Le « MOT » du département de pharmacie du Centre universitaire de santé McGill

Resume Objectif : L’objectif de cet article est de decrire le modele, developpe par des membres du departement de pharmacie du Centre universitaire de sante McGill (CUSM), qui analyse les differentes etapes liees aux travaux realises dans le cadre de leur collaboration au comite de pharmacologie. Mise en contexte : Il y a quelques annees, le CUSM a procede a une revision du formulaire pharmacotherapeutique et du fonctionnement du comite de pharmacologie. Pour permettre une collaboration optimale des differents cliniciens, un examen approfondi des activites entourant la production des differents travaux soumis au comite de pharmacologie a ete entrepris. L’analyse de tout le processus visait une approche concertee de la gestion du medicament pour assurer un modele systematique de prises de decisions basees sur des donnees probantes. Une designer pedagogique a aide l’equipe du CUSM a modeliser les elements entourant les etapes des differents mandats a realiser pour appuyer le comite. Conclusion : Une modelisation par objet type (MOT) a permis d’identifier les composantes des differents travaux du comite de pharmacologie ainsi que leurs liens et de mieux comprendre les responsabilites et la contribution de chacun, ce qui facilitera les prises de decisions eclairees par des donnees probantes. Cette cartographie est devenue un outil de reference lors de conferences et est utilise a des fins educatives pour les differents cliniciens. Elle explique efficacement et de maniere exhaustive le fonctionnement de l’equipe responsable, dont le role consiste a offrir le soutien necessaire au comite de pharmacologie dans ses activites. Abstract Objective : The purpose of this article is to describe the model analyzing the different steps related to projects developed in collaboration with the Pharmacy and Therapeutics Committee, a model developed by members of the pharmacy department of the McGill University Health Centre (MUHC). Context : A few years ago, the MUHC proceeded to a revision of the drug formulary and of the operation of the Pharmacy and Therapeutics Committee. To allow optimal collaboration of the different clinicians, a thorough evaluation was undertaken of all activities involved in the development of various projects submitted to the Pharmacy and Therapeutics Committee. The analysis of the entire process was aimed at a concerted approach to medication management to ensure a systematic model for evidence-based decision making. A designer pedagogy helped the MUHC team in modeling the elements involved in the stages of carrying out the various mandates. Conclusion : The modeling by object type (MOT) approach allowed the identification of components of various projects of the Pharmacy and Therapeutics Committee, including their various connections. As well, the approach provided a better understanding of the responsibilities and contributions of each, all of which facilitated evidence-based decision making. Such concept mapping has become a reference tool used by clinicians for educational purposes at conferences. Concept mapping effectively and indeed exhaustively explains the functioning of an accountable team, which has the role of providing the Pharmacy and Therapeutics Committee with the support it needs in carrying out its activities.