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2019-03-27 - Colloque/Abstract - Anglais - page(s)

Stenuit Serge, Tchuente Gerald, Pardo Antonelle , "Securing storage of high-risk medicines in a care unit : Where are we now ?" in 24th Congress of the European Association of Hospital Pharmacists, Barcelona, Spain, 2019

  • Codes CREF : Sciences pharmaceutiques (DI3400)
  • Unités de recherche UMONS : Chimie thérapeutique et Pharmacognosie (M136)
  • Instituts UMONS : Institut des Sciences et Technologies de la Santé (Santé)

Abstract(s) :

(Anglais) Background In our country, a Platform for Continuous Improvement of Quality of Care and Patient Safety has set the following target for hospitals: by the end of 2018, 100% of the High-risk medicines (HRMs) will be correctly identified and stored in a pilot unit according to the established procedure. Purpose To evaluate, through a monthly audit, the compliance with the tidying procedure of HRMs established in the pilot unit. Material and methods The internal medicine ward was the pilot unit chosen for this work. The tidying procedure of HRMs implemented in this unit includes: the withdrawal from the unit of all concentrated electrolytes; the storage of each HRM in a labelling area on which appears an HRM symbol in addition to the usual drug information; the HRM storage in a zone marked "HRM", except insulins, narcotics and infusions which are respectively stored in the fridge, the narcotic chest and the infusion cabinet; the remoteness of HRMs "Look Alike - Sound Alike" from each other. One week after the HRMs tidying of the unit by the pharmacist, monthly audits were started and were carried out once a month, on Wednesdays, from June 2018 to October 2018. In addition, awareness information were posted every two months on the medicine cabinet of the unit. Compliance results were analyzed using χ2 and t tests for, respectively, all HRMs and HRMs classes. Results The compliance for all 44 HRMs stored in the unit (64-73%) was not significantly different between the different audits (p>0,05). No statistically significant differences (p>0,05) between the 5 audits were observed for insulin (43-50% compliant), narcotics (100% compliant) and infusions (0% compliant); for the HRMs stored in the marked zone (67-89% compliant), the difference between the months was not significant either, except between July (89% compliant) and August (67% compliant), where a significant decrease in compliance was observed (p Conclusion This work allowed highlighting the improperly stored HRMs and showed that more awareness-raising actions need to be carried out to improve their tidying in a care unit. References and/or Acknowledgements Eur J Clin Pharmacol (2014) 70:637–645