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Fere-Gely L, Pieragostini R, Bonan A, Madelaine I, Crichi B, Tougorti M, Peyron I, Hervier B. Conciliation médicamenteuse d’entrée : bénéfices de fiches d’équivalence pour les médicaments indisponibles au livret thérapeutique. Rev Med Interne 2022. [DOI: 10.1016/j.revmed.2022.03.180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Pieragostini R, Le Corre B, Poupon V, Garnier A, Madelaine I, Deville L. [A check-list in order to optimise the deployment of computerized medicine cabinets in a hospital: An essential support]. Ann Pharm Fr 2021; 80:570-575. [PMID: 34560066 DOI: 10.1016/j.pharma.2021.09.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 09/03/2021] [Accepted: 09/15/2021] [Indexed: 11/30/2022]
Abstract
In the medication management process, storage methods constitute a step at risk of errors that needs to be secured. As part of an institutional project, computerized medicine cabinets (CMC) have been deployed in our hospital's emergency and intensive care units. In order to meet the requirements of the certification, the deployment of CMC in all care units has been decided. Each deployment includes many steps and involves several trades that must be coordinated. We decided to formalize these steps in the form of a checklist. Two pharmacists listed all the tasks required to install a CMC. They were ordered chronologically, and a person responsible for each step is proposed. All those involved in the installation of CMC in the care units validated the checklist. The checklist is broken down into 13 major steps, from the assessment of the need to the installation of CMC in the care units. Before installation, several months are required, particularly in terms of the delivery time of the CMC. Support and training for the pharmacy technicians and caregivers are essential to ensure the teams enrolment. By better implying and empowering all intervenants, directed by the pharmacist, the checklist provides to dynamise and to frame the CMC deployment. Moreover, it contributes to save time and to improve the management of every ongoing deployments.
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Affiliation(s)
- R Pieragostini
- Pharmacie à usage intérieur, hôpital Saint-Louis (Assistance publique-Hôpitaux de Paris), 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - B Le Corre
- Direction des soins, hôpital Saint-Louis (Assistance publique-Hôpitaux de Paris), 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - V Poupon
- Pharmacie à usage intérieur, hôpital Saint-Louis (Assistance publique-Hôpitaux de Paris), 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - A Garnier
- Pharmacie à usage intérieur, hôpital Saint-Louis (Assistance publique-Hôpitaux de Paris), 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - I Madelaine
- Pharmacie à usage intérieur, hôpital Saint-Louis (Assistance publique-Hôpitaux de Paris), 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - L Deville
- Pharmacie à usage intérieur, hôpital Saint-Louis (Assistance publique-Hôpitaux de Paris), 1, avenue Claude-Vellefaux, 75010 Paris, France
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Mordohay A, Xhaard A, Langlais L, Abitbol S, Pieragostini R, Madelaine I, Le Goff J, Touratier S. Évaluation de l’efficacité en vie réelle du letermovir après allogreffe de cellules souches hématopoïétiques dans la prophylaxie de la réactivation du cytomégalovirus. Infect Dis Now 2021. [DOI: 10.1016/j.idnow.2021.06.024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Pieragostini R, Kauv J, Denis B, Madelaine I, Goldwirt L, Sauvageon H, Touratier S. Profil des patients traités par Isavuconazole dans un hôpital à orientation onco-hématologique. Med Mal Infect 2019. [DOI: 10.1016/j.medmal.2019.04.152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Pieragostini R, Franconeri L, Branger G, Quesne C, Berge M, Cauchetier E, Pons JL. [Subcontracting a steam sterilization activity: Impact on surgical instruments]. Ann Pharm Fr 2018; 77:74-84. [PMID: 30103939 DOI: 10.1016/j.pharma.2018.07.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2018] [Revised: 07/04/2018] [Accepted: 07/06/2018] [Indexed: 11/26/2022]
Abstract
Subcontracting our institution's sterilization activity induced the implementation of an automated cleaning facility. Following this development, some of the resterilizable stainless steel needle holders started to show abnormal corrosion. Our study goal was to investigate the causes of this corrosion in order to optimize the sterilization circuit. A full sterilization process mapping and Ishikawa diagram enabled us to identify potential causes of corrosion. The needle holders' intrinsic characteristics, like steel quality and manufacturing, were analyzed as well as extrinsic factors such as the influence of preprocessing soaking conditions, steel passivation, water quality and the impact of corrosion inhibitors. Each potential factor of corrosion was tested in real conditions on needle holders' kits. The needle holders steel grade complies with medical standards and the tests showed that passivation and pre-processing conditions were not involved in the occurrence of corrosion, contrary to soaking length and use of softened rinsing water, containing more chloride than reverse osmosis water, and, thus conducive to rust formation. Moreover, corrosion inhibitors were deemed ineffective or incompatible. Due to this analysis, the incidence of corrosion was reduced by switching softened water to osmosis water and by introducing dynamic drying in the automated cleaning process. In addition, this work stresses the importance of minimizing waiting times and auditing the sterilization circuit before any subcontracting. Management Guidelines related to sterilization's outsourcing would probably have helped to limit this episode.
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Affiliation(s)
- R Pieragostini
- PUI-secteur prédésinfection mécanisée, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel-Prudhon, 95100 Argenteuil, France.
| | - L Franconeri
- PUI-secteur prédésinfection mécanisée, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel-Prudhon, 95100 Argenteuil, France
| | - G Branger
- PUI-secteur prédésinfection mécanisée, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel-Prudhon, 95100 Argenteuil, France
| | - C Quesne
- Bloc opératoire, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel-Prudhon, 95100 Argenteuil, France
| | - M Berge
- Groupement de coopération sanitaire, service de stérilisation centrale, 14, rue de Saint-Prix, 95602 Eaubonne, France
| | - E Cauchetier
- PUI-secteur prédésinfection mécanisée, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel-Prudhon, 95100 Argenteuil, France
| | - J-L Pons
- PUI-secteur prédésinfection mécanisée, centre hospitalier Victor-Dupouy, 69, rue du Lieutenant-colonel-Prudhon, 95100 Argenteuil, France
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