Améliorer les pratiques aseptiques dans les unités de reconstitution des cytostatiques au CHU UCL Namur : comparer une formation distancielle versus présentielle et réaliser un Media Fill Test

Details

Supervisors

Decoster, Cécile ; Pinoy, Sébastien ; Pirlot, Catherine

Faculty

Faculté de pharmacie et des sciences biomédicales

Degree label

Master de spécialisation en pharmacie hospitalière

Abstract

Background: Belgian hospitals must comply with PIC/S 010-4 standards by 2026, in accordance with a royal decree of September 30, 2020. To reach some of these standards, CHU UCL Namur aims to improve its aseptic practices through operator’s training and to start media fill test (MFT) implementation. Objectives: The main objectives of this study were to create and compare two training methods about good aseptic practices (face-to-face training and e-learning) on levels 1 and 3 of Kirkpatrick's model. Another objective was to implement the MFT after the training. Method: In order to create the two training modules, a Failure Modes, Effects and Criticality Analysis was carried out. The number of items acquired was evaluated before and after the training among each of the 24 operators, by using first a checklist of aseptic practices (Kirkpatrick level 3). Then, a satisfaction survey assessed level 1 of this model. Finally, a procedure was created and MFT were implemented on the three CHU sites. Results: The failure analysis identified 45 risks, among which 27 scored over 80 and were included in the checklist and training modules. The created face-to-face training and e-learning improved significantly the average number of items acquired with huge effect sizes (face-to-face training : 28,8 ± 5,6 before training, 37,3 ± 3 after training, p-value < 0,001, cohen’s d 4,8 ; e-learning : 28,8 ± 5,7 before, 36,2 ± 4,1 after, p-value < 0,001, cohen’s d 5,7). At post-training, no group was superior. Given that satisfaction was better for face-to-face training as compared to e-learning, the choice between the 2 types of training will finally depend on the specific circumstances of each hospital. Twenty-one MFT were carried out and none was contaminated. Conclusion: Face-to-face training and e-learning are two effective methods to improve the behaviour of an operator (level 3 of Kirkpatrick’s model). The face-to-face training showed better satisfaction (level 1). MFT were well implemented. To fullfil PIC/S 010-4 standards, training and MFT have to take place yearly.