Acceptance and importance of clinical pharmacists’ LIMM-based recommendations

Bondesson, Åsa Åb; Holmdahl, Lydia; Midlöv, Patrik; Höglund, Peter; Andersson, Emmy; Eriksson, Tommy

doi:10.1007/s11096-012-9609-3

Cited by 35 publications

(37 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Drug-related problems found, % (95 % CI) 31 (29)(30)(31)(32)(33) Interventions, n (%) 537 (31) Acceptance rate for Interventions…”

Section: Timingmentioning

confidence: 99%

“…How interventions are communicated between pharmacists and physicians highly affect acceptance rates, and face-to-face communication has been recognised to be an important factor leading to the highest acceptance rate [29][30][31]. However, this form of communication can be difficult in acute wards with a high-paced workflow.…”

Section: Introductionmentioning

confidence: 99%

“…The rate with which pharmacists' interventions are accepted and implemented by physicians in hospital settings varies considerably in the literature, though most acceptance rates reported are between 50 and 100 % [1, 21-23, 29, 31-39]. Again, this is highly dependent on the way the acceptance rate is defined within the study [29].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Clinical pharmacist service in the acute ward

Nielsen

Andersen

Rasmussen³

et al. 2013

Int J Clin Pharm

View full text Add to dashboard Cite

Background The majority of hospitalised patients have drug-related problems. Clinical pharmacist services including medication history, medication reconciliation and medication review may reduce the number of drug-related problems. Acute and emergency hospital services have changed considerably during the past decade in Denmark, and the new fast-paced workflows pose new challenges for the provision of clinical pharmacist service. Objective To describe and evaluate a method for a clinical pharmacist service that is relevant and fit the workflow of the medical care in the acute ward. Setting Acute wards at three Danish hospitals. Methods The clinical pharmacist intervention comprised medication history, medication reconciliation, medication review, medical record entries and entry of prescription templates into the electronic medication module. Drug-related problems were categorised using The PCNE Classification V6.2. Inter-rater agreement analysis was used to validate the tool. Acceptance rates were measured as the physicians' approval of prescription templates and according to outcome in the PCNE classification. Main outcome measure Acceptance rate of the clinical pharmacists' interventions through the described method and inter-rater agreement using the PCNE classification for drug-related problems. Results During 17 months, 188 patients were included in this study (average age 72 years and 55 % women). The clinical pharmacists found drug-related problems in 85 % of the patients. In the 1,724 prescriptions, 538 drug-related problems were identified. The overall acceptance rate by the physicians for the proposed interventions was 76 % (95 % CI 74-78 %). There was a substantial inter-rater agreement when using the PCNE classification system. Conclusion The methods for a clinical pharmacist service in the acute ward in this study have been demonstrated to be relevant and timely. The method received a high acceptance rate, regardless of no need for oral communication, and a substantial inter-rater agreement when classifying the drug-related problems.

show abstract

“…Drug-related problems found, % (95 % CI) 31 (29)(30)(31)(32)(33) Interventions, n (%) 537 (31) Acceptance rate for Interventions…”

Section: Timingmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical pharmacist service in the acute ward

Nielsen

Andersen

Rasmussen³

et al. 2013

Int J Clin Pharm

View full text Add to dashboard Cite

show abstract

“…This LIMM-DI is given to the patient and sent to their primary care representative. The LIMM model, which has been investigated in four PhD theses and 14 studies, improves the appropriateness of medications, reduces the number of transmission errors and halves the number of medication-related contacts with healthcare professionals 5–10. The pharmacist's role and actions are seen as important 6 10…”

Section: Introductionmentioning

confidence: 99%

The hospital LIMM-based clinical pharmacy service improves the quality of the patient medication process and saves time

Eriksson

Holmdahl

Midlöv³

et al. 2012

Eur J Hosp Pharm

Self Cite

View full text Add to dashboard Cite

“…The errors were not assessed for their harm and severity. In a previous study,20 we have assessed clinical consequences of the discrepancies using the same methods as in this study; 83% of the discrepancies were ranked 3 (somewhat significant) or higher and almost half (49%) were ranked 4 (significant) or higher.…”

Section: Discussionmentioning

confidence: 99%

The rate and nature of medication errors among elderly upon admission to hospital after implementation of clinical pharmacist-led medication reconciliation

et al. 2014

Self Cite

View full text Add to dashboard Cite

Objectives To determine the frequency and nature of erroneous transfer of medication information (medication errors) upon admission to hospital and to study the effect of medication reconciliation. Methods Included patients were 65 years of age or older, were living in nursing homes or in their own home with care provided by the community nursing system and had been admitted to hospital. The patients’ medication lists from the community were compared with the hospital medication lists upon admission in order to study the discrepancies between the lists. The proportion of errors that were corrected by day 4 of hospitalisation was also studied as a measure of the effect of medication reconciliation conducted by clinical pharmacists who aimed to identify the patients’ accurate and complete medication history. Results A total of 149 patients were included over a 10-month period. In 68 (46%) patients, there occurred at least one medication error, with an average of 0.95 errors per patient. Overall, 8.0% of all drug transfers were found to be incorrect. The clinical pharmacists detected all medication errors upon admission and 43% of them were corrected before day 4 of hospitalisation. Conclusions Medication errors upon admission to hospital are common; use of clinical pharmacists in the admission medication reconciliation process appears to be a useful method to reduce medication errors, but since our study lacked a control group further studies are needed to show the actual impact of pharmacist-led medication reconciliation upon admission to hospital. Furthermore, more actions are needed to enhance the safety and quality of medication information transfers.

show abstract

Acceptance and importance of clinical pharmacists’ LIMM-based recommendations

Cited by 35 publications

References 8 publications

Clinical pharmacist service in the acute ward

Clinical pharmacist service in the acute ward

The hospital LIMM-based clinical pharmacy service improves the quality of the patient medication process and saves time

The rate and nature of medication errors among elderly upon admission to hospital after implementation of clinical pharmacist-led medication reconciliation

Contact Info

Product

Resources

About