Détermination d'un indicateur d'activité pertinent pour les préparations en pharmacie hospitalière : comparaison interétablissements de la préparation des chimiothérapies

Introduction: Preparation activity in hospital pharmacy is assessed according to the number of units produced per unit of time. This may not be the most relevant indicator of activity given the wide variations in the type of preparation, the number of steps required and the complexity of the manipulations. Our aim was therefore to establish an activity indicator that incorporated the quantitative and qualitative aspects of preparations. Materials and methods: A scoring grid was developed by four pharmacists from three different countries. This grid, which makes it possible to calculate an activity indicator expressed in points, was applied to assess preparation activity for anticancer drugs in two healthcare establishments for 2009. Results: The grid was useful to assess preparations, whether they were sterile or not, compounded or hospital preparations. After scoring 38,193 preparations, the difference in activity between these two establishments illustrated by current activity indicators (16,960 vs 21,233 preparations, +25%) was halved using the grid (263,265 vs 298,949 points, +14%). Discussion: This easy-to-use tool can be used to calculate an activity indicator that takes into account the technical complexity of preparations. Conclusion: This tool allows to compare one establishment with another and to follow activity levels within a single establishment.