Description of Noise Levels in a Pharmacy Department at a University Hospital.

Objective: Few data are available regarding noise levels in hospital pharmacies. This study mainly aimed to assess noise levels in different areas and during various activities in the pharmacy department of a tertiary care hospital affiliated with Université de Montréal in Canada and identify potential noise sources.

Materials And Methods: This cross-sectional descriptive study was conducted in the pharmacy department of Centre Hospitalier Universitaire (CHU) Sainte-Justine.

Evaluating the clarity, applicability, and evaluability of an ASHP standard for international pharmaceutical practice in a Quebec healthcare institution.

Purpose: The primary objective was to assess the clarity, applicability, and evaluability of the criteria included in the ASHP accreditation standard for international hospital and health-system pharmacy services. The secondary objective was to determine the proportion of the ASHP criteria that could be matched with those of Accreditation Canada's medication management standards.

Methods: For this cross-sectional descriptive study, a panel of 5 experts was recruited.

Drug shortages in Canada, 2019-2023: A descriptive study.

Context: Drug shortages impact patients from all countries. According to the Pharmaceutical Group of the European Union, most Europe countries reported a worsening of shortages in 2023.

Objective: To describe drug shortage episodes in Canada over a recent 4-year period.

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Background: The safety of care provided is based on an analysis of medication incidents and accidents.

Objective: The primary objective was to describe medication-related incidents and accidents (I&A) within a university-affiliated hospital.

Methods: This retrospective descriptive study was based on data from a 500-bed mother-child university-affiliated hospital.

[Not Available].

Background: Since 2022, it has been mandatory in Québec to report all incidents and accidents (I&As) occurring in health-care facilities. Since 2011, a summary report of these I&As has been published each year. However, it is difficult to compare health facilities given that no denominator is specified and ratios are not calculated.

Two-year audit of compliance in the preparation and administration of medications by nursing staff in a mother-and-child university hospital center.

Objective: Audits are essential for reviewing and improving the medication-use process. Identifying areas for improvement can limit the risk of errors when preparing and administering drugs. Pediatric centers face specific challenges in ensuring the safety of the medication-use process.

Design and Development of an Escape Game as a Knowledge Transfer Tool in Preparation for an Accreditation Visit in a Health Care Facility.

Background: Knowledge transfer helps health care staff to be competent, well informed, and up to date. It also contributes to adherence to standards and best practices.

Objectives: To design, implement, and evaluate an escape game based on a selection of Accreditation Canada required organizational practices (ROPs).

[Not Available].

Background: In the hospital setting, the medication-use system is complex, having more than 50 steps. To assess the compliance of the study organization's medication-use system with established criteria, an annual audit process was developed.

Objectives: The primary objective was to describe the compliance of certain steps in the medication-use system (mainly medication management) in care units and outpatient clinics of a mother and child university hospital centre.

[Not Available].

Background: The use of controlled substances, especially opioids, is a public health concern. Canada is the country with the second greatest opioid use in the world. The use of these substances is associated with problems of misuse, as evidenced by North America's opioid crisis.

[Not Available].

Background: Many different teaching strategies are used to promote learning in an academic or professional environment. Among these can be noted the emergence of simulation, based on the concept of escape games.

Objective: To identify methodologies relating to the use, design, and implementation of escape games in health care.

Compliance with Recommended Practices for Management of Controlled Substances in a Health Care Facility and Corrective Actions.

Background: Pharmacists are required to maintain a secure inventory of medications and to ensure proper, safe, and diversion-free dispensing practices.

Objectives: The primary objectives of this study were to determine compliance with recommended practices for the management of controlled substances in a mother-child teaching hospital and to identify actions to improve compliance. The secondary objective was to identify steps in the drug pathway for controlled substances and associated failure modes in the study hospital.

The Québec NTBC Study.

In this chapter we describe the current Quebec NTBC Study protocol. Quebec's unique characteristics have influenced the development of the protocol, including a high prevalence of hepatorenal tyrosinemia (HT1), universal newborn screening for HT1, availability of treatment with nitisinone (NTBC) and special diet, a large territory, where HT1 treatment is coordinated by a small number of centers. Screened newborns are seen within 3 weeks of birth.

Medication errors room: a simulation to assess the medical, nursing and pharmacy staffs' ability to identify errors related to the medication-use system.

Rationale, Aims And Objectives: The medication-use system in hospitals is very complex. To improve the health professionals' awareness of the risks of errors related to the medication-use system, a simulation of medication errors was created. The main objective was to assess the medical, nursing and pharmacy staffs' ability to identify errors related to the medication-use system using a simulation.

Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center.

Purpose: To evaluate how nursing staff felt about the impact of automated dispensing cabinets (ADCs) on the safe delivery of health care and workplace ergonomics. To identify the main issues involved in the use of this technology and to describe the corrective measures implemented.

Methods: Cross-sectional descriptive study with quantitative and qualitative components.

Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center.

Objectives: In our Quebec (Canada) University Hospital Center, 68 medication carts have been implemented as part of a nationally funded project on drug distribution technologies. There are limited data published about the impact of medication carts in point-of-care units. Our main objective was to assess nursing staff's perception and satisfaction of medication carts on patient safety and ergonomics.

[Not Available].

Context: Few data are available on the use and consequences of decentralized automated dispensing cabinets (ADCs) in institutional settings.

Method: This descriptive study examined compliance with published guidelines on the implementation of decentralized ADCs. The primary objective was to evaluate overall compliance, as well as compliance with specific steps in the medication cycle.