Medication Safety Risks and Their Management in Finnish Care Units: A Cross-Sectional Survey.

Introduction: Deficiencies in medication safety are a major concern for patient safety. In Finland, health and social care units are mandated to develop unit-based protocols for safe medication management and use (MMU) to address medication safety risks. Objectives: The aim of this study is to exami...

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Publicado en:Health Services Insights Vol. 19; pp. 1 - 14
Autores principales: Saavalainen, Anu, Kuusisto, Marianne, Linden-Lahti, Carita, Laukkanen, Emilia, Vahlberg, Tero, Holmström, Anna-Riia
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. 7/23/2026
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Sage Publications Inc.
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        atl: Medication Safety Risks and Their Management in Finnish Care Units: A Cross-Sectional Survey.
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        au:
          Saavalainen, Anu
          Kuusisto, Marianne
          Linden-Lahti, Carita
          Laukkanen, Emilia
          Vahlberg, Tero
          Holmström, Anna-Riia
        affil: Division of Pharmacology and Pharmacotherapy, Faculty of Pharmacy, University of Helsinki, Helsinki, Finland
      sug:
        subj:
          Patient Safety Evaluation
          Medication Errors Risk Factors
          Medication Management
          Health Facilities Finland
          Protocols
          Risk Management
          Human
          Finland
          Female
          Male
          Adult
          Middle Age
          Cross Sectional Studies
          Descriptive Research
          Questionnaires
          Descriptive Statistics
          Data Analysis Software
          Chi Square Test
          T-Tests
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Quality of Health Care
          Quality Improvement
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: Introduction: Deficiencies in medication safety are a major concern for patient safety. In Finland, health and social care units are mandated to develop unit-based protocols for safe medication management and use (MMU) to address medication safety risks. Objectives: The aim of this study is to examine how unit-based safe MMU protocols are developed in Finnish health and social care settings and how comprehensive the content of these protocols is. Design: A cross-sectional, descriptive study. Methods: An online survey was conducted among Finnish registered nurses and pharmacists working in health and social care settings. Descriptive statistics were used to summarize the data, and statistical tests (t-tests, Mann-Whitney U, Kruskal-Wallis H) were applied to examine group differences. Sum variables were created to assess protocol content comprehensiveness. The study was conducted and reported in accordance with the STROBE guidelines for cross-sectional studies. Results: The survey included 905 participants (90.2% nurses and 9.8% pharmacists). Most respondents (91.5%) reported having a unit-based MMU protocol. Only 11.6% indicated that the protocol was developed through interprofessional collaboration, which was more common in healthcare than in social care. Overall, respondents considered the protocols comprehensive, with no major differences between work environments. The least detailed areas were medication safety management (mean 3.09), medication reconciliation and patient involvement (mean 3.13), and risk management in the MMU process (mean 3.30). Conclusions: Unit-based safe MMU protocols are key tools in describing the MMU process and medication safety practices in Finnish health and social care. However, greater emphasis is needed on interprofessional development, particularly in social care settings, with increased involvement of physicians and pharmacists. Preventive, system-based medication safety risk management needs to be strengthened in the protocols and the competencies of healthcare professionals in the present area.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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