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 Printable version |
Clinical pharmacist’s place in appropriate use of infusion medical devices: 2) Guidelines production and diffusion |
Journal de Pharmacie Clinique. Volume 26, Number 4, 241-52, octobre-novembre-décembre 2007, article original
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 Résumé
Article gratuit
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Author(s) : H Brun, T Caruba, E Guerot, E Rossignol, P Prognon, J Pineau |
Summary : Infusion practice is of major importance in hospital because of its frequency and role for treatment outcome, and the associated iatrogenic risks (overdose, air embolism, infection). Therefore it can be considered as a true marker of good clinical practice. A survey conducted with nurses in our hospital revealed a significant prevalence of infusion devices misuse. Moreover, and most probably because of its commonplace, infusion practice is not associated with the notion of risk for the patient. As a consequence, a working group (WG), including M.D., Pharmacists and Nurses, was created to improve infusion practices. Several types of documents were delivered by the WG: (i) a general procedure entitled “Guidelines for good infusion practices”, (ii) a poster addressed to cares units emphasizing major issues of the procedure, (iii) three posters detailing the use of specific medical devices. In addition, a program of continuous education was proposed to all nurses. Corrective measures (withdrawal of obsolete devices, introduction of new ones) were taken to install properly the guidelines. Finally, a knowledge and practice assessment is scheduled to measure the overall impact of our policy. As a conclusion, such a multi-disciplinary teamwork contributes significantly to the optimal drug delivery and global patient care in our hospital. |
Keywords : medical devices, infusion, quality of care, appropriate use, guidelines |
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