The Critical Role of Ward-Based and Satellite Pharmacists in Improving Pharmaceutical Care in Hospital.

IF 0.8 Q4 PHARMACOLOGY & PHARMACY Journal of Research in Pharmacy Practice Pub Date : 2024-09-26 eCollection Date: 2024-01-01 DOI:10.4103/jrpp.jrpp_28_24
Fatemeh Afra, Fatemeh Amou Abedi, Faezeh Feizabadi, Amir Ali Mahboobipour, Mansoor Rastegarpanah
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Abstract

Objective: Medical errors are the third leading cause of death in the U. S., with medication mistakes being a common issue. Medication reconciliation (MR) involves comparing patients' orders with their existing medications to prevent errors. Pharmacists are ideally suited for MR tasks. Effective MR can reduce drug-related rehospitalizations. This study aimed to investigate medication errors among hospitalized patients and to evaluate the impact of ward-based and satellite pharmacists on the quality of drug administration services.

Methods: A descriptive cross-sectional study was conducted at Nikan General Hospitals in Tehran, Iran, over 6 months. We assessed the performance of ward-based and satellite pharmacists in various wards. All patient medication activities were meticulously monitored and recorded. Adjusted drug-related problem (DRP) codes were then used to identify medication errors and the corresponding interventions.

Findings: The study included 1682 patients, each experiencing at least one DRP. The data revealed a DRP prevalence of 6.44% (95% confidence interval: 6.15%-6.75%). A total of 2173 DRPs were identified, with 650 originating from intensive care units and the remaining 1523 from other wards. Notably, DRPs attributed to nurses (labeled as S2) constituted 18.36%, and those due to drug interactions (classified as D7) accounted for 13.48%. Following intervention, the most common pharmacist recommendations were initiating a medication (14.04%), discontinuing a medication (13.12%), changing a medication (11.38%), and reducing doses (11.09%).

Conclusion: Effective MR, supported by comprehensive training of medical staff such as physicians and nurses, can significantly reduce DRPs in hospitalized patients. Clinical pharmacists play a vital role in this context.

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病房药剂师和卫星药剂师在改善医院药品护理方面的关键作用。
目的:医疗事故是美国第三大死亡原因,而用药错误是一个常见问题。用药核对 (MR) 包括将病人的医嘱与现有药物进行比较,以防止出错。药剂师是执行 MR 任务的理想人选。有效的 MR 可以减少与药物相关的再次住院。本研究旨在调查住院患者的用药错误,并评估病房药剂师和卫星药剂师对药物管理服务质量的影响:在伊朗德黑兰的尼坎综合医院进行了为期 6 个月的描述性横断面研究。我们评估了病房药剂师和卫星药剂师在不同病房的表现。我们对所有病人的用药活动进行了细致的监控和记录。然后使用调整后的药物相关问题(DRP)代码来确定用药错误和相应的干预措施:研究包括 1682 名患者,每名患者至少经历过一次 DRP。数据显示,DRP 发生率为 6.44%(95% 置信区间:6.15%-6.75%)。共发现 2173 例 DRP,其中 650 例来自重症监护室,其余 1523 例来自其他病房。值得注意的是,归因于护士的 DRP(标记为 S2)占 18.36%,而归因于药物相互作用的 DRP(标记为 D7)占 13.48%。干预后,最常见的药剂师建议是开始用药(14.04%)、停药(13.12%)、换药(11.38%)和减少剂量(11.09%):在对医生和护士等医务人员进行全面培训的支持下,有效的 MR 可以显著减少住院患者的药物依赖性不良反应。临床药剂师在这方面发挥着至关重要的作用。
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来源期刊
Journal of Research in Pharmacy Practice
Journal of Research in Pharmacy Practice PHARMACOLOGY & PHARMACY-
自引率
0.00%
发文量
8
审稿时长
21 weeks
期刊介绍: The main focus of the journal will be on evidence-based drug-related medical researches (with clinical pharmacists’ intervention or documentation), particularly in the Eastern Mediterranean region. However, a wide range of closely related issues will be also covered. These will include clinical studies in the field of pharmaceutical care, reporting adverse drug reactions and human medical toxicology, pharmaco-epidemiology and toxico-epidemiology (poisoning epidemiology), social aspects of pharmacy practice, pharmacy education and economic evaluations of treatment protocols (e.g. cost-effectiveness studies). Local reports of medication utilization studies at hospital or pharmacy levels will only be considered for peer-review process only if they have a new and useful message for the international pharmacy practice professionals and readers.
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