Preparation of experimental injectable drugs: designing an e-learning tool to train tomorrow’s operators!

Context
The preparation of an experimental injectable drug (EID) involves two operators: a manipulator and an assistant manipulator. There is a high turnover of personnel. Their training/accreditation is done through a mentoring system and must allow them to integrate a significant amount of new concepts in a short period of time. In this context, the aim of this project is to design an e-learning tool (EL) for these operators and to evaluate it after one year of use.

Methods
The design of the EL took place from May 2022 to March 2023. A multi-professional working group, composed of 2 pharmacists, 1 hospital pharmacy technician (HPT), 1 resident and 1 intern, defined the structure of the EL. The analysis of the non-conformities (NC) reported during the preparation phase helped to select the scenarios for the EL, and its format was created in collaboration with the Information and Communication Technologies for Education Unit of the Faculty of Pharmacy. A test phase was carried out with the operators. A satisfaction questionnaire (SQ) was designed to collect feedback from participants. Extraction of the EL results and SQ data allowed the one-year evaluation.

Results
The working group held 4 meetings: the EL is made up of 8 chapters following the chronological order of a preparation, containing 27 educational activities (multiple-choice questions, photos, videos, fill-in-the-blank texts, etc.). A final score out of 100 is obtained. To date, 10 operators have completed the EL (4 interns, 3 residents, 2 HPT, 1 HPT student). For 7 of them the results are usable. Their average score is 84.7 ± 8.9 out of 100, with an average completion time of 77 ± 54.8 minutes. A total of 8 participants answered the SQ: 88% were "somewhat satisfied" and 12% "very satisfied". Regarding the training support, 75% were "somewhat satisfied" or "very satisfied" compared to 25% who were "not very satisfied". The chapters considered most useful by the learners are "Checking concordance of information" between prescription, production sheet and treatment order and "Environmental monitoring".

Discussion-Conclusion
This interactive and educational tool meets the requirements of the 2023 Good Preparation Practices, which require the implementation of a specific training process to adapt staff knowledge and skills. The time taken to complete the course varied considerably between participants, possibly due to task interruptions. Although the development of this e-learning tool was very time-consuming, this training method, which was highly appreciated by the participants, will be maintained for the initial and ongoing training of staff. Regular updates will be necessary as practices and regulations evolve.

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