03345nas a2200289 4500008004100000245017000041210006900211260001700280300001000297490000600307520234700313653002302660653002602683653001502709653003102724653001102755653001102766653001702777653002102794100002502815700003402840700002802874700002702902700003302929700003002962856006302992 2019 eng d00aNational Survey of Medication Safety Practice: Environmental Culture and Staff Competency at Primary Healthcare Centers/ Community Pharmacies in Riyadh, Saudi Arabia0 aNational Survey of Medication Safety Practice Environmental Cult cJanuary 2019 a20-270 v53 a

Objective: To explore the national survey of medication safety practices with an emphasis on environmental factors and staff competencies at primary healthcare centers (PHCs) and community pharmacies (CPs) in Saudi Arabia, Riyadh city. Method: This is a 4-month cross-sectional medication safety practice survey conducted at pharmacies of PHCs of Ministry of Health and CPs in Riyadh city. The survey consisted of the modified version of the Medication Safety Self-Assessment® for Community/ Ambulatory Pharmacy from the Institute of Safe Medication Practices (ISMP). The survey consisted of a demographic section and 10 domains with questions on environmental factors, staff competency and education. The authors distributed the questionnaire and followed-up on a daily basis by physically visiting or via telephonic call. The survey was prepared in an electronic format and it was analyzed through the Survey Monkey system and Microsoft Excel version 10. Result: The survey was distributed to 13 PHCs and 23 CPs. The average score of all the ISMP-self assessment of medication safety items at PHCs was 2.75 ± 0.36 (54.94%) (95% confidence interval (95% CI) = 2.55–2.95; P<0.05; range = 2.04–3.38). The average score of all ISMP-self assessment of medication safety items at CPs was 3.14 ± 0.42 (62.86%) (95% CI = 2.90–4.38; P<0.05; range = 2.40–3.88). The average score of environmental factors, workflow and staffing domain at PHCs was 2.7 ± 0.45 (54%) (95% CI = 2.53–2.87; P<0.05; range = 1.55–3.68), whereas in CPs, the average score was 3.58 ± 0.43 (71.6%) (95% CI = 3.44–3.717; P<0.05; range = 2.63–4.37). The average score of staff competency and education at PHCs was 3.02 ± 0.298 (60.4%) (95% CI = 2.9–3.2; P<0.05; range = 2.64–3.55), whereas in the CPs, the average score was 4.15 ± 0.20 (83%) (95% CI = 4.03–4.27; P<0.05; range = 3.78–4.53). Conclusion: The PHCs implemented only half of the environmental factors, workflow and staff competency domains preventive measures for medication safety and lower than CPs. Targeting of improving environmental culture and staff competency for medication safety at PHCs is highly recommended in KSA.

10aCommunity Pharmacy10aEnvironmental culture10aMedication10aPrimary Healthcare Centers10aRiyadh10aSafety10aSaudi Arabia10aStaff competency1 aAlomi, Yousef, Ahmed1 aAlmuallem, Zainab, Abdulmunem1 aAlslim, Manar, Mohammed1 aAlslim, Rana, Mohammed1 aAlamoudi, Khulud, Abdulrahma1 aAlragas, Adel, Mehmas Ham uhttp://www.ptbreports.org/article/2019/5/1/105530ptb201955