title: [Upgrading a pediatric pharmaceutical care service in Quebec].
abstract: BACKGROUND
  Clinical pharmacy has developed since the 1960s in North America, with large disparities in the presence of decentralized pharmacists in hospital units between healthcare programs. Decentralized pharmacists have been present in pediatrics since the 1970s. The main objective of this study was to describe the steps used to upgrade the pediatrics department's pharmaceutical care.
  
  
  METHODS
  A descriptive study was conducted to upgrade the pharmaceutical care provided by two full-time equivalents in two pediatric sectors including 81 beds of a tertiary mother-child hospital. The upgrade includes three steps: a structured literature review, a description of the department, and a description of the practice upgrades proposed by the research team, in consensus with the clinical pharmacy team.
  
  
  RESULTS
  Out of the 236 articles initially identified, 13 relevant articles were found on the role and impact of pharmacists in pediatrics. Nine pharmaceutical activities were supported by high-quality data. Following the literature review and concerted reflection, 15 improvements were identified as feasible without increasing the staff.
  
  
  CONCLUSIONS
  There are data on the impact of pharmacists in pediatrics. This descriptive study illustrates a method that was used to upgrade the pediatrics sector in a university mother-child health center.
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Leroux
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: A
authors.initials: A
authors.lastname: Guérin
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada; Faculté de pharmacie, université de Montréal, 2940, chemin de la Polytechnique, H3C 3J7 Montréal, Canada.
authors.forename: J-F
authors.initials: JF
authors.lastname: Bussières
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: D
authors.initials: D
authors.lastname: Lebel
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Tremblay
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: H
authors.initials: H
authors.lastname: Roy
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: M-E
authors.initials: ME
authors.lastname: Métras
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada.
authors.forename: M
authors.initials: M
authors.lastname: Beauchemin
authors.affiliation: Département de pharmacie, unité de recherche en pratique pharmaceutique, CHU Sainte-Justine, 3175, Côte-Sainte-Catherine, H3T 1C5 Montréal, Canada. Electronic address: pascal.bedard.hsj@ssss.gouv.qc.ca.
authors.forename: P
authors.initials: P
authors.lastname: Bédard
mesh_terms: D002648:Child; D006776:Hospitals, Pediatric; D006801:Humans; D010607:Pharmacy Service, Hospital / Q000458:organization & administration* / Q000592:standards*; D011792:Quebec