Optimizing Heart Failure Management: A Review of the Clinical Pharmacist Integration to the Multidisciplinary Health Care Team.

International journal of heart failure Pub Date : 2023-11-15 eCollection Date: 2024-01-01 DOI:10.36628/ijhf.2023.0022
Esteban Zavaleta-Monestel, Sebastián Arguedas-Chacón, Alonso Quirós-Romero, José Miguel Chaverri-Fernández, Bruno Serrano-Arias, José Pablo Díaz-Madriz, Jonathan García-Montero, Mario Osvaldo Speranza-Sanchez
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Abstract

Heart failure (HF) stands as a prevalent chronic ailment, imposing a substantial burden on global healthcare systems due to recurrent hospitalizations, intricate management, persistent symptoms, and polypharmacy challenges. The augmentation of patient safety and treatment efficacy across various care stages, facilitated by a multidisciplinary HF team inclusive of a clinical pharmacist, emerges as paramount. Evidence underscores that the collaborative engagement of a physician and a clinical pharmacist engenders proficient and secure management, forestalling avoidable adversities stemming from drug reactions and prescription inaccuracies. This synergistic approach tailors treatments optimally to individual patients. Post-discharge, the vulnerability of HF patients to re-hospitalization looms large, historically holding sway as the foremost cause of 30-day readmissions. Diverse strategies have been instituted to fortify patient well-being, leading to the formulation of specialized transitional care programs that shepherd patients effectively from hospital to outpatient settings. These initiatives have demonstrably curtailed readmission rates. This review outlines a spectrum of roles assumed by clinical pharmacists within the healthcare cohort, spanning inpatient care, transitional phases, and outpatient services. Moreover, it traverses a compendium of studies spotlighting the affirmative impact instigated by integrating clinical pharmacists into these fields.

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优化心力衰竭管理:临床药剂师融入多学科医疗团队的回顾。
心力衰竭(HF)是一种普遍存在的慢性疾病,由于反复住院、复杂的管理、持续的症状和多种药物治疗的挑战,给全球医疗保健系统带来了沉重的负担。在包括临床药剂师在内的多学科心房颤动团队的协助下,在各个护理阶段提高患者安全性和治疗效果显得至关重要。有证据表明,医生和临床药剂师的协作参与可实现熟练、安全的管理,避免因药物反应和处方不准确而造成本可避免的不良后果。这种协同增效的方法可为患者量身定制最佳治疗方案。出院后,高血压患者很容易再次住院,历来是 30 天再入院的首要原因。为了巩固患者的健康,我们采取了多种策略,制定了专门的过渡护理计划,将患者从医院有效地转移到门诊环境。这些举措明显降低了再入院率。本综述概述了临床药剂师在医疗保健群体中承担的一系列角色,涵盖住院护理、过渡阶段和门诊服务。此外,它还介绍了一系列研究,这些研究强调了临床药师融入这些领域所产生的积极影响。
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