PDF(Pubmed)
Abstract：
Objective. Accuracy checks are required by United States Pharmacopeia General Chapter <797> to ensure patient safety when dispensing compounded sterile preparations (CSP). Despite the importance of this task, reports of training pharmacy students to perform CSP accuracy checks are lacking. This study aimed to, first, report a method for teaching CSP accuracy checks to students and, second, determine whether increased time on this content and intentional focus on this skill would improve student performance in a simulated hospital environment.Methods. A laboratory teaching team identified the six most common types of errors in CSP accuracy checks. Student performance regarding these six errors and competency grades of final accuracy checks were compared between the fall 2019 and fall 2020 semesters.Results. Students had better overall performance on the competency assessment for accuracy checks in fall 2019 versus fall 2020, but students performed substantially better on the remediation in fall 2020 versus fall 2019. In each semester, students had different errors commonly missed during the first and second attempts.Conclusion. Despite enhanced teaching content and the incorporation of practice testing, students performed worse in fall 2020 than fall 2019. This effect could have been explained, in part, by the virtual environment required during the COVID-19 pandemic. To improve student performance, continued improvement in teaching methods and a restructured remediation process is needed.
摘要：
Objective.美国药典总则第<797>章要求进行准确性检查，以确保配药复合无菌制剂（CSP）时患者的安全。尽管这项任务很重要,缺乏培训药学学生进行CSP准确性检查的报告。本研究旨在,首先,向学生报告CSP准确性检查的教学方法，第二,确定在此内容上增加的时间和对此技能的有意关注是否会提高学生在模拟医院环境中的表现。方法。实验室教学团队确定了CSP准确性检查中最常见的六种错误类型。在2019年秋季和2020年秋季学期之间比较了关于这六个错误的学生表现和最终准确性检查的能力等级。结果。2019年秋季与2020年秋季相比，学生在准确性检查能力评估方面的整体表现更好，但2020年秋季与2019年秋季相比，学生在补救方面的表现要好得多。在每个学期,学生在第一次和第二次尝试中通常会错过不同的错误。结论。尽管加强了教学内容和实践测试的结合，学生在2020年秋季的表现比2019年秋季差。这种影响可以解释，在某种程度上,根据COVID-19大流行期间所需的虚拟环境。为了提高学生成绩，需要不断改进教学方法和重组补救过程。
