title: Safe procedure development to manage hazardous drugs in the workplace.
abstract: OBJECTIVE
  To develop a safety working procedure for the employees in the Intermutual Hospital de Levante (HIL) in those areas of activity that deal with the handling of hazardous drugs (MP).
  
  
  METHODS
  The procedure was developed in six phases: 1) hazard definition; 2) definition and identification of processes and development of general correct work practices about hazardous drugs' selection and special handling; 3) detection, selection and set of specific recommendations to handle with hazardous drugs during the processes of preparation and administration included in the hospital GFT; 4) categorization of risk during the preparation/administration and development of an identification system; 5) information and training of professionals; 6) implementation of the identification measures and prevention guidelines.
  
  
  RESULTS
  Six processes were detected handling HD. During those processes, thirty HD were identified included in the hospital GFT and a safer alternative was found for 6 of them. The HD were classified into 4 risk categories based on those measures to be taken during the preparation and administration of each of them.
  
  
  CONCLUSIONS
  The development and implementation of specific safety-work processes dealing with medication handling, allows hospital managers to accomplish effectively with their legal obligations about the area of prevention and provides healthcare professional staff with the adequate techniques and safety equipment to avoid possible dangers and risks of some drugs.
authors.affiliation: Servicio de Farmacia. Hospital Intermutual de Levante.. mgaspar@hilevante.com.
authors.forename: Marisa
authors.initials: M
authors.lastname: Gaspar Carreño
authors.affiliation: Servicio de Farmacia. Hospital Intermutual de Levante.. mgaspar@hilevante.com.
authors.forename: Rubén
authors.initials: R
authors.lastname: Achau Muñoz
authors.affiliation: Servicio de Farmacia. Hospital Intermutual de Levante.. mgaspar@hilevante.com.
authors.forename: Fátima
authors.initials: F
authors.lastname: Torrico Martín
authors.affiliation: Servicio de Prevención de Riesgos Laborales. Hospital Intermutual de Levante.. mgaspar@hilevante.com.
authors.forename: Juan José
authors.initials: JJ
authors.lastname: Agún Gonzalez
authors.affiliation: Dirección Médica. Hospital Intermutual de Levante.. mgaspar@hilevante.com.
authors.forename: Jose Cristobal
authors.initials: JC
authors.lastname: Sanchez Santos
authors.affiliation: Servicio de Farmacia. Hospital Universitario Doctor Peset.. mgaspar@hilevante.com.
authors.forename: Ana Cristina
authors.initials: AC
authors.lastname: Cercos Lletí
authors.affiliation: Servicio de Hospitalización y Urgencias. Hospital Intermutual de Levante.. mgaspar@hilevante.com.
authors.forename: Pedro
authors.initials: P
authors.lastname: Ramos Orozco
mesh_terms: D015386:Hazardous Substances; D006282:Health Personnel; D006801:Humans; D016273:Occupational Exposure / Q000009:adverse effects / Q000517:prevention & control*; D010564:Personnel, Hospital; D004364:Pharmaceutical Preparations; D010607:Pharmacy Service, Hospital / Q000458:organization & administration; D012449:Safety; D017132:Workplace
chemical_list: D015386:Hazardous Substances; D004364:Pharmaceutical Preparations