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RESUME Contexte : En etablissement de sante, le circuit du medicament est complexe, puisqu’il compte plus de 50 etapes. Pour evaluer la conformite du circuit du medicament de notre etablissement, nous avons mis en place un processus annuel d’audit. Objectifs : L’objectif principal vise a decrire la conformite de certaines etapes du circuit du medicament (principalement la gestion des medicaments) aux unites de soins et dans les cliniques externes d’un centre hospitalier universitaire mere-enfant. L’objectif secondaire consiste a comparer les resultats a ceux des audits precedents. Methodes : Il s’agit d’une etude descriptive observationnelle transversal realisee a l’ete 2018 dans les unites de soins ( n = 34) et les cliniques externes ( n = 28) de l’etablissement. Les donnees ont ete recueillies a partir d’une grille d’audit. Resultats : En 2018, le taux de conformite de l’ensemble des unites de soins aux criteres mentionnes dans la grille d’audit variait de 32 % a 100 %. Par rapport a l’annee precedente, le taux de conformite a 30 criteres est demeure inchange et celui a quatre criteres s’est deteriore. La conformite a 35 % des criteres (12/34) etait totale a plus de 85 %. En 2018, le taux de conformite de l’ensemble des cliniques externes aux criteres mentionnes dans la grille d’audit variait de 0 % a 100 %. Le taux de conformite a un critere s’est ameliore, celui a 21 criteres est demeure inchange et celui a deux criteres s’est deteriore. La conformite a 32 % des criteres (9/28) etait totale a plus de 85 %. Trente-cinq recommandations ont ete formulees au comite pharmacie-soins infirmiers et un rapport personnalise a ete transmis aux gestionnaires. Conclusions : Cette etude descriptive observationnelle transversale decrit le degre de conformite du circuit du medicament relatif a la gestion des medicaments, principalement dans les unites de soins et les cliniques externes. Cette demarche originale a l’initiative du Departement de pharmacie a abouti a la formulation de 35 recommandations au comite pharmacie-soins infirmiers, ce qui a permis d’ameliorer la securite du circuit du medicament dans les unites de soins et les cliniques externes. ABSTRACT Background: In the hospital setting, the medication-use system is complex, having more than 50 steps. To assess the compliance of the study organization’s medication-use system with established criteria, an annual audit process was developed. Objectives: The primary objective was to describe the compliance of certain steps in the medication-use system (mainly medication management) in care units and outpatient clinics of a mother and child university hospital centre. The secondary objective was to compare the current results with those of previous audits. Methods: This cross-sectional descriptive observational study was carried out in summer 2018 in patient care units ( n = 34) and outpatient clinics ( n = 28) of the study hospital. Data were collected according to an audit matrix. Results: In 2018, the rate of compliance with audit criteria varied between 32% and 100% for the patient care units. Relative to the previous year, the compliance rate remained unchanged for 30 criteria and worsened for 4 criteria. For 35% of the criteria (12/34), compliance was greater than 85%. In 2018, the rate of compliance with audit criteria varied between 0% and 100% for the outpatient clinics. The compliance rate increased for one criterion, remained unchanged for 21 criteria, and worsened for 2 criteria. For 32% of the criteria (9/28), compliance was more than 85%. Thirty-five recommendations were made to the pharmacy and nursing care committee, and a personalized report was sent to managers. Conclusions: This cross-sectional descriptive observational study reports the degree to which the medication-use system complies with medication management criteria, mainly in patient care units and outpatients’ clinics. This original approach from the Pharmacy Department led to the formulation of 35 recommendations to the pharmacy and nursing care committee, which helped to improve the safety of the medication-use system in patient care units and outpatient clinics.

canadian journal of hospital pharmacy/the canadian journal of hospital pharmacy

Conformité du circuit du médicament dans les unités de soins et les cliniques externes : étude observationnelle transversale au sein d’un établissement universitaire de 500 lits