[Security in medication use process: state-of-play report in 21 hospital pharmacies in Aquitaine (France)].
BACKGROUND
Failures may occur in each part of the medication use process. This study aimed to evaluate the barriers existing in hospital pharmacies in order to prevent medication errors and to help institutions to make improvement actions.


METHODS
Within the framework of the SECURIMED project, risk assessment visit (interviews, observations, analysis of adverse event scenario by professionals...) were conducted in volunteer hospital pharmacies. A restitution meeting, after visit in each pharmacy permitted exchanges between visitors and professionals on barriers and weaknesses and then on solutions to reduce identified risks.


RESULTS
Twenty-one hospital pharmacies participated. Despite presence of safeguards in some pharmacies, many weaknesses were retrieved (multiplicity of process, lack of resources...) and clinical pharmacy was not enough developed.


CONCLUSIONS
This project has led to an overview of the situation in Aquitaine, and created a regional dynamic to improve the medication system safety.
Quenon
Jean-Luc
JL
CCECQA, Hôpital Xavier Arnozan, Pessac, France. jean-luc.quenon@ccecqa.asso.fr
Perret
Florence
F
Faraggi
Laurent
L
De Sarasqueta
Anne-Marie
AM
D005602:France; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D018570:Risk Assessment; D012308:Risk Management; D012449:Safety