Abstract
AbstractBackgroundIn the hospital setting, trace contamination with hazardous medications comes primarily from the manipulation of containers used in preparing and administering drugs. However, some traces of medications also come from the excreta of patients.MethodsThis descriptive exploratory study involved direct observation and discussion. The aim was to map potential contamination associated with handling babies’ excreta through diaper management. The study was conducted at CHU Sainte Justine (Montréal, Québec, Canada), a 500-bed mother and child facility with 38 beds for hematology-oncology and bone marrow transplant. A list of key steps related to the management of diapers by a parent or caregiver on a pediatric unit was established by the investigators. A data collection grid was then developed and reviewed by a member of the research team.ResultsA total of six diaper changes, by six distinct individuals, were observed in August and September 2019. Transport of a soiled diaper for weighing outside the baby’s room by an additional caregiver was also observed and recorded. In total, 25 individual steps in diaper management and 28 potential failure modes were identified through mapping.ConclusionsChanging a baby’s diaper involves many individual steps, which are subject to numerous failure modes that can contribute to contamination with traces of hazardous drugs. A good understanding of these process steps and failure modes is desirable to better train caregivers and parents to reduce trace contamination with hazardous drugs.
Highlights
The environmental presence of traces of hazardous drugs can occur both in the pharmacy and at patient care sites (e. g. outpatient clinics and patient care units) [1,2,3]
Changing a baby’s diaper involves many individual steps, which are subject to numerous failure modes that can contribute to contamination with traces of hazardous drugs
The study was conducted at CHU Sainte Justine (Montréal, Québec, Canada), a 500-bed mother and child facility with 38 beds for hematology-oncology and bone marrow transplant
Summary
G. outpatient clinics and patient care units) [1,2,3] This trace contamination comes primarily from the manipulation of containers used in preparing and administering drugs. Some traces of medications come from the excreta of patients [4, 5] This second source of contamination has not been well studied. Trace contamination with hazardous medications comes primarily from the manipulation of containers used in preparing and administering drugs. Some traces of medications come from the excreta of patients. The aim was to map potential contamination associated with handling babies’ excreta through diaper management. 25 individual steps in diaper management and 28 potential failure modes were identified through mapping
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