Clinical relevance of pharmacist intervention in an emergency department
| Autor: | Jordi Tarradas-Torras, María Antonia Pérez-Moreno, Beatriz Calderón-Hernanz, Bernardino Comas-Díaz, Juan Manuel Rodríguez-Camacho |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent health care facilities manpower and services education Psychological intervention Pharmacists Critical Care and Intensive Care Medicine 030226 pharmacology & pharmacy 03 medical and health sciences Medication Reconciliation Professional Role 0302 clinical medicine Pharmacotherapy Intervention (counseling) medicine Humans Medication Errors Clinical significance Prospective Studies 030212 general & internal medicine Prospective cohort study health care economics and organizations Aged Aged 80 and over business.industry General Medicine Emergency department Middle Aged Clinical pharmacy Treatment Outcome Spain Emergency medicine Workforce Emergency Medicine Female Observational study Emergency Service Hospital business |
| Zdroj: | Emergency Medicine Journal. 34:495-501 |
| ISSN: | 1472-0213 1472-0205 |
| Popis: | Objectives To evaluate the clinical relevance of pharmacist intervention on patient care in emergencies, to determine the severity of detected errors. Second, to analyse the most frequent types of interventions and type of drugs involved and to evaluate the clinical pharmacist's activity. Methods A 6-month observational prospective study of pharmacist intervention in the Emergency Department (ED) at a 400-bed hospital in Spain was performed to record interventions carried out by the clinical pharmacists. We determined whether the intervention occurred in the process of medication reconciliation or another activity, and whether the drug involved belonged to the High-Alert Medications Institute for Safe Medication Practices (ISMP) list. To evaluate the severity of the errors detected and clinical relevance of the pharmacist intervention, a modified assessment scale of Overhage and Lukes was used. Relationship between clinical relevance of pharmacist intervention and the severity of medication errors was assessed using ORs and Spearman's correlation coefficient. Results During the observation period, pharmacists reviewed the pharmacotherapy history and medication orders of 2984 patients. A total of 991 interventions were recorded in 557 patients; 67.2% of the errors were detected during medication reconciliation. Medication errors were considered severe in 57.2% of cases and 64.9% of pharmacist intervention were considered relevant. About 10.9% of the drugs involved are in the High-Alert Medications ISMP list. The severity of the medication error and the clinical significance of the pharmacist intervention were correlated (Spearman's ρ=0.728/p |
| Databáze: | OpenAIRE |
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