Evaluation of the Impact of the Presence of a Pharmacy Technician on the Quality and Cost of Drug Therapy (OPTI-PP)
Evaluation of the Impact of the Presence of a Pharmacy Technician on the Quality and Cost of Drug Therapy in the Hepato-Gastroenterology Department of the Nîmes University Hospital
The main objective of this study is to evaluate the impact of the presence of a pharmacy technician in a care unit (Hepato-Gastroenterology Department) on detected medication errors.
This is a before-after study consisting of three sequential phases:
Month 1: one month of observation of what is happening in the department Month 2: one month wash out period Month 3: active participation of a pharmacy technician in the department
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
The secondary objectives of this study are:
A- To assess the impact of the presence of a pharmacy technician on the ratio of the number of patients with at least one medication error / number of included patients hospitalized in the service.
B- To characterize detected medication errors.
C- To identify and evaluate the potential causes of medication errors.
D- To evaluate whether the presence of a pharmacy technician reduces nursing time spent on medication management.
E- To evaluate the economic impact of the presence of a pharmacy technician.
F- To evaluate the acceptability of the intervention by the nursing staff and pharmacy technicians using questionnaires.
Undersøgelsestype
Tilmelding (Faktiske)
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiesteder
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Nîmes Cedex 09, Frankrig, 30029
- CHRU de Nîmes - Hôpital Universitaire Carémeau
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- The patient must be insured or beneficiary of a health insurance plan
- The patient is hospitalized in the Hepato-Gastroenterology Department of the Nîmes University Hospital
Exclusion Criteria:
- The patient is under judicial protection
- The patient, or his/her legal guardian, expresses opposition to participation in the study
- It is impossible to correctly inform the patient
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Forebyggelse
- Tildeling: Ikke-randomiseret
- Interventionel model: Crossover opgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Aktiv komparator: 1st observational period (before experimental intervention)
Patients in this arm are included during a first month of observation before the intervention is implemented. Intervention: One month of department-wide observation |
A pharmacy technician will be present full time in the care unit from Monday to Friday between 8:30 and 17h for 1 month for observational purposes only.
During this phase, the pharmacy technician observes the current practices of preparation and administration of medication by nurses.
He / she will collect medication errors and other observational data.
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Eksperimentel: 2nd obs. period (during experimental intervention)
Following a one-month wash-out period, patients in this arm are included during a second month of observation during which the intervention is implemented. Intervention: Pharm Tech participates in department |
Following a 1 month wash-out period, a pharmacy technician will again be present full time (in practice, two technicians will relay each other) in the care unit from Monday to Friday between 8:30 and 17h for 1 month.
He/she will actively take part in drug care activities in the department: management of product pathways, verification of injectable preparation, advice, etc. Medication errors and other observational data will be collected.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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The following ratio (relative units): Number of medication errors / number of medications administered and omitted from among all those listed on the prescription for admission
Tidsramme: 5 days
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Primary Outcome Measure as given in protocol: Number of medication errors / number of medications administered and omitted from among all those listed on the prescription for admission (during month 1 versus during month 3).
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5 days
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Number of patients with at least one medication error / total number of hospitalized patients included in the service
Tidsramme: 5 days
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5 days
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For each medication error: the name of the drug
Tidsramme: 5 days
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5 days
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For each medication error: the type of error
Tidsramme: 5 days
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Errors are classifies as one of the following types: Omission; Drug; Dosage form; Expired or damaged drug; Dose; Concentration; Frequency of administration; Administration technique; Route of Administration; Rate of administration; Duration of administration; Administration Time; Patient; Drug interaction. |
5 days
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For each medication error: the severity index
Tidsramme: 5 days
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5 days
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For each medication error: when (which step) the error occurred during the drug pathway
Tidsramme: 5 days
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The considered steps are: Writing the prescription Medical decision for the prescription Transcription Pharmaceutical analysis Deliverance Preparation / reconstitution Pillbox Administration Procurement Storage Compliance Therapeutic and clinical follow-up |
5 days
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For each medication error: the evolution of the adverse drug event, if occurred
Tidsramme: 5 days
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5 days
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For each medication error: the criticality of the error
Tidsramme: 5 days
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Criticality is graded according to the following classes:
3E: treatment or surgery with temporary harm 3F: longer duration of hospitalization with temporary harm 3G: permanent harm 3H: involving a life-threatening harm 3I: death Criticality is determined by the concordance of two, independent expert opinions; or, in case of discordance, the concordance of 2 out 3 expert opinions. |
5 days
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The potential causes of medication errors
Tidsramme: 5 days
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5 days
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The average number of interruptions per hour during preparation or administration of drug doses by nurses
Tidsramme: 5 days
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5 days
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The number of patients for whom personal treatments were managed by the nursing staff on admission / number of patients who brought their personal treatments to the care unit
Tidsramme: 5 days
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5 days
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The number of patients for whom personal treatments were returned by the nursing staff at hospital discharge / number of patients who brought their personal treatments to the care unit
Tidsramme: 5 days
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5 days
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Nursing staff time dedicated to: the preparation of individual doses
Tidsramme: 5 days
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5 days
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Nursing staff time dedicated to: ordering health products
Tidsramme: 5 days
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5 days
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Nursing staff time dedicated to: stock management and exceptional orders
Tidsramme: 5 days
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5 days
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Nursing staff time dedicated to: the delivery, receipt and storage of health products
Tidsramme: 5 days
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5 days
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Nursing staff time dedicated to: cabinet inventories
Tidsramme: 5 days
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5 days
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Nursing staff time dedicated to: the management of expired drugs
Tidsramme: 5 days
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5 days
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The number of calls made to the central pharmacy
Tidsramme: 5 days
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5 days
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Staff time dedicated to managing exceptional requests
Tidsramme: 5 days
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5 days
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The number of drugs consumed
Tidsramme: 5 days
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5 days
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The number of medical devices consumed
Tidsramme: 5 days
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5 days
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The number of immobilized drugs
Tidsramme: 5 days
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5 days
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The number of immobilized medical devices
Tidsramme: 5 days
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5 days
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The cost of adverse drug events care
Tidsramme: 5 days
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5 days
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Care staff satisfaction questionnaire
Tidsramme: 5 days
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5 days
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Pharmacy technician satisfaction questionnaire
Tidsramme: 5 days
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5 days
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Samarbejdspartnere og efterforskere
Efterforskere
- Studieleder: Géraldine Leguelinel-Blache, PharmD, PhD, Centre Hospitalier Universitaire de Nimes
Datoer for undersøgelser
Studer store datoer
Studiestart
Primær færdiggørelse (Faktiske)
Studieafslutning (Faktiske)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Skøn)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Skøn)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- LOCAL/2015/GL-01
- 2015-A01309-40 (Anden identifikator: RCB number)
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