John Libbey Eurotext

Journal de Pharmacie Clinique


Prescribers training on the use of drugs in patients with renal insufficiency: effectiveness of e-learning Volume 37, issue 3, Septembre 2018


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Service pharmacie, Centre hospitalier William Morey, Chalon-sur-Saône, France
* Tirés à part
  • Key words: e-learning, renal insufficiency, drug prescribing, continuing medical education
  • DOI : 10.1684/jpc.2018.0391
  • Page(s) : 153-63
  • Published in: 2018

Drug prescribing is a major challenge of the quality and safety of care. Health professionals need training with efficient tools throughout their careers. The aim of our study was to evaluate the effectiveness of e-learning, as part of continuing medical education for physicians on the dosage adjustment of drugs in patients with renal insufficiency. Methods: Training on dose adjustment of drugs in patients with severe renal insufficiency (RI) has been proposed to all prescribers of a General Hospital. The effectiveness of the training was measured by the participation rate, the pharmacist's intervention (PI) rate made on the prescriptions of patients with renal insufficiency, the scores obtained during the practical component and the questionnaire of satisfaction. Results: The training was completed by 29 (16%) physicians and 17 interns (37%) or 46 prescribers (19%). A significant reduction of the number of PI concerning allopurinol and of the rate of PI in connection with the RI, including all drugs, was observed between two periods. Ninety-eight percent of physicians considered the training as satisfactory or very satisfactory. Conclusion: The impact measured by our indicators show that training can be considered effective, for the short term. A longer-term assessment with a larger number of participants would confirm these results.