The hospital pharmacist: an important contributor to improved patient safety in the hospital.

Détails

ID Serval
serval:BIB_5E4457C946A7
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The hospital pharmacist: an important contributor to improved patient safety in the hospital.
Périodique
Chimia
Auteur⸱e⸱s
Berthouzoz S., Berger L., Bonnabry P., Pannatier A.
ISSN
0009-4293 (Print)
ISSN-L
0009-4293
Statut éditorial
Publié
Date de publication
2012
Volume
66
Numéro
5
Pages
300-303
Langue
anglais
Notes
Publication types: Journal Article
Résumé
Injectable drugs are high-risk products and their reconstitution in hospital wards is a potential source of errors. Thus, in order to secure the reconstitution process and thereby improve safety, the pharmacy department of Lausanne University Hospital is focusing on developing ready-to-use forms (CIVAS). These preparations are compounded in controlled clean rooms and are analyzed prior to release. In the intensive care unit, amiodarone 12.5 mg/mL in glucose 5% is one of the high-risk preparations, which has led the pharmacy to develop a ready-to-use solution. To this end, a one-year stability study was initiated, and the preliminary results (after six months) are illustrated here. A stability-indicating HPLC method was developed and validated for monitoring the concentration of amiodarone. Batches were stored at 5 °C and 30 °C, which were analyzed immediately after preparation, after one, two, four and six months of storage. The pH and osmolality values were monitored at the respective time intervals. It was observed that after six months, all the results were within specifications. However, the pH values started to decrease after two months when amiodarone was stored at 30 °C. After six months, a degradation peak appeared on the chromatogram of these solutions, which suggested that amiodarone is more stable at 5 °C. The preliminary results obtained in this study indicated that injectable amiodarone solutions are stable for six months under refrigerated storage conditions. The study is ongoing.
Mots-clé
Amiodarone/administration & dosage, Amiodarone/analysis, Chemistry, Pharmaceutical, Chromatography, High Pressure Liquid, Drug Packaging, Drug Stability, Drug Storage, Glucose, Hospitals, Humans, Hydrogen-Ion Concentration, Injections, Medication Systems, Hospital, Osmolar Concentration, Patient Safety/statistics & numerical data, Pharmaceutical Solutions, Pharmacists, Pharmacy Service, Hospital/organization & administration, Reference Standards, Reproducibility of Results, Vasodilator Agents/administration & dosage, Vasodilator Agents/analysis
Pubmed
Web of science
Création de la notice
20/09/2012 21:40
Dernière modification de la notice
20/08/2019 15:16
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