title: [Pharmacist's interventions on outpatient prescriptions in a university hospital drugs sales service].
abstract: For public health reasons, some drugs are only available in hospital drugs sales service. This activity takes place in a specific risk context of organization, patients and/or drugs. A systematic prescription analysis by pharmacist contributes to securise treatment dispensed. The aim of this paper is to present the main drugs problems in the analysis of outpatient prescriptions and pharmaceutical interventions in three units of hospital drugs sales service belong to university hospital.
  
  
  METHODS
  Throughout the year 2013, drug problems detected were recorded prospectively and systematically.
  
  
  RESULTS
  Of the 22,279 prescriptions analyzed, 247 pharmaceutical interventions (1.1%) were detected including 27.6% of problems concerning the dosages, 15.4% the unconformity, 6.9% contraindications. Regarding ATC drugs classes, we found 43.7% for anti-infectives and 17.4% for antineoplatics. The overall acceptance rate is 81.8%.
  
  
  CONCLUSIONS
  These results show the importance of the analysis of outpatient prescriptions before dispensing and the need to have all prescriptions, clinical and biological elements and to develop interprofessionality. The implementation of a platform for dematerialized data exchanges between professionals, including data from the pharmaceutical patient record should contribute to improving drug management of the patient.
authors.affiliation: Service pharmaceutique, groupement hospitalier Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: mathieu.chappuy@chu-lyon.fr.
authors.forename: M
authors.initials: M
authors.lastname: Chappuy
authors.affiliation: Pharmacie centrale des hospices civils de Lyon, 57, rue Francisque-Darcieux, 69230 Saint-Genis-Laval, France.
authors.forename: S
authors.initials: S
authors.lastname: Garcia
authors.affiliation: Service pharmaceutique, groupement hospitalier Nord, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
authors.forename: A-C
authors.initials: AC
authors.lastname: Uhres
authors.affiliation: Service pharmaceutique, groupement hospitalier Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: A
authors.initials: A
authors.lastname: Janoly-Dumenil
authors.affiliation: Pharmacie centrale des hospices civils de Lyon, 57, rue Francisque-Darcieux, 69230 Saint-Genis-Laval, France.
authors.forename: J
authors.initials: J
authors.lastname: Dessault
authors.affiliation: Service pharmaceutique, groupement hospitalier Est, 28, avenue Doyen-Lépine, 69500 Bron, France.
authors.forename: V
authors.initials: V
authors.lastname: Chamouard
authors.affiliation: Service pharmaceutique, groupement hospitalier Est, 28, avenue Doyen-Lépine, 69500 Bron, France.
authors.forename: V
authors.initials: V
authors.lastname: Bréant
authors.affiliation: Service pharmaceutique, groupement hospitalier Nord, 103, Grande-Rue-de-la-Croix-Rousse, 69004 Lyon, France.
authors.forename: G
authors.initials: G
authors.lastname: Leboucher
authors.affiliation: Service pharmaceutique, groupement hospitalier Édouard-Herriot, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Pivot
authors.affiliation: Pharmacie centrale des hospices civils de Lyon, 57, rue Francisque-Darcieux, 69230 Saint-Genis-Laval, France.
authors.forename: I
authors.initials: I
authors.lastname: Carpentier
mesh_terms: D011307:Drug Prescriptions; D006785:Hospitals, University / Q000458:organization & administration*; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control; D010045:Outpatients; D010595:Pharmacists; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D011446:Prospective Studies
keywords: Hospital drugs sales service; Hospital-city; Hôpital-ville; Interventions pharmaceutiques; Medications errors; Pharmaceutical interventions; Prescriptions; Prescriptions analysis; Problème médicamenteux; Rétrocession