Desarrollo de la gestión del proceso general de la manipulación de los medicamentos peligrosos en las unidades de hospitalización a domicilio
- Maria A. Bernabeu Martinez 1
- Pedro García Salom 2
- Amparo Burgos San José 2
- Andrés Navarro Ruiz 3
- Javier Sanz Valero 1
- Carmina Wanden-Berghe 2
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1
Universidad Miguel Hernández de Elche
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2
Hospital General Universitario de Alicante
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3
Hospital General Universitario de Elche
info
ISSN: 2530-5115
Ano de publicación: 2019
Volume: 3
Número: 1
Páxinas: 9-23
Tipo: Artigo
Outras publicacións en: Hospital a Domicilio
Resumo
Objective: To identify associated hazards and to describe chemical risks arising from these in the process of handling of hazardous drugs (HD) in Home Hospitalization Units (HHU), as the initial phase of its risk assessment and which affect the security of healthcare professionals. Method: There was a consensus of experts (nominal group and documentary techniques) using a mixed method through two face-to-face rounds (meeting of participants and approval of proposals) and three masked rounds (review of the material on an individual basis). The analysis was applied to the field of home hospitalization and the stages of the process were designed using standardized graphical notation Business Process Modeling Notation. Results: It was obtained the specific flowchart for management and traceability of the HD, being characterized each of the phases of the general process, they were collected in a chart of stage management and operations of conservation, transportation and administration of HD in HHU, which served for the subsequent description of chemical hazards and exposure ways. Conclusions: The HD should be integrated in a standard management system in order to improve the safety of the patient and healthcare professionals, at the same time that the efficiency of resources are maximized and procedural incidents are minimized, ensuring the quality and the safety of the process of handling the HD on the HHU. It would be desirable, once the hazards have been identified, to carry out an assessment of the risks by following a systematic methodology and preventative approach that allows calibrating the probability of occurrence and severity of any adverse event.
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