Importance de la gestion du changement dans l'évolution du circuit du médicament
Bibliographic record
Abstract
Resume Objectif : Le circuit du medicament fait l’objet d’une attention sans precedent compte tenu de l’evolution du cadre normatif tant a l’echelle canadienne que quebecoise. Cette evolution amene de nombreux changements de pratiques et de technologies qui visent notamment une amelioration du circuit du medicament et une reduction des risques. Dans le cadre de nos travaux de recherche, nous nous sommes interesses au concept de gestion du changement et a ses principes theoriques et pratiques sous-jacents. Description de la question : En depit de tous les changements apportes au circuit du medicament, la capacite a reduire les incidents et les accidents lies a la medication en etablissement de sante a atteint un plateau. Discussion : Afin de soutenir la reflexion des pharmaciens qui se consacrent a la gestion du changement, nous avons mene une revue de la documentation scientifique afin de definir le changement, de situer les theories, les modeles et les approches utilises, et de proposer des strategies de reduction des risques inherents au circuit du medicament et qui tiennent compte de ces concepts. Conclusion : Il existe relativement peu de donnees sur la gestion du changement en pharmacie. Le changement est une modification par rapport a une situation anterieure qui rompt les habitudes et bouleverse l’ordre etabli. La gestion du changement est une demarche structuree et dynamique qui permet de soutenir la direction, les gestionnaires, les parties prenantes, les membres de l’organisation et les equipes destinataires. Elle permet a ces dernieres de s’approprier le changement et de traverser cette periode de transition avec le moins de perturbations et le plus de productivite et d’innovations possibles. Elle permet de preparer l’organisation afin qu’elle en retire tous les avantages anticipes. Cette revue de la documentation scientifique presente brievement 16 theories, modeles et approches, et 10 pistes d’action concrete pour la pharmacie hospitaliere. Abstract Introduction: The medication circuit is receiving unprecedented attention, as its normative framework evolves, across both Canada and Quebec. This evolution is bringing numerous changes to practice and technological aspects aimed specifically at improving the medication circuit and reducing risks. As part of our research, we were interested in the concept of change management and its theoretical principles and underlying practices. Description of problem: The ability to reduce medication-related incidents and accidents in health-care facilities has reached a plateau despite all the changes made to the medication circuit framework. Solution to problem: To support reflection by pharmacists involved in change management, we carried out a literature review to define change, to situate the theories, models, and approaches used, and to propose strategies for reducing the risks inherent in the medication circuit in light of these concepts. Conclusion: There is relatively little data on change management in pharmacy. Change is a modification in relation to a previous situation that discontinues habits and disrupts the established order. Change management is a structured and dynamic process in which support is provided to management, managers, stakeholders, members of the organization and target teams so that the latter can adopt the change and go through their own transition period with a minimum of disruptions, maximum productivity, and as many innovations as possible, and in order to prepare the organization so that it derives all the anticipated benefits of the change. This literature review briefly presents 16 theories, models, and approaches and ten avenues of concrete action in hospital pharmacy.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.010 | 0.037 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.002 | 0.002 |
| Science and technology studies | 0.002 | 0.009 |
| Scholarly communication | 0.008 | 0.006 |
| Open science | 0.002 | 0.003 |
| Research integrity | 0.003 | 0.003 |
| Insufficient payload (model declined to judge) | 0.011 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".