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5PSQ-123 Simulation of a discharge control: an effective tool for qualifying staff
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  1. G Lafci,
  2. J Bodet,
  3. A Chaibi,
  4. E Poutrain,
  5. P Barreau,
  6. A Villain,
  7. M Abele,
  8. I Sakji,
  9. G Marliot
  1. Centre Oscar Lambret, Pharmacy, Lille, France

Abstract

Background and Importance The preparation of chemotherapy (CT) at our centre represents a major activity (42,000 preparations per year). One of the riskiest stages is discharge control (DC). To ensure the safety of this stage, in line with national guidelines on staff training, we decided to set up a DC simulation.

Aim and Objectives This work aimed to create a simulation to ensure that theoretical training in DC was understood and implemented; it was designed to enable initial qualification and periodic reassessment of pharmaceutical staff.

Material and Methods A theoretical evaluation (TE) and a practical evaluation (PE) were created. The DC most frequent and riskiest errors were defined during a Failure Modes, Effects and Criticality Analysis (FMECA). The criticality defined was used to establish whether the error was eliminatory.

For the TE a 28-item questionnaire was created (13 eliminatory questions).

For the PE, a simulation of DC including 20 dummy CT preparations (4 compliant and 16 non-compliant) reflecting our centre’s activity was designed. Ten responses were eliminatory.

The evaluations were carried out under real-life conditions. The validation threshold was 100% of correct answers to eliminatory questions.

Results Since the tool was created, 12 pharmaceutical staff have been assessed.

The average score for the TE was 17/20 (minimum 15.2/20 and maximum 19.8/20). Of the five most frequent errors, two corresponded to rare cases (specific paediatric protocols), two to production specificities (CT for weekends and the operating room), and one to a lack of knowledge of the circuit. All TEs were validated.

The average score for the PE was 17.6/20 (minimum 14.5/20 and maximum 19.5/20). One error, corresponding to a specificity linked to the device used, recurred regularly. Two person who made eliminatory errors (solvent error, expired and leaky pouch) had to be reformed and reassessed.

Conclusion and Relevance Implementing this simulation allowed for an exhaustive and entertaining evaluation of the individuals authorised for DC. Reviewing the errors made during the assessment enabled us to revise the initial training and emphasise the critical points. As a result, we decided to carry out a unitary release, integrated into our management software (CHIMIO®), a pop-up listing all the critical points to be monitored.

Conflict of Interest No conflict of interest.

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