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Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: The recent context of the pandemic has increased the use of telemedicine including patient education (PE) session. We surveyed the opinion of our patients regarding the establishment of PE via teleconsultation. Methods: Retrospective, descriptive, cohort study of patients followed for inflammatory rheumatic disease and seen at least once in a face-to-face (F2F) PE session from 2019 to 2020. Demographic data were extracted from the medical file. We asked participants about their satisfaction on F2F PE sessions and their opinion of PE teleconsultation. Results: We included 186 participants; 143 (77%) were very satisfied with the face-to-face PE sessions. For participants who mentioned restrictions in attending these sessions (n = 72; 39%), the main problems seemed to be geographical isolation (n = 54; 75%) and scheduling issues (n = 9; 12%). Concerning the first F2F PE session, 77/186 (41%) participants would have preferred teleconsultation, potentially in their pharmacy. Regarding an optional collective PE, 81/186 (44%) would rather have had a teleconsultation session. Conclusion: Our study confirms that patients are interested in PE teleconsultation sessions which could lead to lower geographical isolation and scheduling concerns. They would also help reduce health costs and inequalities, including access to medical care in some areas. [ABSTRACT FROM AUTHOR]

Copyright of Actualités Pharmaceutiques is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Management international / International Management / Gestiòn Internacional is the property of Management International and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Actualités Pharmaceutiques is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Can the healthcare supply crisis be mitigated by territorial teleconsultation ? Initial lessons for Normandy. Since 2018, and at an increasingly rapid pace, private companies have been deploying medical teleconsultation booths and kiosks throughout the national territory in easily accessible public places, mainly in pharmacies. These devices are developed by private companies from the French Tech movement, with the dual argument of fighting against medical desertification and anticipating the aging of the population, on the assumption that advancing age will in fact lead to greater needs in terms of healthcare provision across the national territory. Against a backdrop of discourse against neglect of the territory, with the agreement and sometimes active participation of local public actors, private teleconsultation kiosks are rapidly being deployed. They fit into the current of "technological solutionism" and present themselves as a remedy for the crisis in the health and social sector, which continues to worsen across the entire national territory. The situation in Normandy reveals that the ongoing deployment of medical teleconsultation booths is dynamic in medically vulnerable areas, but currently does not address the hardest hit zones by the shortage of Norman doctors. The article concludes with an initial report of usage, ultimately showing that these devices are especially appreciated for their ability to respond to medical emergencies and the recurring follow-up of patients who do not live in medical desertification zones. [ABSTRACT FROM AUTHOR]

Copyright of Actualités Pharmaceutiques is the property of Elsevier B.V. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: the purpose of this study was to evaluate drug dispensing practices in private pharmacies in the city of N'Djamena and, specifically, (I) to describe the characteristics of dispensaries, (ii) describe dispensing practices and (iii) assess regulatory compliance when dispensing on the basis of a prescription and an advice. Methods: we conducted a cross-sectional survey from June to December 2020. Data were collected in two stages, through interviews with pharmacists and participant observation in drug delivery practices in pharmacies. Results: in total, 26 pharmacies, or 50% of pharmacies in N'Djamena, were surveyed. The main survey findings were: private pharmacies in the city of N'Djamena employed two categories of staff, namely pharmacists and auxiliary staff (pharmacy technicians, nurses and salespeople or staff with "no health qualifications". These had not been trained in a health school recognised by the Ministry of Health) to dispense medicines. Very few pharmacies (8%) had a customer confidentiality area and a order book. The three modes of delivery were observed in more or less equal proportions (30 to 40% of dispensations). Dispensing at the patient's request was slightly predominant (40%) and the majority of medicines dispensed at the patient's request and based on dispenser's advice belonged to the different tables of toxic substances (over 70%). The noted absence of the pharmacist from the pharmacy justified why 84% of patients' requests were addressed to the pharmacy assistants. Conclusion: this study shows low compliance of pharmacies with pharmaceutical regulations for proper dispensing of medicines in the city of N'Djamena. Factors related to pharmaceutical sector governance and human resources management as well as therapeutic patient education could explain this gap. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: To compare the role and perception of hospital pharmacists in the dispensing of oral cancer drugs (MAVO) in Europe and North America. Method: Descriptive, exploratory and cross-sectional study. Identification of a hospital pharmacist by targeted legal entity. 44 variables were identified and grouped into three themes: demographics (n = 3), perceptions of current practice (n = 31), perceptions of the assignment of nine pharmaceutical tasks (n = 10) and an optimal scenario of care. Questionnaire in English and French on SurveyMonkey®, Palo Alto (CA, USA), tested by five hospital pharmacists and sent by email. Results: Fourteen respondents (14/21, 67 %) provided usable answers (e.g., 7 in Europe: Germany, Austria, Belgium, Spain, France, Netherlands and Switzerland, and 7 in North America: Quebec, Alberta, New Brunswick, Ontario, Manitoba, Prince Edward Island and the United States). Validation of MAVO prescription compliance involves the hospital pharmacist in 12 cases out of 14. A majority of respondents (11/14) do not have enough resources to ensure quality supervision of all patients treated by MAVO. Conclusion: Regardless of the legal entity, a majority of respondents consider that the workload is on the rise and that the resources are insufficient to ensure quality pharmaceutical services and care (i.e., safety and proper use). This exploratory study shows the interest of reflecting on the current model of pharmaceutical practice (hospital against pharmacy) in order to ensure adequate and efficient treatment of cancer patients. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé: La diffusion de données et d'indicateurs à l'équipe de la pharmacie comporte plusieurs bénéfices théoriques, mais ceux-ci sont peu diffusés et doivent être adaptés aux besoins de l'équipe. Méthodes. Étude descriptive transversale. L'objectif est de décrire l'utilisation actuelle et projetée d'indicateurs de gestion en pharmacie hospitalière au sein d'un centre hospitalier universitaire. La situation actuelle de la diffusion et de l'utilisation de données et d'indicateurs a été décrite. Des indicateurs et données d'intérêt ont été identifiés par revue de la littérature et en consultant les chefs d'équipe des secteurs visés. Un sondage a été envoyé à l'équipe. Chaque répondant devait coter les indicateurs d'intérêt de leur(s) secteur(s) de pratique selon un score de priorité d'affichage, permettant de calculer un score pondéré pour chaque donnée et indicateur. Résultats. Cinquante-sept réponses ont été obtenues (taux de participation de 63,3 % ; 57/90 personnes disponibles, soit 31 pharmaciens, 23 préparateurs, 2 membres non identifiés et 1 membre autre). Des 93 données et indicateurs proposés, le score pondéré de priorité d'affichage varie de 1,44 à 4,05 par item (moyenne de 2,69 ± 0,52). En utilisant arbitrairement un seuil de 2,5 ou moins, 37 de ces données et indicateurs ont été priorisés. Conclusion. Cette étude décrit une démarche structurée pour évaluer et sélectionner des données et indicateurs en vue de les diffuser aux membres d'un département de pharmacie via un tableau de bord. Un total de 93 données et indicateurs ont été identifiés par les membres de l'équipe afin de soutenir les pratiques en pharmacie hospitalière. Several theoretical benefits of disseminating data and indicators to the pharmacy team exist, but they are not usually distributed, and they must be adapted to the pharmacy team's needs. Methods: This is a descriptive cross-sectional study. The objective is to describe the current and projected use of hospital pharmacy management indicators within a university hospital center. The current state of dissemination and use of data and indicators was described. Indicators and data of interest were identified from a literature review and by consulting targeted sectors' team leaders. A survey was sent to the team where each respondent rated the indicators of interest for their area(s) of practice according to a display priority score, allowing for a weighted score to be calculated for each data and indicator. Results: Fifty-seven responses were obtained (participation rate of 63.3%; 57/90 people available, i.e., 31 pharmacists, 23 preparers, 2 unidentified members and 1 other member). Of the 93 data and indicators available, the weighted display priority score ranges from 1.44 to 4.05 per item (average of 2.69 ± 0.52). Using an arbitrary threshold of 2.5 or less, 37 of these data and indicators were prioritized. Conclusion: This study describes a structured process for evaluating and selecting data and indicators with the objective to share them to members of a pharmacy department via a dashboard. A total of 93 data and indicators were identified by team members to support hospital pharmacy practices. [ABSTRACT FROM AUTHOR]

L'équipe officinale a un rôle déterminant dans le soutien à la parentalité. Elle est en mesure de proposer un accompagnement personnalisé de la mère et de l'enfant, notamment dans le cadre de la prévention santé, en développant le maternage proximal. Grâce à sa relation établie avec les jeunes parents, le pharmacien est un acteur de confiance qui les rassure, les conseille et les oriente vers le bon interlocuteur. The pharmacy team has a decisive role in supporting parenthood. They are able to offer personalized support to mothers and children, particularly in the context of health prevention, by developing proximal mothering. Through its relationship with the young parents, the pharmacist is a trusted actor who reassures them, advises them and directs them to the right interlocutor. [ABSTRACT FROM AUTHOR]

Si l'officine a pour mission traditionnelle de stocker et de délivrer des vaccins à sa patientèle, elle est devenue aujourd'hui un lieu de vaccination contre la grippe saisonnière et la Covid-19. La gestion des produits de santé thermosensibles en pharmacie repose sur des règles strictes. Quant à l'acte vaccinal, il est également très encadré. While the traditional mission of a pharmacy is to stock and dispense vaccines to its patients, it has now become a place for vaccinations against seasonal flu and Covid-19. The management of heat-sensitive health products in pharmacies is based on strict rules. As for the act of vaccination, it is also highly regulated. [ABSTRACT FROM AUTHOR]

Le portage physiologique permet de soulager les petits et les grands maux des nourrissons. Il s'invite dans les services de néonatologie et soutient la posture des bébés atteints de dysplasie de la hanche ou de plagiocéphalie. Il favorise surtout l'allaitement maternel et la création du lien. Le pharmacien peut jouer un rôle dans sa promotion auprès des parents. Physiological babywearing helps relieve the small and big pains of infants. It can be used in neonatology departments and supports the posture of babies with hip dysplasia or plagiocephaly. It especially promotes breastfeeding and bonding. The pharmacist can play a role in promoting it to parents. [ABSTRACT FROM AUTHOR]

Le premier référentiel de certification de service dans le domaine du soutien à la parentalité destiné aux officines a été rédigé par l'association Initiative pharmacie amie des nourrissons. Dans le cadre d'une démarche qualité, les équipes officinales volontaires sont guidées pour monter en compétence en matière de maternage proximal. Elles peuvent ainsi proposer un accompagnement attendu par les jeunes parents et par l'ensemble des professionnels intervenant auprès d'eux afin d'assurer la continuité des prises en charge. The first service certification standard in the field of parenting support for pharmacies has been written by the Infant-Friendly Pharmacy Initiative association. Within the framework of a quality approach, volunteer pharmacy teams are guided to increase their competence in proximal mothering. They can thus offer the support expected by young parents and by all the professionals working with them to ensure continuity of care. [ABSTRACT FROM AUTHOR]

Résumé: Avec la pandémie de SARS-CoV-2, dans notre établissement, les lits de salle de surveillance post-interventionnelle du bloc opératoire ont été transformés en lits de réanimation non-COVID. Le service de pharmacie a accompagné les équipes au cours des trois périodes, avec la mise en place d'un circuit du médicament adapté : création d'une armoire de dotation, fréquence d'approvisionnement, dispensation nominative et présence pharmaceutique. Objectifs : évaluer l'organisation pharmaceutique mise en place, la satisfaction des équipes infirmiers et recueillir des axes d'amélioration. Méthode : un questionnaire a été remis aux infirmiers ayant travaillé dans cette unité. Résultats : au total, 155 patients, soit une analyse de 111 prescriptions, ont été pris en charge sur 126 jours d'ouverture de cette unité. L'ensemble des infirmiers ayant participé aux trois périodes ainsi que le cadre de santé ont complété le questionnaire, soit 21 réponses. L'étape ressentie comme la plus difficile est la prescription (48 %) liée au support papier utilisé. La présence pharmaceutique a été appréciée à 90 %, notamment pour des demandes d'approvisionnement d'un médicament (95 %), ou d'information sur un médicament (58 %). Il est souhaité (90 %) que cette présence soit renouvelée en cas de réouverture de l'unité. Une amélioration de la satisfaction est constatée à chaque période. Conclusion : en cas de nouvelle vague, il a été décidé de poursuivre le détachement d'un pharmacien pour sécuriser le fonctionnement de ce type d'unité, notamment par l'analyse quotidienne des prescriptions avec les médecins et par l'interaction avec les infirmiers pour le bon usage du médicament. During the SARS CoV-2 pandemia and at three separate time period, our institution chose to turn the post interventional surveillance room of the operating room into a non-COVID intensive care unit. The chosen workflow included that the pharmacy team provided support to the medical team and was instrumental to implement an adapted drug circuit, including the creation of a supply cabinet, a specific frequency of its supply, a nominative dispensation and the presence of a pharmacist. Objectives : The study aims to evaluate the proposed pharmaceutical organization workflow, the satisfaction of the nursing team and to collect their expert feedback for improvement. Method : A satisfaction survey questionnaire was set up and given to the nurses who worked in this temporary unit. Results : A total of 155 patients, i.e. an analysis of 111 prescriptions, were treated during the 126 days during which the unit was running. All the nurses who participated to the three time periods and the health care manager completed the questionnaire, i.e. 21 responses. The step that was felt to be the most difficult was prescribing (48%) due to the paper medium used. The presence of a pharmacist in the medical unit was appreciated by 90% of the survey respondents, particularly for requests on the supply of a drug (95%), or on drug information (58%). 90% of the respondents were hoping that this experience would be renewed if the unit opens again. An increase of the satisfaction due to the pharmaceutical presence is reported in each successive period. Conclusion : In case of an eventual new epidemic wave, it was decided to continue to assign a pharmacist to the non-COVID intensive care unit, in order to protect the unit performance. The survey revealed that two key factor are instrumental to this success, a daily analysis of prescriptions with the physicians and the on-site interaction with the nurses for the promotion of the right use of medications. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Bulletin of Medical History is the property of University of Toronto Press and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Résumé: La pandémie du coronavirus SRAS-CoV-2 (Covid-19) a nécessité la mise en place de mesures sanitaires sérieuses. L'objectif principal est de décrire l'expérience vécue par un département de pharmacie en comparant le recours au travail à distance et au télétravail avant et depuis la pandémie. Méthode. Cette étude descriptive et rétrospective se déroule dans un centre hospitalier de 500 lits. Les éléments suivants ont été recensés : identification des politiques, des procédures et des tâches admissibles au travail à distance ou au télétravail en ce qui concerne la gestion pharmaceutique, les soins, les services, la recherche et l'enseignement. L'état de situation prépandémie a été établi. Résultats. Depuis la pandémie, des changements de pratique ont été apportés : la relocalisation de postes de travail, l'activation d'un accès à distance pour tous, l'identification des opportunités de télétravail, la mise en place d'un environnement de travail fonctionnel à domicile et la réévaluation des outils de communication. Conclusion. Cette étude met en évidence l'expérience d'un centre hospitalier universitaire canadien durant la pandémie. The coronavirus SARS-CoV-2 (COVID-19) pandemic caused a worldwide crisis. Serious sanitary measures were recommended by public health organizations to limit the risks of contamination and distancing measures have been implemented. The main objective is to describe the experience of a center with distancing measures and telework and to compare it before and during the COVID-19 pandemic. Methods. This descriptive and retrospective study takes place at a 500-bed hospital. This study consisted of a review of the pharmacy department's politics and procedures and of the pharmaceutical tasks that were eligible to telework (management, pharmaceutical care, services, research and teaching). The situation before the pandemic was established. Results. During the COVID-19 pandemic, changes were reported including: distancing measures with relocation of workstations, remote access activations, identification of telework opportunities, development of a functional telework environment and revaluation of the communication tools. Conclusion. There is limited data available on physical distancing and telework in pharmacy. This descriptive study highlights the experience of a Canadian hospital during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

L'internat en pharmacie est une formation spécialisée de troisième cycle, à la fois universitaire et hospitalière, accessible par concours. Dispensée en quatre ou cinq années, elle conduit à l'obtention d'un diplôme d'études spécialisées, notamment de biologie médicale et de pharmacie hospitalière. The internship in pharmacy is a specialized postgraduate training program, both university and hospital-based, accessible by competitive examination. It lasts four or five years and leads to a diploma of specialized studies, particularly in medical biology and hospital pharmacy. [ABSTRACT FROM AUTHOR]

Le cannabidiol n'est pas un stupéfiant puisqu'il n'a pas de propriété addictogène. Les produits qui en contiennent sont de plus en plus disponibles, sous différentes formes, dans des magasins spécialisés et même en pharmacie. Cette substance, dont le profil de tolérance est acceptable, peut interagir avec certains traitements médicamenteux. Cannabidiol is not a narcotic since it has no addictive properties. Products containing it are increasingly available, in various forms, in specialized stores and even in pharmacies. This substance, which has an acceptable tolerance profile, can interact with certain drug treatments. [ABSTRACT FROM AUTHOR]

Copyright of Canadian Journal of Hospital Pharmacy / Journal Canadien de la Pharmacie Hospitalière is the property of Canadian Society of Hospital Pharmacists and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Clinical research faces complex and unpredictable budgetary challenges, despite its central role in the development of healthcare products. This retrospective study examines the estimated and actual costs of 13 trials managed by the Clinical Trials Coordinating Pharmacy at the University Hospital of Toulouse. It aims to assess the accuracy of estimates, identify trial-influencing events and identify budget adjustment variables. The results show that only two of the 13 studies stay within their initial estimates, with most exceeding their projected margins. Costs vary by area, with shipping and packaging in particular exceeding the initial budget, while distribution costs are more accurately estimated. Several factors influence costs, including study duration, centre locations, number of enrolments, product stability and protocol amendments. Extending the study duration leads to increased costs in all areas, while reducing the number of inclusions tends to be in line with the original budget. In conclusion, budget management in clinical trials is complex due to numerous influencing variables. Careful planning and consideration of the specifics of each trial are crucial for more accurate estimates and budget adherence. This study enhances the understanding of the financial challenges faced by institutional sponsors of clinical trials and contributes to the refinement of budgeting methods for future clinical trials., (Copyright © 2024 Société française de pharmacologie et de thérapeutique. Published by Elsevier Masson SAS. All rights reserved.)

La sortie de la maternité peut être source d'anxiété. L'équipe officinale constitue souvent le premier contact de proximité sur le lieu de vie de la famille. Il est primordial que les messages qu'elle délivre soient en cohérence avec les recommandations prodiguées au sein de la maternité. La formation des équipes et le travail en réseau sont les principaux prérequis d'un accompagnement de qualité du nourrisson et de ses parents. Leaving the maternity ward can be a source of anxiety. The pharmacy team is often the first point of contact in the family's home. It is essential that the messages they deliver are consistent with the recommendations given in the maternity hospital. Team training and networking are the main prerequisites for quality support for infants and their parents. [ABSTRACT FROM AUTHOR]

Résumé: La pharmacie clinique est une discipline centrée sur le patient dont l'objectif est d'optimiser la prise en charge thérapeutique. Cette activité, instaurée au Centre hospitalier régional d'Orléans (CHRO) en 2009, est pratiquée dans 8 unités de soins. L'objectif de notre étude était d'évaluer le niveau de satisfaction et les attentes des prescripteurs. Matériel et méthodes. Un questionnaire de satisfaction a été adressé aux 79 prescripteurs concernés. Trois items sont abordés : la pertinence des informations transmises, l'aspect relationnel, les attentes du prescripteur vis-à-vis des interventions du pharmacien. Résultats. Le taux de réponse était de 30 %, il est plus élevé pour les assistants (62,5 %), suivi des praticiens hospitaliers (30 %) et des internes (24 %). Concernant la pertinence des informations transmises au cours de l'analyse pharmaceutique, il ressort une satisfaction globale pour l'adaptation posologique, le signalement des contre-indications, les interactions médicamenteuses et redondances pharmacologiques et la proposition d'équivalents thérapeutiques. Les points à améliorer concernent les indications à la mise en place d'un traitement médicamenteux, les modalités d'administration, les suivis thérapeutique et clinique, la prévention des effets indésirables. L'aspect relationnel est jugé satisfaisant à 96 %. Les attentes du prescripteur vis-à-vis des interventions du pharmacien concernent l'information sur le médicament (97 %), l'aide aux déclarations de pharmacovigilance (93 %), l'information aux soignants (86 %), l'éducation thérapeutique (85 %) et la conciliation médicamenteuse (81 %). Conclusion. Le questionnaire doit être simplifié pour améliorer le nombre et la qualité des réponses pour une prochaine enquête. L'activité de pharmacie clinique est perçue très positivement par nos collègues cliniciens. Clinical pharmacy was established in The Regional Hospital of Orleans in 2009. Today, this activity is practiced in 8 medical care units. The aim of our study was to assess the level of physicians' satisfaction with the function of clinical pharmacist in a care unit. Material and methods. A satisfaction survey was proposed to the 79 physicians of the concerned medical care unit related to a clinical pharmacist. Three items were discussed: the relevance of relayed information, overall quality of interactions, and expectation of the physicians towards pharmacist's interventions. Results. Physicians' response rate was 30%, it was higher for the physician's assistants (62.5%), than the hospital practitioners (30%), and the residents (24%). As to the relevance of the transmitted information during pharmaceutical analysis, physicians are overall satisfied with dosage adjustments, report of contraindications, drug interactions, pharmacological redundancies, and proposal of therapeutic equivalents. The prescriber's expectations about the pharmacist's interventions were: information about the drugs (97%), assistance with drug safety declarations (93%), information to caregivers (86%), therapeutic education (85%), and drug mediation. For them, it was important to be properly guided for the establishment of a prescription, to be advised for administration, therapeutic, side effects and clinical follow-up. Conclusion. Clinical pharmacy activity is viewed very positively by physicians who answered the questionnaire but it needs to be simplified to improve the number of responses for a next survey. [ABSTRACT FROM AUTHOR]

Résumé: Objectif : L'objectif principal est de décrire les classifications de codification du séjour hospitalier pour les diagnostics et les interventions effectuées en cours d'hospitalisation au Canada. L'objectif secondaire est d'illustrer avec des exemples leurs rôles et possibles applications à la pharmacie hospitalière. Méthode : Il s'agit d'une revue de littérature. Les termes suivants : « international classification of diseases », « Canadian classification of health intervention », « clinical coding » et « pharmacy » ont été utilisés. Nous avons également consulté deux archivistes. Résultats : Deux classifications types ont été identifiées et décrites soit la Classification internationale des maladies (CIM) et la Classification canadienne des interventions (CCI). Un profil comparé de la CIM et de la CCI en 2018 a été effectué. Nous présentons trois applications pratiques de ces deux classifications utiles à la pratique pharmaceutique : lors d'une revue d'utilisation de médicaments, lors d'activités pour assurer le bon usage des médicaments et lors d'activités de pharmacovigilance. Conclusion : Ce travail décrit la classification internationale des maladies (CIM) et la classification canadienne des interventions (CCI). Il permet également d'illustrer des travaux impliquant la collaboration pharmacien-archiviste médical. Les pharmaciens hospitaliers devraient s'intéresser davantage à ces classifications et à leurs applications en pratique hospitalière. Objective : The main objective is to describe two coding classifications of hospital stay for diagnosis and procedures performed during hospitalization in Canada. The secondary objective is to illustrate practical applications of these two classifications to hospital pharmaceutical practice. Methods : This is a literature review. The following terms: «international classification of diseases», «Canadian classification of health intervention», «clinical coding» and «pharmacy» were used. We also consulted two medical records technicians. Results : Two standard classifications have been identified and described: the International classification of diseases (ICD) and the Canadian classification of health intervention (CCI). A comparative profile of the CIM and the CCI in 2018 has been carried out. We present three useful applications of these two classifications in pharmaceutical practice: for a drug utilization review, for proper drug use, and for pharmacovigilance activity. Conclusion : This work describes the International classification of diseases (ICD) and the Canadian classification of interventions (CCI). Hospital pharmacists should be more interested in these classifications and their applications in hospital practice. This study also illustrates work involving the pharmacist-medical records technicians collaboration. [ABSTRACT FROM AUTHOR]

L'ibuprofène est l'anti-inflammatoire non stéroïdien le plus consommé en France. Une enquête de type client mystère a été réalisée sur l'ensemble des pharmacies de Caen afin d'évaluer l'attitude du pharmacien d'officine face à une demande d'ibuprofène sans ordonnance dans le cadre d'une douleur de gorge fébrile évoluant depuis plus de trois jours. Concernant l'automédication, l'interrogatoire et les informations délivrées sont insuffisants. Afin de limiter la survenue de complications, parfois graves, il est nécessaire de sensibiliser les professionnels de soins primaires et les patients, au moyen de formations et en multipliant les sources d'information. Ibuprofen is the most widely used non-steroidal anti-inflammatory drug in France. A mystery shopper survey was conducted on all pharmacies in Caen to assess the pharmacist's attitude towards a request for ibuprofen without a prescription in the context of febrile throat pain that has been evolving for over three days. Concerning self-medication, interrogation and information provided are insufficient. In order to limit the occurrence of complications which are sometimes serious, it is necessary to raise awareness among primary care professionals and patients through training and by multiplying sources of information. [ABSTRACT FROM AUTHOR]

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Contexte et objectif : Le paludisme est une maladie bien connue de la population malienne, le conseil à l’officine est de plus en plus demander dans sa prise en charge par la population. En vue de mieux cerner la problématique de délivrance des antipaludiques sans ordonnance, nous avons initié la présente étude avec comme objectif d’étudier la pratique de la délivrance des antipaludiques sans ordonnance conformément aux directives du programme national de lutte contre le paludisme au Mali. Population et Méthode : Il s’agissait d’une étude transversale descriptive sur la délivrance des antipaludiques sur conseil. Nous avons retenu dans l’étude tous les clients âgés de 15 ans et plus, reçus dans les officines de Bamako pour une demande d’antipaludique sans ordonnance pour lui-même ou pour une autre personne après leur consentement éclairé. Résultats : L’étude a été réalisée dans 199 sur les 230 officines que compte le district de Bamako, nous avons enregistré 466 demandes de conseil. Le sexe ration M/F était de 1,7 et 28,9% des clients auxquels le médicament est destiné ont moins 20 ans, dans 52,4% des cas le client n’est pas le malade. Les combinaisons thérapeutiques à base d’artémisinine ont été les plus conseillés (52%). La Sulfadoxine Pyriméthamine a été l’antipaludique le plus acheté parmi les antipaludiques non CTA. Dans 21% des cas les antipaludiques étaient associés aux antibiotiques Conclusion : L’officine est le premier recours dans le système de santé pour la majorité des clients présentant une suspicion clinique de paludisme

Introduction: Vagal neurostimulation (VNS) medical devices (MDs) are used to treat drug-resistant epilepsy. Using a magnet, the patient can activate on the stimulations in order to stop a seizure or interrupt the adverse effects (AEs) of the device. The objective is to evaluate the improvement of the patients' knowledge about the VNS following a pharmaceutical educational interview (PEI) as well as their satisfaction., Materials and Methods: The pharmaceutical educational interview regarding drugs and DMs was performed by the clinical pharmacist at the patient's bed after VNS implantation. A questionnaire about VNS devices (operation, adverse effects, recommendations) and assessing knowledge was submitted to patients before and after the PEI. Satisfaction was assessed by the Likert scale., Results: From March 2020 to August 2021, 18 implanted patients were included in the study. In 78% of cases (14/18), the total number of good responses after PEI increased. The mean good response was significantly increased from 16.11/25 (64%) before PEI to 22.33/25 (89%) after PEI (P-value<0.01). The maximum satisfaction score (4/4) was given in 71% of the items., Discussion-Conclusion: The results support the relevance of PEI. Patients feel a need for information and consider the interview useful. An improvement in knowledge was observed, which allows us to hope for an optimization of the effectiveness of the device, in particular, a reduction in seizures and AE. This study shows the feasibility and the interest of the development of clinical pharmacy applied to medical devices in complementarity with the expertise on drugs., (Copyright © 2023 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.)

Résumé: Les pharmaciens sont confrontés à faire des choix. L'objectif principal est d'identifier les caractéristiques du choix dans le domaine de la santé. L'objectif secondaire est de décrire le concept accountability for reasonableness (A4R). Méthode : Les caractéristiques applicables au concept de choix ont été identifiées à partir d'une séance de remue-méninges. Des ouvrages sur le choix ont été recherchés à partir de la banque de données getAbstract©. Des articles relatifs au concept A4R ont été recherchés sur PubMed. Une analyse qualitative commentée est présentée. Résultats : Nous avons identifié 17 caractéristiques applicables au concept de choix (p. ex. choix libre ou non libre, éthique ou non éthique, éclairé ou non éclairé, fixe ou qui peut évoluer). Chacune de ces caractéristiques varie compte tenu du contexte, des valeurs et des conditions propices ou non à ce choix. Les ouvrages sélectionnés sur getAbstract© mettent en évidence que choisir est difficile et qu'il existe de nombreux biais (p. ex. émotions, biais de confirmation, aversion à la perte). Les quatre articles retenus sur PubMed décrivent les conditions du concept A4R : le choix doit reposer sur des preuves, avoir un caractère public, être contestable et être contrôlé ; ainsi que des conditions complémentaires (démocratisation du processus, utilisation uniforme et cohérente des directives, processus appliqué de manière prospective et systématique, autonomie institutionnelle, récompense des hôpitaux qui appliquent les directives). Conclusion : Notre étude met en évidence 17 caractéristiques applicables au concept de choix et que la responsabilité associée au caractère raisonnable d'un choix est un concept important en santé. Chaque département de pharmacie devrait se doter d'une politique entourant la prise de décision pour mener à des choix raisonnables. Pharmacists are faced with making choices every day. The main objective is to identify the characteristics related to the concept of choice in healthcare. The secondary objective is to describe the concept of accountability for reasonableness (A4R). Method : This is a review of literature. Identification of the characteristics applicable to the concept of choice from a brainstorming session. Literature search on the concept of choice from the getAbstract© database and selection of key elements. Search for articles related to the A4R concept on PubMed with a qualitative analysis. Results : Identification of 17 characteristics applicable to the concept of choice. The books selected in getAbstract© highlight that choosing is difficult and that this act is influenced by many factors and biases. The four articles selected from the PubMed research describe the conditions of the A4R concept (choice based on evidence, being public, contestable and controlled) and complementary conditions. Conclusion : Our study highlights 17 characteristics applicable to the concept of choice. The responsibility associated with the reasonableness of a choice is an important concept in health. Choosing is difficult. Each pharmacy department should have a decision-making policy, including values, criteria and principles that should lead to reasonable choices. [ABSTRACT FROM AUTHOR]

Objective: To evaluate the knowledge and management of preoperative smoking patients by different health professionals., Method: We conducted a survey among surgeons, anesthesiologists, and pharmacists using questionnaires. The study included 115 pharmacists and 7 physicians., Results: Only 28% of pharmacists felt they had the necessary knowledge about smoking cessation before surgery and its consequences. Moreover, pharmacists were informed of the surgery less than one month before in 61% of cases, whereas physicians claimed to inform patients at least 3 months before in 57% of cases. The main reasons mentioned by the pharmacist for not informing the patient about presurgical smoking cessation were a lack of knowledge of the information to be relayed and a late knowledge of the scheduling of a surgery. Additionally, 57% of physicians stated that they never prescribed nicotine replacement products, while 42% of pharmacists felt that they never dispensed them., Conclusion: The study provides a clear picture of the smoking pathway before surgery and highlights areas for improvement in the management of preoperative smoking patients by different health professionals., (Copyright © 2023 Académie Nationale de Pharmacie. Published by Elsevier Masson SAS. All rights reserved.)

One can present logistics today as being the functions of planning, execution and control of the flows of goods and information for the acquisition, storage, movement and delivery of goods while cooperating with the other members of the chain to achieve the goals expected from the supply chain, in particular the decrease of time to market. The supply chain is the sequence of units connected and crossed by physical flows, information flows, or financial information flows, and whose activities contribute to making available tangible or intangible product to the end customers. As a result of the many changes currently taking place in the healthcare sector, hospitals need to optimize their management to reduce expenses while ensuring the safety and quality of patient care. Pharmaceutical logistics is an important part of the hospital budget, and cost savings can be made. This paper is focused on logistics, the supply chain and more specifically the pharmaceutical logistics. At first, we will define the general framework of the logistics. In a second step, we will discuss the different functions of the supply chain. We will then present the pharmaceutical supply chain and its specificities. [ABSTRACT FROM AUTHOR]

Becoming a hospital pharmacist in Europe is nowadays patchy and differs from nation to nation. In Italy, an educational post-graduate program called "School of Hospital Pharmacy" (SHP) is mandatory to work in the National Health System (NHS). SHP was recently renovated and harmonized but considerable differences remain along the nation. We performed a cross-sectional study asking, through a specific questionnaire, the Italian SHP students to indicate the reasons on which lays this lack of homogeneity. We found out that a good relationship with tutors was significantly correlated with the degree of students' autonomy. Higher adherence to study plan can be predicted by year of study, localization of SHP in Northern Italy, and allocation of an academic salary and a good relationship with tutor. Academic salary and year of study also predicted the number of scientific paper published by students. [ABSTRACT FROM AUTHOR]

La prise en charge médicale d'une intoxication est généralement pluridisciplinaire. L'apport du laboratoire de toxicologie peut être déterminant pour le pronostic. La recherche large des toxiques, le dépistage toxicologique ou encore le dosage d'une molécule déterminée sont des approches qui peuvent être discutées selon les situations. Le toxicologue analyste dispose d'un large éventail de méthodes analytiques, dont la disponibilité dépend de la mission du laboratoire et de ses moyens. Si certaines méthodes sont à la disposition de tous les laboratoires, d'autres, à cause de leur coût et de leur complexité, restent réservés à certaines structures spécialisées. [ABSTRACT FROM AUTHOR]

Résumé Thrombose veineuse et embolie pulmonaire sont fréquentes et graves chez les personnes atteintes d’un cancer. Les héparines de bas poids moléculaire sont recommandées dans le cadre d’un traitement prolongé de cette maladie. Une enquête a été réalisée en Île-de-France afin de décrire l’organisation, les pratiques et les connaissances des pharmaciens d’officine en termes de prise en charge de la maladie thromboembolique veineuse chez les patients cancéreux. Summary Venous thrombosis and pulmonary embolism are frequent and serious in people with cancer. Low molecular weight heparins are recommended as part of a long-term treatment for this disease. A survey was carried out in Île-de-France in order to describe the organisation, practices and knowledge of community pharmacists in terms of the treatment of venous thromboembolism in cancer patients. [ABSTRACT FROM AUTHOR]