Pharmacists reducing medication risk in medical outpatient clinics: a retrospective study of 18 clinics
| Autor: | Keshia R. De Guzman, Michael Barras, Centaine L. Snoswell |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Clinical effectiveness business.industry health care facilities manpower and services Medical record education Pharmacist Medication risk Retrospective cohort study Audit Clinical pharmacy health services administration Family medicine Internal Medicine medicine Outpatient clinic business health care economics and organizations |
| Zdroj: | Internal Medicine Journal. 53:95-103 |
| ISSN: | 1445-5994 1444-0903 |
| Popis: | Background The role of pharmacists in hospital inpatient settings is well recognised, however, pharmacists are relatively new to outpatient clinic settings in Australia. Evidence to justify the clinical effectiveness of pharmacists, in terms of identifying and resolving medication-related problems in an outpatient setting in Australia is limited. Aims To investigate the clinical effectiveness of outpatient clinic pharmacists across multiple medical disciplines. Methods A retrospective observational study was conducted by auditing medical records for patients who had an outpatient clinic pharmacist consult between June 2019 to February 2020 in a large quaternary hospital. All pharmacist recommendations targeting a medication-related problem were audited. Recommendations were considered 'resolved' if accepted and actioned by the patient and/or a clinician. The resolved recommendations were risk rated using a validated tool for medication-related patient harm. Results There were 18 clinic pharmacist roles across multiple medical disciplines, of which, 46 pharmacists conducted outpatient consults. A total of 7599 consults were conducted and a purposeful random sample of 572 consults (8%) were audited for 552 unique patients. There were 399 recommendations recorded in the notes by clinic pharmacists, a mean (SD) of 0.95 (0.97) per patient. Of these, 328 (82%) were resolved; 269 (82%) classified as low- or moderate-risk and 59 (18%) classified as high-risk recommendations. Conclusions Clinic pharmacists in multidisciplinary outpatient clinics are effective at identifying and resolving medication-related problems. Our research demonstrated that 18% of these resolved recommendations prevented a high-risk medication-related harm event. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text