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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Utilisation de lignes directrices dans le cadre de I'implantation de cabinets automatises decentralises en etablissement de sante
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Utilisation de lignes directrices dans le cadre de I'implantation de cabinets automatises decentralises en etablissement de sante

机译：在卫生机构中实施分散自动化做法的框架内使用准则

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Context: Few data are available on the use and consequences of decentralized automated dispensing cabinets (ADCs) in institutional settings. Method: This descriptive study examined compliance with published guidelines on the implementation of decentralized ADCs. The primary objective was to evaluate overall compliance, as well as compliance with specific steps in the medication cycle. The study was carried out at the Centre hospitalier universitaire (CHU) Sainte-Justine, a 500-bed mother-and-child hospital. The 2008 guidelines of the Institute for Safe Medication Practices (US) concerning the safe use of decentralized ADCs and the associated self-assessment tool (2009) were used to evaluate compliance at 30 days and at 120 days after implementation. Results: From November 2009 to April 2010, 7 decentralized ADCs were brought into service at the CHU Sainte-Justine. Overall compliance with published guidelines increased from 66% to 74% between January and April 2010. For each process related to the safe use of the ADCs, the criteria were briefly described, along with the non-compliance components related to technological or organizational aspects of implementation. For each component for which practice was noncompliant with guidelines, the actions required to modify the equipment (i.e., technological aspects) were determined and conveyed to the manufacturer; similarly, modes of use requiring modification (i.e., organizational aspects) were determined and conveyed to the institution. Conclusion: This study has described the compliance of practices at the CHU Sainte-Justine with published guidelines of the Institute for Safe Medication Practices. The use of published guidelines can help to guide both the technological and organizational aspects of implementing decentralized ADCs.
机译：背景：在机构环境中，很少有关于分散式自动分配柜（ADC）的使用和后果的数据。方法：这项描述性研究检查了对分散式ADC实施的已发布指南的遵守情况。主要目标是评估整体依从性以及药物治疗周期中特定步骤的依从性。这项研究是在拥有500张床的母婴医院Saint-Justine的中央医院大学（CHU）进行的。美国安全用药实践研究所（2008）关于分散使用ADC的安全使用的指南以及相关的自我评估工具（2009）用于在实施后30天和120天评估依从性。结果：从2009年11月到2010年4月，CHU Sainte-Justine启用了7个分散的ADC。从2010年1月到2010年4月，对已发布指南的总体遵守率从66％增加到74％。对于与ADC的安全使用相关的每个过程，均简要描述了标准以及与技术或组织方面有关的不遵守规定实施。对于实践不符合指导原则的每个组件，确定修改设备所需的行动（即技术方面），并传达给制造商;类似地，确定了需要修改的使用方式（即组织方面）并将其传达给机构。结论：本研究描述了圣胡斯汀大学的实践与安全药物实践研究所发布的指南的符合性。使用已发布的指南可以帮助指导实施分散ADC的技术和组织方面。

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