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制定安全程序以管理工作场所中的危险药物。

Safe procedure development to manage hazardous drugs in the workplace.

作者信息

Gaspar Carreño Marisa, Achau Muñoz Rubén, Torrico Martín Fátima, Agún Gonzalez Juan José, Sanchez Santos Jose Cristobal, Cercos Lletí Ana Cristina, Ramos Orozco Pedro

机构信息

Servicio de Farmacia. Hospital Intermutual de Levante..

Servicio de Prevención de Riesgos Laborales. Hospital Intermutual de Levante..

出版信息

Farm Hosp. 2017 Mar 1;41(2):222-256. doi: 10.7399/fh.2017.41.2.10621.

DOI:10.7399/fh.2017.41.2.10621
PMID:28236799
Abstract

OBJECTIVE

To develop a safety working procedure for the employees in the Intermutual Hospital de Levante (HIL) in those areas of activity that deal with the handling of hazardous drugs (MP).

METHODS

The procedure was developed in six phases: 1) hazard definition; 2) definition and identification of processes and development of general correct work practices about hazardous drugs' selection and special handling; 3) detection, selection and set of specific recommendations to handle with hazardous drugs during the processes of preparation and administration included in the hospital GFT; 4) categorization of risk during the preparation/administration and development of an identification system; 5) information and training of professionals; 6) implementation of the identification measures and prevention guidelines.

RESULTS

Six processes were detected handling HD. During those processes, thirty HD were identified included in the hospital GFT and a safer alternative was found for 6 of them. The HD were classified into 4 risk categories based on those measures to be taken during the preparation and administration of each of them.

CONCLUSIONS

The development and implementation of specific safety-work processes dealing with medication handling, allows hospital managers to accomplish effectively with their legal obligations about the area of prevention and provides healthcare professional staff with the adequate techniques and safety equipment to avoid possible dangers and risks of some drugs.

摘要

目的

为莱万特互济医院(HIL)从事危险药物(MP)处理工作的员工制定安全工作程序。

方法

该程序分六个阶段制定:1)危害定义;2)流程定义与识别以及关于危险药物选择和特殊处理的一般正确工作规范的制定;3)对医院药品目录(GFT)中制剂和给药过程中处理危险药物的具体建议进行检测、选择和设定;4)制剂/给药过程中的风险分类及识别系统的建立;5)专业人员的信息与培训;6)识别措施和预防指南的实施。

结果

检测到六个处理危险药物的流程。在这些流程中,识别出医院药品目录中包含的30种危险药物,其中6种找到了更安全的替代药物。根据每种药物在制剂和给药过程中应采取的措施,将危险药物分为4个风险类别。

结论

制定和实施处理药物操作的特定安全工作流程,使医院管理人员能够有效履行其在预防领域的法律义务,并为医护专业人员提供适当的技术和安全设备,以避免某些药物可能带来的危险和风险。

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