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Évaluation de l’impact clinique de l’implantation du bilan comparatif des médicaments à l’Hôpital de l’Enfant-Jésus du Centre hospitalier affilié universitaire de Québec
| Content Provider | Semantic Scholar |
|---|---|
| Author | Couture, Isabelle Blanchet, Maude Moreau-Rancourt, Marie-Ève |
| Copyright Year | 2011 |
| Abstract | Resume Objectif : Evaluer s’il y a eu amelioration de la qualite et de la securite des soins offerts aux usagers de l’Hopital de l’Enfant-Jesus a la suite de l’implantation du bilan comparatif des medicaments en 2008. Mise en contexte : Depuis le projet clinique de 2008, aucune etude n’a ete realisee a l’Hopital de l’Enfant-Jesus afin de determiner si les efforts investis ont permis d’ameliorer les soins prodigues aux usagers. Resultats : Une augmentation de 95 % des divergences intentionnelles recensees et une reduction de 28 % des divergences non intentionnelles ont ete observees comparativement au projet de 2008 (p < 0,0001). Quant au potentiel de gravite des divergences non intentionnelles, une augmentation de 69 % de celles a potentiel non significatif, une reduction de 40 % des divergences non intentionnelles a potentiel significatif et une augmentation de 175 % de celles a potentiel serieux ont ete notees. Discussion : Les ameliorations relevees en 2010 proviennent notamment du fait que les medecins decrivent plus frequemment leurs interventions et qu’ils obtiennent plus souvent le profil pharmacologique provenant de la pharmacie du secteur prive. D’un autre cote, le pourcentage plus eleve de divergences non intentionnelles a potentiel serieux en 2010, comparativement a 2008, peut s’expliquer par la subjectivite de l’attribution d’un potentiel de gravite a une divergence. Conclusion : L’implantation du bilan comparatif des medicaments a l’Hopital de l’Enfant-Jesus a permis d’ameliorer la securite des soins offerts aux usagers. Abstract Objective: To assess any improvement in the quality and safety of care delivered to users of the Hopital de l’Enfant-Jesus following implementation of the medication reconciliation process in 2008. Context: Since a clinical project in 2008, no study has been done at the Hopital de l’Enfant-Jesus to determine if invested efforts resulted in improved care to users. Results: Observed was an increase of 95% in detected intentional deviations and a decrease of 28% in non-intentional deviations as compared to the 2008 project ( p < 0.0001). With respect to the severity potential of non-intentional deviations, observed was an increase of 69% in those with non-significant potential, a decrease of 40% in those with significant potential, and an increase of 175% in those with serious potential. Discussion: The improvements observed in 2010 result mainly from the fact that physicians now describe their interventions more frequently and that they more often obtain patient pharmacological profiles from community pharmacies. On the other hand, the higher percentage of potentially serious non-intentional deviations in 2010 as compared to 2008 can be explained by the subjective nature of attributing a severity potential grade to a deviation. Conclusion: The implementation of the medication reconciliation process at the Hopital de l’Enfant- Jesus did improve safety of care to users. Key words: medication reconciliation, deviation, medication history, severity potential |
| File Format | PDF HTM / HTML |
| Volume Number | 44 |
| Alternate Webpage(s) | https://pharmactuel.com/index.php/pharmactuel/article/download/823/484 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
