Maternité et pratique de la pharmacie : cadre juridique, programme et enjeux
Bibliographic record
Abstract
Resume Objectif : L’objectif principal est de presenter le programme « Pour une maternite sans danger » qui assure une reaffectation ou un retrait preventif du travail des travailleuses enceintes ou qui allaitent, ainsi que la mise en oeuvre de ce programme en pharmacie hospitaliere. Description de la problematique : Un examen de la documentation scientifique a ete realise avec les termes suivants : maternite, conge de maternite, employees enceintes, sante et securite au travail, maternity, maternity leave, pregnant employee et occupational safety and health. Les references pertinentes ont ete relevees sur Google, Google Scholar et PubMed. Cet etat des lieux du programme a servi de base de reflexion pour son application en pharmacie. Resolution de la problematique : En 2014, la Direction de la sante publique de Montreal a recu 9 490 demandes d’etude de dossier, dont 0,4 % issues du milieu pharmaceutique. Selon l’etude de poste standardisee, des mesures de prevention etaient necessaires et pouvaient mener a une reaffectation pour 4 des 5 categories de risque, a savoir le risque ergonomique, physique, chimique ou biologique (aucune recommandation n’etait emise pour la categorie psychosociale). En pharmacie, nous avons considere qu’une majorite des travailleuses pouvait etre reaffectee sans qu’un retrait preventif soit requis, en raison de la diversite du travail. Douze recommandations sont proposees, telles qu’une reaffectation hors de la zone de preparation de medicaments dangereux ou le maintien a la prestation de soins en clinique si des mesures de protection sont prises. Conclusion : Le personnel de pharmacie a relativement peu recours au programme de retrait preventif du travail. Les nombreuses possibilites de reaffectation en pharmacie hospitaliere peuvent expliquer ce constat. Chaque departement de pharmacie devrait se doter d’une politique de reaffectation pour les travailleuses enceintes ou qui allaitent. Abstract Objective: The primary objective is to present the Pour une maternite sans danger (Safe Maternity) program, which provides for the reassignment and/or preventative withdrawal of pregnant workers, and its application in hospital pharmacies. Problem description: A literature review was conducted with the following terms: maternity, maternity leave, pregnant employee and occupational safety and health. The relevant references were identified via Google, Google Scholar and PubMed. This review of the program served as a basis for reflection on its application in pharmacies. Problem resolution: In 2014, the Montreal Public Health Department received 9,490 requests pertaining to the program, 0.4% of which were from the pharmaceutical sector. According to the standardized job analysis, preventive measures were necessary and could lead to a reassignment in four of the five risk categories, i.e., ergonomic, physical, chemical and biological (no recommendation for the psychosocial category). We found that most pregnant pharmacy employees could be reassigned. Preventative withdrawal was not necessary due to the diversity of the work. Twelve recommendations are proposed, such as a reassignment outside the hazardous drug preparation area and maintaining offers of clinical care if protective measures are taken. Conclusion: Pharmacy staff seldom use the preventive withdrawal program. This can be explained by the numerous reassignment options in hospital pharmacies. Each pharmacy department should adopt a reassignment policy.
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How this classification was reachedexpand
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.005 | 0.003 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.001 | 0.001 |
| Insufficient payload (model declined to judge) | 0.011 | 0.004 |
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; both teacher heads agree on what is shown here.
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".