Abstract

For Home Parenteral Nutrition (HPN), pharmacy had to deliver some medical devices and drugs. It comes up the following and taking care of incidents that's occurring at home with those products. The aim of the survey was making and inventory on vigilance's organization, incident's management and assessment, about HPN in France. A questionnaire was send to the main characters of HPN (by law authorized centres, services providers, custom-made makers, laboratories.) They were asked to describe their organization and to grade incidents according to their frequency. Organizations are varied and specific to each centre. The data process shows that the most registered incidents are: blended tubing of infusion sets, problems linked to industrial sets, occlusion or air bubble alarms with pumps. There are very few internal medical devices vigilance reports. An improved management would be done with generalization of a patient declaration form, a patient's practice assessment and a permanent quality improvement.

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