Circuit of Specific Medications at Aziza Othmana Hospital: The Case of Chemotherapy

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Mariem Bettoumia
Dora Cherif
Emna Jenhani
Emna Jaoued
Mehdi Kolsi
Nour Hammadi
Aicha Bousetta
Houda Bouattour

Abstract

Introduction: The circuit of specific medicines at Aziza Othmana Hospital is a complex process involving various healthcare professionals. The
hospital pharmacy has implemented a dedicated system to ensure the management of these vital treatments.
Aim: The aim of this study was to examine the current circuit of specific medicines within a hospital pharmacy and to propose areas for improvement to enhance its safety.
Methods: A retrospective descriptive study was conducted within the pharmacy department of Aziza Othmana Hospital over a period extending
from January 2024 to August 2024.
Results: The analysis of the circuit identified six main stages: procurement, ordering, receiving, storage, preparation, and dispensing. Procurement,
which depends on the type of health coverage (National Health Insurance (CNAM) or indigent patients), is often a source of delays. A total of
230 patients treated with specific cytotoxic medicines and managed within the pharmacy department of Aziza Othmana Hospital in Tunis were included. The mean age of patients was 53.75 years (SD = 17.89). The sex ratio (M/F) was 1.23. The hospital pharmacy did not recover the
treatment for 8% of patients (19 patients), for whom chemotherapy cycles had been advanced.
Conclusion: The circuit of specific medicines at Aziza Othmana Hospital presents weaknesses that compromise access to treatments. Better
coordination among stakeholders is required. Placing the patient at the center of the process will improve the quality of care and strengthen trust
in the system.

Keywords:

Chemotherapy, Anticancer drugs, Supply chain, Hospital pharmacy

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