The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
| Autor: | Alan Kearney, Trish McKeon, Sarah Ronan, Katie Cooke, Nicola Shannon, Elaine Walsh, Laura J. Sahm |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Semi-structured interview
semi-structured interviews medicine.medical_specialty media_common.quotation_subject views of nurses education Pharmacist Psychological intervention lcsh:RS1-441 Pharmacy 030226 pharmacology & pharmacy Article cost benefit ratio lcsh:Pharmacy and materia medica 03 medical and health sciences cost avoidance 0302 clinical medicine medicine Pharmacology (medical) 030212 general & internal medicine General Pharmacology Toxicology and Pharmaceutics medication review health care economics and organizations media_common Teamwork Cost–benefit analysis business.industry Clinical pharmacy Family medicine adverse drug events Thematic analysis business |
| Zdroj: | Pharmacy, Vol 8, Iss 1, p 14 (2020) Pharmacy Volume 8 Issue 1 Pharmacy: Journal of Pharmacy Education and Practice |
| ISSN: | 2226-4787 |
| Popis: | Medication review (MR) is a vital part of the pharmacist&rsquo s role in hospital. However, in the South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland, this has not been fully implemented due to resource issues. In addition, the cost of providing this service has not been evaluated. Moreover, it is not clear how other members of the multidisciplinary team e.g. Nurses, value any interventions made as a result of the MR. This mixed methods study assessed the impact of MR in terms of (i) potential clinical harm, (ii) cost avoidance and (iii) the views of nursing staff on the role of the pharmacist. The setting is a 192-bed, voluntary, acute hospital, in the Munster region of Ireland. Study I: The pharmacist provided MR to patients conventionally once a week. Any interventions were then assessed for potential clinical harm and to calculate cost avoidance. Study II: Semi-structured interviews, guided by a topic guide were completed with 12 nurses (11 female). Thematic analysis was used to code the main themes. Main outcome measure: To estimate the cost, cost avoidance, and the net cost benefit ratio of MR provided by pharmacists. Study I: Of 128 patients who received the MR, 113 interventions were made. The estimated cost of providing the MR was &euro 2,559 (senior pharmacist). Using &euro 1084 as the cost of an adverse drug event (ADE), the cost avoidance was calculated at &euro 42,330. This led to a net cost benefit of &euro 39,771 (senior pharmacist) which equated to a net cost benefit ratio of 16.5:1. Study II: The main themes were (i) perceptions of pharmacy services, (ii) the role of the pharmacist&mdash past, present and future, and (iii) teamwork and communication. Nurses expressed a desire to have more pharmacists present on the wards. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|