Loboda C, Vigneron J, Mulot C, May I, Demore B
University Hospital of Nancy, Vandoeuvre Les Nancy, France.
J Oncol Pharm Pract. 2019 Mar;25(2):454-459. doi: 10.1177/1078155217743311. Epub 2017 Dec 13.
French preparation guidelines state that pharmacy staff who manipulate cytotoxic drugs have to follow specific training. In order to assess the pharmaceutical assistants' skills and knowledge, we developed a "Cytotoxic Preparation Centralized Unit (CPCU) of errors," derived from the Canadian concept of "Chamber of horrors." A table listing 20 mistakes to track down was created and each pharmaceutical assistant spent 20 min in the "CPCU of errors" with the pharmacist, who wrote down the spotted mistakes in real time. Among the 21 trained pharmaceutical assistants, 15 were evaluated. On average, 11.9 mistakes on 20 were detected. The lowest score was 7 spotted errors on 20 and the highest was 16 on 20. Those results should be qualified depending on pharmaceutical assistants' years of experience in the preparation of chemotherapy. Those results may be explained by the way the role-playing was conducted. The simulation was not conducted during an actual preparation using the usual equipment. One of the major obstacles was the difficulty to clear some time for this project because its realization required a full-time pharmacist and the referring pharmaceutical assistant in addition to the evaluated pharmaceutical assistants. Overall, the staff feedback was positive and the role-playing led to a reminder of theoretical knowledge and the good use of some devices. It would be interesting to develop this type of project through a regional oncology network to create a medium that can be used by other hospitals.
法国的制剂指南规定，调配细胞毒性药物的药房工作人员必须接受特定培训。为了评估药剂助理的技能和知识，我们借鉴加拿大的“恐怖室”概念，开发了一个“细胞毒性制剂错误集中单元（CPCU）”。创建了一个列出20个需追查错误的表格，每位药剂助理与药剂师在“错误CPCU”中待20分钟，药剂师实时记录发现的错误。在21名接受培训的药剂助理中，15人接受了评估。平均而言，在20个错误中检测到11.9个。最低分是20个中发现7个错误，最高分是20个中发现16个。这些结果应根据药剂助理在化疗制剂方面的工作年限来评判。这些结果可能可以通过角色扮演的方式来解释。模拟不是在使用常规设备进行实际制剂过程中进行的。主要障碍之一是难以为此项目腾出时间，因为项目实施除了参与评估的药剂助理外，还需要一名全职药剂师和相关的药剂助理。总体而言，工作人员的反馈是积极的，角色扮演促使人们回顾了理论知识并正确使用了一些设备。通过区域肿瘤网络开展此类项目，创建一个可供其他医院使用的平台，将会很有意思。
