Development of clinical pharmacy services in Australia, Austria, Belgium, Bosnia-Herzegovina, Canada, Germany, Japan, Kosovo, Switzerland, the Netherlands, Thailand, USA and correlation with educational standards, level of research, and implemen

Rose, Olaf; Derendorf, Hartmut; Erzkamp, Susanne; Fujita, Kenji; Härtl, Alexander; Hoti, Kreshnik; Krass, Ines; Obarčanin, Emina; Saevels, Jan; Srimongkon, Pornchanok; Teichert, Martina; Tsuyuki, Ross T.

doi:10.5414/cp203264

Cited by 17 publications

(9 citation statements)

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“…In France, the ratio of hospital pharmacists to hospital beds is quite low compared to Anglo-Saxon countries (such as Australia), resulting in limited pharmaceutical care activity dedicated to patients ( Roulet et al, 2014 ; Weier et al, 2018 ; Pourrat et al, 2020 ). In Canada, the United States, and Australia the priority for increasing the efficiency of clinical pharmacy activity in hospitals has been the assignment of clinical pharmacists directly to the wards ( Rose et al, 2018 ). These differences reflect a lack of confidence in clinical pharmacy activity among European health economists ( Garattini et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Acceptance Factors for In-Hospital Pharmacist Interventions in Daily Practice: A Retrospective Study

et al. 2022

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Introduction: Performing pharmacist interventions (PIs) during the medication review helps to improve the quality of care. The acceptance by the physician of these PIs is a good indicator of the quality of this clinical pharmacy activity. The objective of this study was to determine, in the Amiens-Picardie teaching hospital (France), factors of acceptance in a variable environment of activity (central pharmacy, in the care units, computer assisted).Methods: All PIs transcribed by pharmacists on the Act-IP© site between November 2018 and April 2019 were analyzed using a complementary search in patient records. The environment, type, and clinical impact on patient health of each PI was collected. Linear mixed-effects models with a random pharmacist intercept were used to investigate the relationship between PI modalities and their chance of being accepted.Results: A total of 3,100 PIs were traced, of which 2,930 had been followed over time. Of these, 2,930 PIs, 1,504 (51.3%) were performed by a postgraduate pharmacist and 1,426 (48.7%) by a pharmacy resident, 1,623 (55.4%) were performed by verbal exchange, 455 (15.5%) by telephone, 846 (28.9%) by computer software, and 6 (0.2%) by paper. The clinical impact on patient health was major for 976 PIs (33.3%) and vital for 26 PIs (0.9%). According to the Anatomical Therapeutic Chemical Classification (ATC), they were mainly related to anti-infectives (30.3%), the nervous system (18.7%), and blood and blood-forming organs (17.3%). In total, 2,415 PIs (82.4%) were accepted. According to the multivariate model, a PI was more often accepted when it was transmitted orally rather than by software (+27.7%, 95% CI: +23.2 to +32.1%) and when it was transmitted to a medical resident rather than a postgraduate physician (+4.4%, 95% CI: 1.2–7.6%). In these cases, there was a major rather than a moderate clinical impact on patient health (+4.3%, 95% CI: +1.1–+7.6%).Conclusion: This study highlights the importance of the quality of the exchange with the prescriber and the prioritization of high-risk interventions as key points of medication review to improve rate of pharmacist interventions accepted by physician.

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Section: Introductionmentioning

confidence: 99%

Acceptance Factors for In-Hospital Pharmacist Interventions in Daily Practice: A Retrospective Study

et al. 2022

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“…The positive clinical and economic outcomes of their interventions have been well established for many decades in North America, Australia, and European countries. 12 , 14–18 …”

Section: Introductionmentioning

confidence: 99%

Implementation and Evaluation of Clinical Pharmacy Services on Improving Quality of Prescribing in Geriatric Inpatients in Vietnam: An Example in a Low–Resources Setting

Dong¹,

Pham²,

Dinh³

et al. 2022

CIA

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Purpose Geriatric inpatients generally have a high risk of drug-related problems (DRP) in prescribing following hospital admission, which are likely to cause negative clinical consequences. This is particularly evident in developing countries such as Vietnam. Therefore, clinical pharmacy service (CPS) aims to identify and resolve these DRPs to improve the quality use of medicines in the older population following hospital admission. Patients and Methods The study was conducted as a prospective, single-center study implemented at a general public hospital in Hanoi. Patients aged ≥60 years with at least three chronic diseases admitted to the Internal Medicine Department between August 2020 and December 2020 were eligible to be enrolled. A well-trained clinical pharmacist provided a structured CPS to identify any DRP in prescribing for each patient in the study. Clinical pharmacist interventions were then proposed to the attending physicians and documented in the DRP reporting system. Results A total of 255 DRP were identified in 185 patients during the study period. The most frequent types of DRP were underuse (21.2%), dose too high (12.2%), and contraindication (11.8%). There was a very high rate of approval and uptake by the physicians regarding the interventions proposed by the clinical pharmacist (82.4% fully accepted and 12.5% partially accepted). Of the interventions, 73.4% were clinically relevant (pADE score ≥0.1). In general, 9 out of 10 physicians agreed that CPS has significant benefits for both patients and physicians. Conclusion Improving clinical pharmacy services can potentially have a positive impact on the quality of prescribing in elderly inpatients. These services should officially be implemented to optimize the quality use of medicines in this population group in Vietnam.

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“…Given the expertise of pharmacists in drug therapy and medication safety, they are key in preventing medication-related risks and errors 10. The establishment of clinical pharmacy services in hospital practice has evolved at a different pace across different countries over the past two decades 11. Despite the unrefutable evidence of its benefit, pharmacist involvement at all TOC points is not yet standard practice.…”

Section: Introductionmentioning

confidence: 99%

Development of hospital pharmacy services at transition of care points: a scoping review

Stoll,

Weidmann

2024

Eur J Hosp Pharm

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BackgroundSeveral hospital pharmacy services exist, which take place at different interfaces of patient care. Although they are an important tool for improving medication safety, they are not yet sufficiently implemented in hospitals around the world.ObjectiveThis scoping review aims to summarise different hospital pharmacy services at transition of care (TOC) points in order to identify development trends and practice patterns in high-income countries over the past decade.MethodsA literature search of four databases (PubMed, PubPharm, Cochrane Library (Ovid) and ScienceDirect) since 2011 was conducted. A detailed search strategy was developed and refined with the help of a research librarian. Title, abstract and full-text selection was carried out by two researchers independently. The study was reported in accordance with the PRISMA-ScR items to ensure quality standard reporting. Only studies originating from developed countries and published in the English language were included. The data obtained were extracted and summarised using a data extraction form developed to meet the research aims of the study.ResultsOf the 5456 search results, 65 studies met the inclusion criteria. These originated from Europe (n=29), North America/Canada (n=28), Australia (n=7) and Asia (n=1). Individual TOC services such as medication reconciliation and medication review on admission and at discharge were the main focus of published literature practice patterns between 2011 and 2016, after which a more holistic TOC service started to emerge that follows patients across all TOC points during their hospital stay. Facilitators and barriers were consistently dependent on resources and infrastructure. Clinical and economic outcomes show a mixed picture.ConclusionDuring the past decade pharmaceutical services have developed more holistic TOC services. Large-scale high-quality studies are needed to reliably determine clinical and economic benefit.

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Development of clinical pharmacy services in Australia, Austria, Belgium, Bosnia-Herzegovina, Canada, Germany, Japan, Kosovo, Switzerland, the Netherlands, Thailand, USA and correlation with educational standards, level of research, and implemen

Cited by 17 publications

References 0 publications

Acceptance Factors for In-Hospital Pharmacist Interventions in Daily Practice: A Retrospective Study

Acceptance Factors for In-Hospital Pharmacist Interventions in Daily Practice: A Retrospective Study

Implementation and Evaluation of Clinical Pharmacy Services on Improving Quality of Prescribing in Geriatric Inpatients in Vietnam: An Example in a Low–Resources Setting

Development of hospital pharmacy services at transition of care points: a scoping review

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