCU in Chiangmai should be further improved, in terms of inputs and process. This will result in a better productivity of the emergency drug management systems in PCUs in Chiang Mai.
Article Details
ผลการวิจัยและความคิดเห็นที่ปรากฏในบทความถือเป็นความคิดเห็นและอยู่ในความรับผิดชอบของผู้นิพนธ์ มิใช่ความเห็นหรือความรับผิดชอบของกองบรรณาธิการ หรือคณะเภสัชศาสตร์ มหาวิทยาลัยสงขลานครินทร์ ทั้งนี้ไม่รวมความผิดพลาดอันเกิดจากการพิมพ์ บทความที่ได้รับการเผยแพร่โดยวารสารเภสัชกรรมไทยถือเป็นสิทธิ์ของวารสารฯ
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