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[医疗机构用药医嘱的药学分析:法国与魁北克的比较]

[Pharmaceutical analysis of medication orders in health care facilities: A France-Quebec comparison].

作者信息

Dubois S, Leguelinel-Blache G, Thibault M, Janès A, Bussières J-F

机构信息

Cité sanitaire Georges Charpak, 11, boulevard Georges-Charpak, BP 414, 44606 Saint-Nazaire cedex, France.

CHU de Nîmes, 4, rue du Professeur-Robert-Debré, 30029 Nîmes, France; Faculté de pharmacie, université de Montpellier, 15, avenue Charles-Flahault, BP 14491, 34093 Montpellier cedex 5, France.

出版信息

Ann Pharm Fr. 2019 May;77(3):241-249. doi: 10.1016/j.pharma.2019.01.001. Epub 2019 Feb 22.

Abstract

OBJECTIVES

The pharmaceutical analysis of drug prescriptions is one of the key steps in the drug circuit. This mandatory regulatory practice in France and Quebec is based on national standards. The main objective of this work was to compare the practical methods of pharmaceutical analysis performed in French and Quebec university hospitals.

METHODS

This is a prospective comparative survey conducted in 2 French and Quebec university hospital centres among pharmacists and pharmacy residents.

RESULTS

The response rate to the survey was 60% (45/75). Between 16 and 22 elements were deemed necessary to structure the centralized, decentralized or mixed pharmaceutical analysis. The chronological ranking of these elements was comparable between the French and Quebec participants. All participants were in favour of the development of initial and continuing training in pharmaceutical analysis. Finally, the majority of participants were against using individual pharmaceutical analysis performance indicators to optimize the process (82%; 37/45).

CONCLUSIONS

The French-Quebec practice of prescription analysis by a ward-pharmacist complies with national standards. The main differences in the practice of pharmaceutical analysis are related to the types of organization, the tools available and the length of time pharmacists have been deployed in care units in France and Quebec.

摘要

目的

药物处方的药学分析是药物流通中的关键步骤之一。在法国和魁北克,这种强制性的监管做法以国家标准为基础。这项工作的主要目的是比较法国和魁北克大学医院进行药学分析的实际方法。

方法

这是一项在2个法国和魁北克大学医院中心对药剂师和药学住院医师进行的前瞻性比较调查。

结果

调查的回复率为60%(45/75)。构建集中式、分散式或混合式药学分析被认为需要16至22个要素。法国和魁北克的参与者对这些要素的时间顺序排名具有可比性。所有参与者都赞成开展药学分析的初始培训和继续培训。最后,大多数参与者反对使用个人药学分析绩效指标来优化流程(82%;37/45)。

结论

法国和魁北克由病房药剂师进行处方分析的做法符合国家标准。药学分析实践中的主要差异与组织类型、可用工具以及法国和魁北克药剂师在护理单元的工作时长有关。

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