Improving safety of preparation and administration of medicines and enteral nutrition in a neonatal care unit: Global risk analysis
| Autor: | B. Bonan, K. Zribi, V. Chenet, K. Sejean, F. Karnycheff, A. Migeon, K. Aboulghit, J.-M. Ayoubi, C.L. Seydoux, Y. Coatantiec, A. Vivet |
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| Rok vydání: | 2020 |
| Předmět: |
Risk analysis
Service (systems architecture) Drug-Related Side Effects and Adverse Reactions Drug Compounding Control (management) Pharmaceutical Science Risk Assessment 030226 pharmacology & pharmacy Unit (housing) 03 medical and health sciences Enteral Nutrition 0302 clinical medicine Clinical Protocols Multidisciplinary approach 030225 pediatrics Humans Medication Errors Medicine Operations management Quality policy Risk management Food Formulated Pharmacology Risk Management business.industry Health Plan Implementation Infant Newborn Infant Residual risk Equipment and Supplies Patient Safety business Hospital Units |
| Zdroj: | Annales Pharmaceutiques Françaises. 78:158-166 |
| ISSN: | 0003-4509 |
| DOI: | 10.1016/j.pharma.2019.12.005 |
| Popis: | Summary Objective To date, few adapted pharmaceutical forms are available for infants leading to multiple steps of preparation and medicines dilution before administration. The main purpose of this study was to assess the risks on the steps of preparation and administration of medicines in a neonatal care unit and to propose corrective actions to ensure the medicines safety. Methods A global risk analysis was performed, conducted by a multidisciplinary working group of 9 experts, that is 9 meetings. Results We identified 57 scenarios: 59,6% of scenarios had an initial criticality C1, 31,6% C2 and 8,8% C3. The most risky phases were phases of needs identification including the step of doses calculation and phases of preparation. The strategic management together with the human factor were the most risky dangers. Nineteen corrective actions were proposed. After implementing those actions, 82,5% of scenarios had residual criticality C1, 17,5% C2 and no scenario had residual criticality C3. Follow-up actions have been implemented to control the residual risk as in service training. Conclusion Neonatal unit care is a risky service and should be a priority in the risk management policy. This analysis joins the quality policy implemented in the hospital and similar risk analysis is on process. |
| Databáze: | OpenAIRE |
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