Background The management of personal medical treatments of patients hospitalised in health facilities follows regulatory requirements. Failure to respect these requirements may result in iatrogenesis, with sometimes severe consequences for the patients. According to the High Authority of Health, not taking into consideration the personal treatment might lead to administrative mistakes which represent more than 57% of reported medication errors. In order to prevent these errors, a procedure and a technical data sheet have been designed to assist caregivers in the management of these medical treatments.
Purpose The objective is to evaluate the caregiver’s level of knowledge of which documents in order to suggest ways of improvement.
Material and methods This audit has been realised in order to assess how the medical staff follow these technical data sheets. The audit has been performed by a pharmacist student during 2 months, in eight randomly chosen services. An audit grid including 15 evaluated criteria was used.
Results For this audit, 138 hospitalised patients were followed. At the time of their hospitalisation, 83.7% of the patients had personal treatment at home. Only 18.7% of these patients had their personal treatments prescribed in the hospital’s computer software. Regarding the management of these treatments, 47% of the wards had removed the personal treatment at the hospitalisation of the patients, and 38% identified and stored the treatments in a specific and secure place as indicated in the procedure.
Seventy per cent of the patients actually took their treatment, while this fact had not been indicated in the prescription software by the responsible doctor. Regarding leaving the hospital, out of 10 outgoing patients, 54% left with a prescription including the updated personal treatment.
Conclusion This audit allowed us to identify several problems, the lack of knowledge of the documents and insufficient training on computer software of the medical staff. Improvements are now being developed through communication campaigns concerning the data sheet and through training on the prescription software. A future assessment will be conducted to verify that the actions taken have had a positive effect.
Reference and/or acknowledgements Patients personal treatment management in hospital: practices analysis and improvement opportunities. J Pharm Clin 2015;34.
No conflict of interest.
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