Description de l’organisation, des perceptions et des actions des pharmaciens hospitaliers exposés aux pénuries de médicaments au Québec
Bibliographic record
Abstract
Objectif : Décrire l’organisation, les perceptions et les actions des pharmaciens hospitaliers exposés aux pénuries de médicaments. Méthode : Étude descriptive transversale menée auprès des pharmaciens membres du comité des utilisateurs du Centre d’acquisitions gouvernementales. Un questionnaire en ligne de 49 questions a été créé (SurveyMonkey, Palo Alto, CA, ÉU). L’invitation a été transmise le 16 janvier 2024 par courriel et sur l’équipe Teams du Centre d’acquisitions gouvernementales. Seules des statistiques descriptives ont été compilées (moyenne ± écart-type, proportions). Résultats : Vingt-sept pharmaciens (38 %, 27/71) représentant 20 établissements de santé du Québec (67 %, 20/30) ont rempli le sondage. La médiane de la charge de travail hebdomadaire estimée par les répondants était de 6 heures [min. = 3,5; max. = 9,0] de temps de pharmaciens combinée à 8 heures [min. = 4,0; max. = 19,0] de temps d’assistants techniques séniors en pharmacie. Les proportions de répondants se conformant aux barèmes de stockage minimal étaient les suivantes : 93 % (25/27) pour les médicaments critiques (90 jours), 89 % (24/27) pour les médicaments d’oncologie (30 jours), 81 % (22/27) pour la plupart des médicaments (60 jours) et 70 % (19/27) pour les solutés (60 jours). Les répondants ont eu recours à 26 actions correctrices pharmaceutiques potentielles dans des proportions variant de 37 % à 100 %. Conclusion : Dans la littérature, les pénuries de médicaments ont des répercussions connues sur le travail des cliniciens et les soins prodigués aux patients. Cette étude met en évidence le fait que les pharmaciens hospitaliers sont très préoccupés par les pénuries de médicaments et que ces pénuries ont un effet important sur la charge de travail en établissement de santé. Abstract Objective: To describe the organization, perceptions, and actions of hospital pharmacists facing drug shortages. Method: A cross-sectional descriptive study was conducted among pharmacists who are members of the user committee of the Centre d’acquisitions gouvernementales. A 49-question online survey was created (SurveyMonkey, Palo Alto, CA, USA). The invitation was sent on January 16, 2024, via email and the Centre d’acquisitions gouvernementales’ Teams group. Only descriptive statistics were compiled (mean ± standard deviation, proportions). Results: Twenty-seven pharmacists (38%, 27/71) representing 20 healthcare institutions in Quebec (67%, 20/30) completed the survey. The median estimated weekly workload reported by respondents was 6 hours [min. = 3.5; max. = 9.0] of pharmacist time combined with 8 hours [min. = 4.0; max. = 19.0] of senior pharmacy technical assistant time. The proportions of respondents complying with minimum stock level guidelines were as follows: 93% (25/27) for critical drugs (90 days), 89% (24/27) for oncology drugs (30 days), 81% (22/27) for most drugs (60 days), and 70% (19/27) for IV solutions (60 days). Respondents reported using 26 potential pharmaceutical corrective actions in proportions ranging from 37% to 100%. Conclusion: According to the literature, drug shortages have known impacts on clinicians’ work and patient care. This study highlights that hospital pharmacists are highly concerned about drug shortages and that these shortages significantly affect the workload in healthcare institutions.
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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 | 0.002 | 0.002 |
| Meta-epidemiology (narrow) | 0.001 | 0.001 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.003 | 0.003 |
| Scholarly communication | 0.000 | 0.003 |
| Open science | 0.001 | 0.000 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.005 | 0.000 |
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".