Morin P, Guillois B, Gloanec L, Chatelier N, Saint-Lorant G
Service pharmacie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
Service néonatalogie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen cedex 9, France.
Arch Pediatr. 2017 Sep;24(9):795-801. doi: 10.1016/j.arcped.2017.06.003. Epub 2017 Jul 26.
Adverse drug events are a daily concern in neonatology departments. The aim of this study was to assess the professional practices of preparation and administration of injectable forms of medications in neonatology.
A professional practice evaluation with regard to the preparation and administration of various injectable forms of medications in different neonatology units within a given department was conducted by a pharmacy intern based on an assessment grid comprising ten criteria. Following an initial assessment, the results were presented to the care team, which validated the corrective measures put forward by a multiprofessional work group. A second assessment was conducted following the same methodology.
Fifty of the department's 76 pediatric nurses were assessed during the first round of the audit and 21 during the second round. Two improvement priorities were identified: taking account of the dead volume of medication in needles and syringe hubs, together with complete identification of syringes used to administer medication. During the second round, these two aspects were improved, progressing from 38% to 100% and from 59% to 89%, respectively.
To improve drug administration in neonatology and consequently, to improve patient safety, professional practice evaluation is an essential tool that requires close collaboration between the paramedical team, physicians and pharmacists. Its main value lies in the mobilization of the entire team around the subject in question, hence generating improved understanding and application of corrective measures.
药物不良事件是新生儿科日常关注的问题。本研究的目的是评估新生儿科注射用药物的配制和给药专业操作。
一名药学实习生根据包含十个标准的评估表，对某科室不同新生儿病房各种注射用药物的配制和给药进行专业操作评估。在初步评估之后，将结果提交给护理团队，护理团队对多专业工作组提出的纠正措施进行了验证。按照相同方法进行了第二次评估。
在第一轮审核中评估了该科室76名儿科护士中的50名，第二轮评估了21名。确定了两个改进重点：考虑针头和注射器接口处的药物死腔，以及完整识别用于给药的注射器。在第二轮中，这两个方面得到了改善，分别从38%提高到100%，从59%提高到89%。
为改善新生儿科的药物给药，进而提高患者安全性，专业操作评估是一个重要工具，需要辅助医疗团队、医生和药剂师之间密切合作。其主要价值在于围绕相关主题动员整个团队，从而增强对纠正措施的理解和应用。
