title: [Staff accreditation in parenteral nutrition production in hospital pharmacy].
abstract: OBJECTIVE
  This work aims to provide staff accreditation methodology to harmonize and secure practices for parenteral nutrition bags preparation.
  
  
  METHODS
  The methodology used in the present study is inspired from project management and quality approach. Existing training supports were used to produce accreditation procedure and evaluation supports.
  
  
  CONCLUSIONS
  We first defined abilities levels, from level 1, corresponding to accredited learning agent to level 3, corresponding to expert accredited agent. Elements assessed for accreditation are: clothing assessment either by practices audit or by microbiologic test, test bags preparation and handling assessment, bag production to assess aseptic filling for both manual or automatized method, practices audit, number of days of production, and non-conformity following. At Angers Hospital, in 2014, production staff is composed of 12 agents. Staff accreditation reveals that 2 agents achieve level 3, 8 agents achieve level 2 and 2 agents are level 1. We noted that non-conformity decreased as accreditation took place from 81 in 2009 to 0 in 2014.
  
  
  CONCLUSIONS
  To date, there is no incident due to parenteral bag produced by Angers hospital for neonatal resuscitation children. Such a consistent study is essential to insure a secured nutrition parenteral production. This also provides a satisfying quality care for patients.
authors.affiliation: Pharmacie centrale, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France. Electronic address: savrignaud@chu-angers.fr.
authors.forename: S
authors.initials: S
authors.lastname: Vrignaud
authors.affiliation: Pharmacie centrale, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: V
authors.initials: V
authors.lastname: Le Pêcheur
authors.affiliation: Pharmacie centrale, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: G
authors.initials: G
authors.lastname: Jouan
authors.affiliation: Pharmacie centrale, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: S
authors.initials: S
authors.lastname: Valy
authors.affiliation: Pharmacie centrale, CHU d'Angers, 4, rue Larrey, 49933 Angers cedex 9, France.
authors.forename: M-A
authors.initials: MA
authors.lastname: Clerc
mesh_terms: D000068:Accreditation; D004339:Drug Compounding / Q000592:standards; D006801:Humans; D007231:Infant, Newborn; D010288:Parenteral Nutrition / Q000379:methods* / Q000592:standards*; D057947:Parenteral Nutrition Solutions / Q000592:standards*; D010564:Personnel, Hospital / Q000592:standards*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration* / Q000592:standards*; D011786:Quality Control; D012151:Resuscitation
chemical_list: D057947:Parenteral Nutrition Solutions
keywords: Accreditation; Habilitation; Nutrition parentérale; Parenteral nutrition; Staff evaluation; Évaluation des agents