{"id":55918,"date":"2023-01-16T17:00:56","date_gmt":"2023-01-16T17:00:56","guid":{"rendered":"https:\/\/www.msdconnect.be\/fr\/?p=55918"},"modified":"2023-01-19T16:14:53","modified_gmt":"2023-01-19T16:14:53","slug":"les-pharmacies-hospitalieres-se-preparent-a-lentree-en-vigueur-des-normes-pics","status":"publish","type":"post","link":"https:\/\/www.msdconnect.be\/fr\/2023\/01\/16\/les-pharmacies-hospitalieres-se-preparent-a-lentree-en-vigueur-des-normes-pics\/","title":{"rendered":"Les pharmacies hospitalie\u0300res se pre\u0301parent a\u0300 l\u2019entre\u0301e en vigueur des normes PICS"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

Nous avons demand\u00e9 \u00e0 Elke De Troy, directrice de la pharmacie et de la qualit\u00e9 de l\u2019h\u00f4pital Jessa, \u00e0<\/strong> Hasselt, comment elle pr\u00e9pare son h\u00f4pital en vue du 1er janvier 2026, une date cruciale pour les<\/strong> pharmacies hospitali\u00e8res. Les nouvelles normes europ\u00e9ennes du Pharmaceutical Inspection Co-operation Scheme <\/em>(PICS) entreront en effet alors in\u00e9vitablement en vigueur. Une collaboration au<\/strong> niveau du r\u00e9seau semble s\u2019imposer.<\/strong><\/p>\n\n\n\n

C\u2019est un fait: \u00e0 partir de janvier 2026, les pharmacies hospitali\u00e8res devront se conformer \u00e0 des normes consid\u00e9rablement plus rigoureuses en ce qui concerne leurs pr\u00e9parations. Les normes du Pharmaceutical Inspection Co-operation Scheme <\/em>(PICS) sont li\u00e9es \u00e0 la r\u00e9glementation tr\u00e8s stricte relative aux Good Manufacturing Practices <\/em>(GMP) en mati\u00e8re de fabrication de m\u00e9dicaments.<\/p>\n\n\n\n

Tant l\u2019infrastructure de l\u2019h\u00f4pital que l\u2019environnement qu\u2019elle abrite devront \u00eatre surveill\u00e9s de tr\u00e8s pr\u00e8s, d\u00e9clare la pharmacienne Elke De Troy. \u00abJe pense ici \u00e0 des tests de la salle blanche et des produits<\/em> fabriqu\u00e9s. Cela exige des proc\u00e9dures d\u2019habillage plus strictes et le recours \u00e0 plus de personnel pour le m\u00eame nombre de pr\u00e9parations.\u00bb<\/em><\/p>\n\n\n\n

La nouvelle l\u00e9gislation vise une am\u00e9lioration de la qualit\u00e9. Non seulement les nouvelles r\u00e8gles exigent des h\u00f4pitaux d\u2019\u00e9normes investissements, mais d\u2019importantes r\u00e9percussions sont aussi attendues sur le budget d\u2019exploitation annuel. \u00abLa litt\u00e9rature parle, en gros, de 30 % de main-d\u2019\u0153uvre en plus. En termes d\u2019investissement, cela se chiffre en millions, mais le budget varie fortement selon la taille de l\u2019h\u00f4pital\u00bb<\/em>, pr\u00e9cise Elke De Troy.<\/p>\n\n\n\n

\u00c9taler les co\u00fbts<\/strong><\/p>\n\n\n\n

Quoi qu\u2019il en soit, sachant cela, les h\u00f4pitaux s\u2019efforcent de collaborer afin de r\u00e9partir les co\u00fbts suppl\u00e9mentaires. De construire et exploiter ensemble une seule et m\u00eame cha\u00eene, donc. \u00abNous tentons de le faire avec notre r\u00e9seau (Andreaz). Il y a environ un an et demi, l\u2019h\u00f4pital Jessa \u00e0 Hasselt, l\u2019h\u00f4pital Sint-Franciscus \u00e0 Heusden-Zolder et l\u2019AZ Vesalius \u00e0 Tongres ont lanc\u00e9 une \u00e9tude pr\u00e9liminaire. L\u2019impact sur notre organisation sera tr\u00e8s important. Un grand nombre de transports sera n\u00e9cessaire, quel que soit l\u2019endroit o\u00f9 l\u2019infrastructure est install\u00e9e.\u00bb<\/em><\/p>\n\n\n\n

Processus<\/strong><\/p>\n\n\n\n

\u00abEn outre, nous devons accorder une grande attention aux processus si nous voulons fonctionner de mani\u00e8re planifi\u00e9e. Aujourd\u2019hui, les pr\u00e9parations d\u2019oncologie suivent la trame d\u2019un h\u00f4pital de jour.\u00bb <\/em>Le patient est admis \u00e0 l\u2019h\u00f4pital de jour, son sang est pr\u00e9lev\u00e9, il attend le r\u00e9sultat, puis il rencontre le m\u00e9decin qui \u00e9value son \u00e9tat clinique et qui, sur cette base, lui prescrit une pr\u00e9paration de chimioth\u00e9rapie. Ensuite, la prescription part \u00e0 la pharmacie.<\/p>\n\n\n\n

\u00ab\u00c0 l\u2019h\u00f4pital Jessa, nous travaillons depuis plusieurs ann\u00e9es d\u00e9j\u00e0 de mani\u00e8re planifi\u00e9e pour diverses pr\u00e9parations, mais en aucun cas pour toutes. Si ces pr\u00e9parations doivent \u00eatre pr\u00eates plus longtemps \u00e0 l\u2019avance, il faut revoir compl\u00e8tement le processus actuel. Cela peut se faire de diff\u00e9rentes mani\u00e8res. D\u2019un c\u00f4t\u00e9, en normalisant davantage de doses et en ne pr\u00e9parant pas une dose individuelle pour chaque patient (dose banding). Le Royaume-Uni, qui fonctionne de cette fa\u00e7on depuis 25 ans, en est un bon exemple. D\u2019un autre c\u00f4t\u00e9, il y a notre mod\u00e8le belge, qui calcule la surface corporelle d\u2019un patient et d\u00e9termine la dose sur cette base. Toutefois, selon la litt\u00e9rature, la m\u00e9thode du Royaume-Uni est aussi bonne du point de vue qualitatif. Si vous disposez du volume suffisant, vous pouvez donc pr\u00e9parer ces bands \u00e0 l\u2019avance.\u00bb<\/em><\/p>\n\n\n\n

Comparer les strat\u00e9gies<\/strong><\/p>\n\n\n\n

Le mot d\u2019ordre est de comparer diff\u00e9rentes strat\u00e9gies en termes de possibilit\u00e9 de planification et de stockage. \u00abLa strat\u00e9gie suivante est int\u00e9ressante : lors d\u2019une pr\u00e9paration tr\u00e8s individualis\u00e9e, vous<\/em> effectuez le pr\u00e9l\u00e8vement sanguin le jour 1, de m\u00eame que l\u2019anamn\u00e8se par t\u00e9l\u00e9phone, afin d\u2019\u00e9valuer dans quelle mesure le patient a support\u00e9 son produit. Vous savez ainsi avec une certitude relativement grande qu\u2019administrer la m\u00eame pr\u00e9paration que deux semaines auparavant est possible. Le jour m\u00eame, tout est pr\u00eat. Le patient rencontre d\u2019abord le m\u00e9decin, qui est tr\u00e8s probablement parvenu \u00e0 la m\u00eame conclusion, \u00e0 savoir que la pr\u00e9paration peut recevoir son feu vert.\u00bb<\/em><\/p>\n\n\n\n

\u00abDans le rare cas o\u00f9 les pr\u00e9parations d\u00e9j\u00e0 pr\u00eates ne semblent pas indiqu\u00e9es, elles peuvent probablement \u00eatre report\u00e9es. De toute fa\u00e7on, vos processus peuvent \u00eatre adapt\u00e9s de mani\u00e8re telle qu\u2019il est possible de travailler de fa\u00e7on beaucoup plus planifi\u00e9e avec peu de pertes. Le service pour le patient sera certainement aussi bon, voire meilleur\u00bb<\/em>, conclut la directrice de la pharmacie et de la qualit\u00e9 de l\u2019h\u00f4pital Jessa.<\/p>\n\n\n\n

Ce num\u00e9ro a \u00e9t\u00e9 r\u00e9alis\u00e9 gr\u00e2ce au support de MSD. Son contenu refl\u00e8te l\u2019opinion des auteurs mais pas n\u00e9cessairement celle de MSD.<\/mark><\/p>\n","protected":false},"excerpt":{"rendered":"

Nous avons demand\u00e9 \u00e0 Elke De Troy, directrice de la pharmacie et de la qualit\u00e9 de l\u2019h\u00f4pital Jessa, \u00e0 Hasselt, comment elle pr\u00e9pare son h\u00f4pital en vue du 1er janvier 2026, une date cruciale pour les ph […]<\/p>\n","protected":false},"author":60701,"featured_media":55919,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_mhh_sticky_footer_settings":{"entityId":0},"_mhh_sticky_footer_posts":"","_mhh_sticky_footer_expanded":false,"_mhh_mcn_text_direction":"","_mhh_mcn_language":"","_mhh_mcn_left_sidebar_settings":{"entityId":0},"_mhh_mcn_sidebar_settings":{"entityId":0},"mhh_mcn_side_navigation_style":{"fontSize":{"l":"","m":"","s":""},"lineHeight":{"l":1.5,"m":1.5,"s":1.5},"itemColor":"","hoverItemColor":"","currentItemColor":"","borderItemColor":"","backgroundItemHoverColor":"","themeColor":""},"_mhh_mcn_child_page_navigation":{"isActive":false,"isSticky":false},"hide_header":false,"show_top_bar":false,"hide_footer":false,"full_width_layout":false,"icon":null,"job_code":"","hide_featured_image":true,"primary_tag":0,"editor_notices":[],"footnotes":"","sidebar_toogle":0,"sidebar_toogle_notification_warning":true,"sidebar_toogle_notification_alert":true,"content_expiration_sidebar_date":"","content_expiration_sidebar_expired_post_status":"","content_expiration_sidebar_redirection":""},"categories":[1],"tags":[],"ga4_page_audience":[],"ga4_page_birn_id":[],"ga4_page_branding":[],"ga4_page_businessunit":[],"ga4_page_campaign":[],"ga4_page_content_purpose":[],"ga4_page_customer_journey_stage":[],"ga4_page_customer_specialty":[],"ga4_page_experience":[],"ga4_page_indication":[],"ga4_page_material_intent":[1533],"ga4_page_product":[],"ga4_page_region":[],"ga4_page_therapeuticarea":[],"tx-therapeutic-area":[],"tx-product":[],"tx-pathology":[],"tx-content-type":[629],"tx-active-ingredient":[],"mhh-area-of-interest":[],"access":[],"user_status":[],"user_role":[],"class_list":["post-55918","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\nLes pharmacies hospitalie\u0300res se pre\u0301parent a\u0300 l\u2019entre\u0301e en vigueur des normes PICS - MSD Belgium - FR<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.msdconnect.be\/fr\/2023\/01\/16\/les-pharmacies-hospitalieres-se-preparent-a-lentree-en-vigueur-des-normes-pics\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Les pharmacies hospitalie\u0300res se pre\u0301parent a\u0300 l\u2019entre\u0301e en vigueur des normes PICS - MSD Belgium - FR\" \/>\n<meta property=\"og:description\" content=\"Nous avons demand\u00e9 \u00e0 Elke De Troy, directrice de la pharmacie et de la qualit\u00e9 de l\u2019h\u00f4pital Jessa, \u00e0 Hasselt, comment elle pr\u00e9pare son h\u00f4pital en vue du 1er janvier 2026, une date cruciale pour les ph […]\" \/>\n<meta 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