Besson C, Chareyre S, Kirouani N, Jean-Jean S, Bretagnolle C, Henry A, Leboucher G, Charpiat B
Service pharmaceutique, hôpital de la Croix-Rousse, groupement hospitalier nord, Hospices Civils de Lyon, 103, Grande rue de la Croix-Rousse, 69317 Lyon cedex 04.
Service pharmaceutique, hôpital de la Croix-Rousse, groupement hospitalier nord, Hospices Civils de Lyon, 103, Grande rue de la Croix-Rousse, 69317 Lyon cedex 04.
Ann Pharm Fr. 2021 Jul;79(4):473-480. doi: 10.1016/j.pharma.2021.01.007. Epub 2021 Jan 29.
With regard to the hospital drug supply chain, the safest system is the individual automated drug dispensing one provided by the pharmacy. For several years we have been trying to convince hospital decision-makers to set it up. In the meantime, to mitigate the risks of medication errors incurred by patients and caregivers, we have set up several work teams within the care units. These teams, made up of one pharmacist and one or two hospital pharmacy technicians, who notably manage the medicine cabinets in care units. The close collaboration with doctors and nurses developed over the years was a determining factor when it became necessary to provide the newly created additional intensive care units with drugs and medical devices (MDs) in order to cope with the crisis triggered by the SARS-CoV-2 epidemic. Daily monitoring of the drugs consumed by each patient, particularly neuromuscular blocking agents and MDs was a key element in managing stocks and anticipating changes of drugs, packaging and/or devices references. These facts give weight to the Claris report published in France which recognizes that the interactions of pharmacy technicians and pharmacists in the care units have positive effects in terms of quality and safety of patient care. They highlight the dangers to which patients and caregivers are exposed on Saturdays, Sundays and holidays when the pharmacy is closed. They legitimize the question of extending the opening of the pharmacy with a full team 365 days a year.
关于医院药品供应链,最安全的系统是药房提供的个人自动药品调配系统。多年来,我们一直试图说服医院决策者建立该系统。与此同时,为了降低患者和护理人员发生用药错误的风险,我们在护理单元内设立了几个工作小组。这些小组由一名药剂师和一两名医院药房技术人员组成,他们主要负责管理护理单元的药柜。多年来与医生和护士建立的密切合作,在有必要为新设立的额外重症监护病房提供药品和医疗设备以应对由SARS-CoV-2疫情引发的危机时,成为了一个决定性因素。每天监测每位患者使用的药品,特别是神经肌肉阻滞剂和医疗设备,是管理库存和预测药品、包装和/或设备规格变化的关键要素。这些事实凸显了法国发表的Claris报告的重要性,该报告承认药房技术人员和药剂师在护理单元的互动对患者护理的质量和安全具有积极影响。报告强调了在药房关闭的周六、周日和节假日患者和护理人员所面临的危险。报告使药房每年365天配备完整团队延长营业时间这一问题具有了合理性。