ARE YOU SURE HOW MANUFACTURERS WORK IN THE HOSPITAL PHARMACY CLEANROOM? THE USE OF TWO SIMPLE CHECKLISTS
European Statement
Patient Safety and Quality Assurance
Author(s)
Susana Redondo-Capafons, Laura Soriano, Carmen Roger, Oriol Arroyo, Raquel Mayoral, Ana Morales, Andrés Reyner, Marta Rueda, Rosario Bueno, Mónica Gómez-Valent, Andrés Joaquim Reyner
Why was it done?
In aseptic cleanroom environments, correct donning and doffing of personal protective equipment (PPE) and adherence to hand hygiene protocols are essential to prevent contamination and ensure both patient and operator safety. Despite existing standard operating procedures (SOPs), interindividual variability in compliance often remains undetected, increasing the risk of deviation from aseptic standards. Our pharmacy department identified the need for a practical tool to systematically monitor and improve these critical procedures. With the aim of continuous improvement in clinical practice and service quality, and in the context of incorporating new staff into the cytotoxic preparation area, this initiative was developed.
What was done?
Two structured checklists were designed and implemented to evaluate compliance with SOPs:
1. Donning and doffing of PPE – assessing sequence, technique, and timing.
2. Hand hygiene – assessing product use, duration, and areas of the hands washed.
How was it done?
The checklists were based on international guidelines (WHO, GMP) and local SOPs. Trained observers performed random assessments of pharmacy technicians during routine cleanroom entry and exit. Each step was scored for compliance, and procedure times were recorded.
What has been achieved?
The use of checklists enabled objective, individualized assessment of compliance. The mean compliance score for donning and doffing PPE was 9.4 ± 0.8, while for hand hygiene it was 8.9 ± 1.2. The 100% of pharmacy technicians acquired the minimum score established in the procedure (7/10). The main issues identified were related to the location where PPE was removed (17%), the duration of hand washing (25%), and the volume of alcohol-based hand rub used (42%). These findings guided targeted retraining sessions and continuous quality improvement actions. This approach increased awareness among staff and promoted more consistent aseptic practices in daily operations.
What next?
The checklists have been integrated into routine training and quality monitoring. They are easy to replicate in other hospital pharmacies with cleanroom facilities, requiring minimal resources. The initiative provides a model to strengthen aseptic procedures, reduce contamination risks, and enhance overall compliance with safety standards.
IMPLEMENTATION OF A GLOBAL SKILLS FRAMEWORK AND REFLECTIVE PRACTICE IN UNDERGRADUATE PHARMACY EDUCATION
European Statement
Education and Research
Author(s)
Dr Stewart Glaspole
Dr Joao Inacio Silva
Why was it done?
Developing professional competence and reflective capability is fundamental to preparing pharmacy graduates for contemporary clinical practice. In line with the General Pharmaceutical Council (GPhC) Standards for the Initial Education and Training of Pharmacists (IETP), the University of Brighton introduced a structured Global Skills Framework (GSF) and an innovative reflective portfolio tool to ensure all MPharm students develop, evidence, and reflect upon the requirements of modern pharmacists, including those relevant to independent prescribing.
What was done?
A Global Skills Framework was implemented across all four years of the MPharm programme, defining 16 core skills mapped to GPhC learning outcomes. The framework is supported by a reflective portfolio built on the Edublogs platform, which students maintain throughout the course. Students submit reflective entries linked to experiences in both academic and experiential settings, mapping each to specific skill outcomes and maintaining a live evidence repository to identify gaps.
Mandatory annual entries include: a numeracy action plan, an interprofessional education experience, and a placement reflection. Assessment occurs via a viva voce examination, where academic staff review the portfolio and discuss selected reflections with students to assess skill development and professional insight.
How was it done?
An evidence review was conducted, examining established skills frameworks in pharmacy education and the wider healthcare arena. This evidence base was thematically analysed and organised into 16 skill categories and mapped to the IETP. Each skill was given a descriptor and a spiralled set of learning outcomes and applied to each year of undergraduate teaching. Tutors review each student’s progress through structured one-to-one portfolio tutorials. Evidence, reflective writing, and viva feedback are monitored annually to inform individual and programme-level development.
What has been achieved?
The initiative has improved students’ ability to articulate their learning, identify personal strengths and development needs, and link university and placement experiences. Staff report enhanced visibility of student progression across the programme and stronger alignment of reflection with GPhC outcomes. Students have expressed increased ownership of their professional development and appreciation for the structure the GSF provides.
What next?
Future work will explore utilising other digital platforms to enhance the student and academic experience. Longitudinal evaluation of how portfolio engagement predicts prescribing readiness at graduation and beyond.
Development and implementation of a simulation programme of study aligned to experiential learning and the initial education and training of the student pharmacist
Pdf
European Statement
Education and Research
Author(s)
Sam Ingram, Sian Williams, Stewart Glaspole, Greg Scutt, Railton Scott, Safoora Azimi, Danny Bartlett, Claire May, Lisa Knox, Graham Davies
Why was it done?
The General Pharmaceutical Council in the UK released updated standards in 2021, detailing expected learning outcomes at the end of undergraduate and foundation year training. As many of these new standards explicitly link to pharmacist skills it was important that these were integrated into undergraduate course delivery.
What was done?
An evidence-based strategy was employed to develop a global skills framework which was used, alongside the course structure, to inform a simulation and experiential learning strategy for the initial education and training of undergraduate pharmacists.
How was it done?
An evidence review was conducted, examining established skills frameworks in pharmacy education and the wider healthcare arena, this was thematically analysed, and generation of a 16-skills framework constructed. This was used to guide a series of stakeholder workshops and working groups to structure a spiraled curriculum of simulated activity and assessment and an aligned experiential learning plan.
What has been achieved?
A recognition of the importance of clinical and professional skills development by establishing this at the core of the new degree structure. Through the programme a suite of clinical and professional skills (CAPS) modules focuses on an evidence-based set of core skills, values, attributes, and behaviours. Generation of a suite of simulation workshops which ensures a safe environment to learn and show competence before enhancing these skills on placement(s) supporting pharmacy services in a range of clinical settings.
What next?
The simulation and experiential learning strategy has been implemented into the 2023-24 academic year. Monitoring and feedback generation from students, academic staff, placement providers, and key stakeholders to determine if this new format for learning is generating more engaged and capable student pharmacists.