<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1130-6343</journal-id>
<journal-title><![CDATA[Farmacia Hospitalaria]]></journal-title>
<abbrev-journal-title><![CDATA[Farm Hosp.]]></abbrev-journal-title>
<issn>1130-6343</issn>
<publisher>
<publisher-name><![CDATA[Grupo Aula Médica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1130-63432020000200005</article-id>
<article-id pub-id-type="doi">10.7399/fh.11290</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Consensus to identify the dangerous drugs risks in hospital pharmacy services]]></article-title>
<article-title xml:lang="es"><![CDATA[Consenso para identificar los riesgos de los medicamentos peligrosos en los servicios de farmacia hospitalaria]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bernabeu-Martínez]]></surname>
<given-names><![CDATA[María Ángeles]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Salom]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burgos-San José]]></surname>
<given-names><![CDATA[Amparo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Navarro-Ruiz]]></surname>
<given-names><![CDATA[Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sanz-Valero]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Wanden-Berghe]]></surname>
<given-names><![CDATA[Carmina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Miguel Hernández Departamento de Salud Pública e Historia de la Ciencia ]]></institution>
<addr-line><![CDATA[Sant Joan d'Alacant Alicante]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital General Universitario de Alicante Servicio de Farmacia de Área ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital General Universitario de Alicante Servicio de Farmacia ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital General Universitario de Elche Servicio de Farmacia ]]></institution>
<addr-line><![CDATA[Elche Alicante]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital General Universitario de Alicante Unidad de Hospitalización a Domicilio ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto de Investigación Sanitaria y Biomédica de Alicante  ]]></institution>
<addr-line><![CDATA[Alicante ]]></addr-line>
<country>Spain</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>04</month>
<year>2020</year>
</pub-date>
<volume>44</volume>
<numero>2</numero>
<fpage>51</fpage>
<lpage>61</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1130-63432020000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1130-63432020000200005&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1130-63432020000200005&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective: To identify the hazards and define the theoretical occupa tional risks arising from the process of handling hazard drugs in hospital pharmacy services on the basis of expert consensus.  Method: An expert consensus was conducted (nominal group and documentary techniques) using a mixed method of two face-to-face rounds (meeting of participants and approval of proposals) and three masked rounds (individualized review). The analysis was applied to the field of hospital pharmacy. The stages of the process were desig ned using the standardized graphical Business Process Model and Notation.  Results: A specific flowchart was obtained for the management and tra ceability of hazardous drugs. All general process phases were characte rized. A management chart included operations addressing the reception and storage, compounding, conservation, and dispensation of hazardous drugs in hospital pharmacy services. This chart provides a description of the chemical hazards and exposure routes.  Conclusions: The hazardous drug process should be integrated in a standard management system to improve the safety of patients and health care professionals. Efficiency can maximized and procedural incidents minimized, thereby ensuring the quality and the safety of hazardous drugs handling in hospital pharmacy services. Once hazards are identified, risk assessment should be implemented using a systematic and preventative methodology to minimize the risk and seve rity of any adverse event.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo: Identificar los peligros y definir los riesgos laborales teóricos derivados del proceso de manipulación de los medicamentos peligrosos en los servicios de farmacia hospitalaria mediante un consenso de expertos.  Método: Se realizó un consenso de expertos (grupo nominal y técnicas documentales) utilizando un método mixto mediante dos rondas presenciales (reunión de los participantes y aprobación de propuestas) y tres rondas en mascaradas (revisión del material de forma individual). El análisis se aplicó al ámbito de la farmacia hospitalaria y las etapas del proceso se diseñaron mediante notación gráfica normalizada Business Process Modeling Notation.  Resultados: Se obtuvo el diagrama de flujo específico para la gestión y trazabilidad de los medicamentos peligrosos, caracterizándose cada una de las fases del proceso general, recopiladas en un cuadro de gestión de etapas y operaciones de recepción y almacenamiento, elaboración, con servación y dispensación de medicamentos peligrosos en los servicios de farmacia hospitalaria, que sirvió para la posterior descripción de riesgos químicos y vías de exposición.  Conclusiones: Los medicamentos peligrosos deben integrarse en un sistema normalizado de gestión con el fin de mejorar la seguridad del paciente y de los profesionales sanitarios, a la vez que se maximizan la efi ciencia de los recursos y minimizan los incidentes procesales, garantizando la calidad y la seguridad del proceso de manipulación de medicamentos peligrosos en los servicios de farmacia. Sería deseable, una vez se han identificado los peligros, llevar a cabo una evaluación de los riesgos siguiendo una metodología sistemática y de abordaje preventivo que permita calibrar la probabilidad de ocurrencia y la gravedad de cualquier suceso adverso.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Hazardous substances]]></kwd>
<kwd lng="en"><![CDATA[Antineoplastic agents]]></kwd>
<kwd lng="en"><![CDATA[Cytostatic agents]]></kwd>
<kwd lng="en"><![CDATA[Occupational health]]></kwd>
<kwd lng="en"><![CDATA[Quality control]]></kwd>
<kwd lng="en"><![CDATA[Process assessment]]></kwd>
<kwd lng="en"><![CDATA[Information management]]></kwd>
<kwd lng="es"><![CDATA[Sustancias peligrosas]]></kwd>
<kwd lng="es"><![CDATA[Antineoplásicos]]></kwd>
<kwd lng="es"><![CDATA[Citostáticos]]></kwd>
<kwd lng="es"><![CDATA[Salud laboral]]></kwd>
<kwd lng="es"><![CDATA[Control de calidad]]></kwd>
<kwd lng="es"><![CDATA[Evaluación del proceso]]></kwd>
<kwd lng="es"><![CDATA[Gestión de la información]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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