title: [Management of outpatient medications in care units: An audit of clinical practices].
abstract: OBJECTIVE
  To assess the outpatient medication management in care units two years after the release of an institutional procedure. To assess the patients' satisfaction with their treatment and with the information transmitted by healthcare professionals.
  
  
  METHODS
  An audit of clinical practices was conducted in 23 units of our universitary hospital - general, surgery, emergency departments. Questionnaires were developed and validated by an institutional working group and were composed of three themes: management of the outpatient medication at the admission, awareness of tools and information transmission. Two physicians (a senior and a resident), a registered nurse, a head nurse and a patient were interviewed.
  
  
  RESULTS
  Eighty-one medical and paramedical team members and 21 patients were interviewed for the study. According to statements collected, the procedure was unknown by 100% of the interviewed surgeons and 69% of the interviewed physicians. The practices being used by the medical units were more in line with recommendations than the surgery units. Among the patients interviewed, 19 (86%) were satisfied with the information they received during their hospitalization and 4 (19%) managed their own medication treatment with the help of a nurse in only 36% of the cases according to their statements.
  
  
  CONCLUSIONS
  The management of outpatient medications during hospitalization is representative of the difficulties to master the continuity of pharmaceutical care at the various transition points. Coordination and cooperation between the different healthcare professionals and patients are the major key success to ensure an optimized healthcare procedure.
authors.affiliation: Pharmacie, groupement hospitalier Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: T
authors.initials: T
authors.lastname: Laurut
authors.affiliation: Pharmacie, groupement hospitalier Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: T
authors.initials: T
authors.lastname: Novais
authors.affiliation: Pharmacie, groupement hospitalier Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: A
authors.initials: A
authors.lastname: Janoly-Dumenil
authors.affiliation: Groupement hospitalier Est, hospices civils de Lyon, 59, boulevard Pinel, 69677 Bron cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Stamm
authors.affiliation: Pharmacie, groupement hospitalier Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France.
authors.forename: C
authors.initials: C
authors.lastname: Pivot
authors.affiliation: Pharmacie, groupement hospitalier Edouard-Herriot, hospices civils de Lyon, 5, place d'Arsonval, 69003 Lyon, France. Electronic address: carole.paillet@chu-lyon.fr.
authors.forename: C
authors.initials: C
authors.lastname: Paillet
mesh_terms: D000328:Adult; D000368:Aged; D000553:Ambulatory Care / Q000458:organization & administration*; D004358:Drug Therapy / Q000379:methods*; D005260:Female; D006748:Hospital Departments / Q000458:organization & administration*; D006801:Humans; D008297:Male; D008485:Medical Audit; D010348:Patient Care Team; D010361:Patients; D010564:Personnel, Hospital; D011795:Surveys and Questionnaires
keywords: Adverse drug event; Audit; Circuit du médicament; Iatrogénie médicamenteuse; Medication hospital system; Outpatient medication at the hospital; Procedure; Procédure; Questionnaire; Traitement personnel du patient hospitalisé