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L'interdiction des retranscriptions pharmaceutiques: Adaptation du management aux conventions sociales.

Abstract : Objective: Securing pharmaceutical prescriptions is now considered an important issue of quality of care. But the difficulties can be interpreted as resulting from conflicts of rationality. Method: A case study in a French hospital has thoroughly analyzed organizational brakes that are causing these problems. The study was based in on one side on the theory of the order of oath and on the other side on different types of quality management that have been described. Results: Three main themes emerged from the study and can be interpreted as conflicts between different frames of legitimacy. Firstly banning transcripts of medical prescriptions, secondly the establishment of clinical pharmacy as a new function for increasing the security of prescriptions, and finally the implementation of computerized prescriptions. This last approach is facing technical difficulties and symbolic issues, but it is opening up a space for negotiation. Discussion and conclusion: To arrange mediation between different conventions, the hospital manager can refer to three types of management which have been described to manage quality. An instrumental type allows to exclude the transcriptions, an organic type can accommodate the clinical pharmacy as a new function, and finally a cultural type, based on the discussion and arbitration of values, can pave the way for the negotiation of the computerization of the drug delivery process.
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Jacques Orvain, Cyrille Harmel. L'interdiction des retranscriptions pharmaceutiques: Adaptation du management aux conventions sociales. . Journal de Gestion et d’Économie Médicales, Editions ESKA, 2014, pp.521-536. ⟨10.3917/jgem.147.0521⟩. ⟨hal-01438503⟩

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