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Presentation transcript:

Introduction Conclusion  [c1]Enlever min et max partout dans les résultats puisque tu dis en haut que c'est le min et max entre les [] Pharmacist's interventions to improve drugs supply and parents’ knowledge at paediatric hospital discharge   Kaestli LZ1,2, Noble S1, Lacroix L3, Galetto A3, Gervaix A3, Chalier S4, Fonzo-Christe C1, Bonnabry P1,2 1Pharmacy, Geneva University Hospitals (HUG), Geneva;2School of pharmaceutical sciences, University of Geneva; 3Paediatric Emergency Department, HUG, Geneva; 4General Paediatrics Department, HUG, Geneva, Switzerland Introduction Discharging paediatric patients from hospital is a complex process that can lead to non-compliance and medication-related problems. Crucial issues are drug supply in community pharmacies and patients knowledge of treatments. An intervention of a pharmacist at the time of hospital discharge may improve continuity of care. Purposes Method Inclusion: French-speaking paediatric patients (<16 years) discharged from paediatric emergency department (ED) and medicine ward (MED) before (Phase A: ED: 05/10 - 06/10; MED: 11/10-12/11) and after (phase B ED: 03/13 - 04/13; MED: 11/12-04/13) interventions based on phase A results Evaluation of drug supply and parental correct knowledge of treatment (dose, frequency, duration, indication) Phase A: To quantify problems of drug supply and parents’ knowledge of treatment at hospital discharge Phase B: To implement and assess targeted interventions before discharge Results Fig.3: Standardized treatment card Fig.2: Drugs info leaflets Tab.1 : Drug supply at community pharmacy(** missing data) Phase A (N=56) Phase B (N=69) p (N=40) (N=68) P Drugs supply ED  MED All drugs obtained immediately 47/56 (83.9%) 52/68 (76.5%)** 0.37 28/40 (70.0%) 43/67 (64.2%)** 0.67 If not, reasons  Not in stock 4/9 (44.4%) 1/16 (6.3%) 7/12 (58.3%) 12/24 (50.0%) Not fetched 2/9 (22.2%) 14/16 (87.5%) 2/12 (16.7%) 10/24 (41.7%) Other 3/9 (33.3%) 1 /16 (6.3%) 3/12 (25.0%) 3/24 (12.5%) Drugs obtained later 2/16 (12.5%) 9/12 (75.0%) 14/23 (60.9%)** If later, delay: < 1 hours 0/4 (0.0%) 1/2 (50.0%) 0/8 (0.0%)** 1/13 (7.7%)** <1/2 day 1/4 (25.0%) 0/2 (0.0%) < 1 day 1/8 (11.1%)** 2/13 (15.4%)** > 1 day 2/4 (50.0%) 5/8 (55.6%)** 6/13 (46.2%)** > 3 days 2/8 (50.0%)** 4/13 (30.8%)** Fig.1 : Patients inclusion and interventions Conclusion Customized drugs information leaflets or treatment cards given with information at paediatric hospital discharge improved strongly  parental knowledge of treatment Calling community pharmacy in MED to ensure that drugs were in stock had no impact on drug supply after hospital discharge Further studies would identify more effective strategy to improve drug supply Fig.4: Parents’ treatment knowledge