Évaluation qualitative et pistes d’amélioration du circuit de délivrance des médicaments aux patients externes par l’officine hospitalière

Details

Supervisors

Meunier, Marie ; Soumoy, Laura

Faculty

Faculté de pharmacie et des sciences biomédicales

Degree label

Master de spécialisation en pharmacie hospitalière

Abstract

Background. – Belgian legislative framework compels to respect some drug delivery rules as well in public as in hospital environment. However, institutions remain free to manage their internal organization and process, depending on available resources. Each one tries to work in accordance with its values and selects priorities. Objective. – A suboptimal operating of outpatient drug delivery circuit was identified in CHU-UCL-Namur, leading to review the process to identify improvement paths. Three main issues were selected as prior objectives. The first purpose was to fit with regulatory requirements. Then it aimed to ensure quality and continuity of care for patients. The last goal was to enable pharmacy team to work more efficiently and ergonomically. Methodology. – The approach consisted of studying the current process along with looking for literature in the field and defining criteria to include drugs into the circuit. Next, a two phases qualitative study was led to identify problems and gather ideas to improve the working way. In-house interviews of stakeholders and online survey among Belgian French-speaking hospital pharmacists as multicentric benchmarking allowed to highlight improvement paths. Some of these were selected to conceive and propose a new circuit. Results. – The circuit was divided into stages and a decision-tree was designed as a tool to specify the scope of application in terms of included drugs. After observing the daily activity of distribution service of pharmacy, internally interviewing 23 healthcare professionals and six patients and collecting fifteen answers to the survey, including pharmacists from twelve institutions, a summary table of improving propositions by steps was established. Then we focused on the three main aspects we had previously selected and built the new process proposal. Conclusion. – There’s a long way to achieve a legislation compliant retrocession circuit that meets objectives of patient-centered care and efficiency. It requires continuous experience-based adaptations.