Impact of an antiretroviral stewardship strategy on medication error rates

Autor:	Jason Shumake, Eimeira Padilla-Tolentino, Athena L V Hobbs, Katherine M. Shea, Kristin Mondy, Derek J. Templet
Rok vydání:	2018
Předmět:	medicine.medical_specialty Pharmacist HIV Infections Audit Pharmacists 030226 pharmacology & pharmacy Cohort Studies Medication error Antimicrobial Stewardship 03 medical and health sciences Professional Role 0302 clinical medicine Acquired immunodeficiency syndrome (AIDS) Intervention (counseling) medicine Humans Medication Errors Prospective Studies 030212 general & internal medicine Quality of Health Care Retrospective Studies Pharmacology business.industry Health Policy medicine.disease Checklist Anti-Retroviral Agents Emergency medicine Stewardship Pharmacy Service Hospital business Cohort study
Zdroj:	American Journal of Health-System Pharmacy. 75:876-885
ISSN:	1535-2900 1079-2082
Popis:	Purpose The impact of an antiretroviral stewardship strategy on medication error rates was evaluated. Methods This single-center, retrospective, comparative cohort study included patients at least 18 years of age infected with human immunodeficiency virus (HIV) who were receiving antiretrovirals and admitted to the hospital. A multicomponent approach was developed and implemented and included modifications to the order-entry and verification system, pharmacist education, and a pharmacist-led antiretroviral therapy checklist. Pharmacists performed prospective audits using the checklist at the time of order verification. To assess the impact of the intervention, a retrospective review was performed before and after implementation to assess antiretroviral errors. Results Totals of 208 and 24 errors were identified before and after the intervention, respectively, resulting in a significant reduction in the overall error rate ( p p p p Conclusion An antiretroviral stewardship strategy for hospitalized HIV patients including prospective audit by staff pharmacists through use of an antiretroviral medication therapy checklist at the time of order verification decreased error rates.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::dbc1cd4e290953c70f840d839c74fc1b https://doi.org/10.2146/ajhp170420 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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