Clinical pharmacy services in an Iranian teaching hospital: a descriptive study

Dashti‐Khavidaki, Simin; Khalili, Hossein; Hamishehkar, Hadi; Shahverdi, Sheida

doi:10.1007/s11096-009-9336-6

Cited by 22 publications

(23 citation statements)

References 17 publications

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“…Thanks to the evolution of clinical pharmacy in Iran and the increased cooperation of clinical pharmacists in multidisciplinary team, they have played a beneficial role in implementing new services to address various problems in different clinical settings such as infectious diseases wards [17][18][19]. Controlling blood glucose is difficult in hospitalized patients especially among those with infectious diseases [20].…”

Section: Discussionmentioning

confidence: 99%

Glycemic control in the infectious diseases ward; role of clinical pharmacist interventions

Farsaei

Karimzadeh

Elyasi

et al. 2014

J Infect Dev Ctries

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Introduction: Hyperglycemia is one of the most frequent metabolic complications in hospitalized patients. Increased risk of infection following hyperglycemia has been reported in hospitalized patients and infections may also cause insulin resistance which complicates the control of blood glucose level. In this study the impact of the clinical pharmacist interventions on the glycemic control in patients admitted to infectious diseases ward has been evaluated. Methodology: We conducted a prospective, pre-post interventional study among patients with hyperglycemia. The clinical pharmacist-led multidisciplinary team managed the glycemic profile of patients according to an established insulin protocol commonly used in internal wards. Clinical pharmacists reviewed patients' medical charts for proper insulin administration, evaluated nurses' technique for insulin injection and blood glucose measurement, and educated patients about symptoms of hypoglycemia and the importance of adherence to different aspects of their glycemic management. Results: The percentage of controlled random blood sugar increased from 13.8% in the pre-intervention to 22.3% in the post-intervention group (p value < 0.01). On the other hand, the percentage of controlled fasting blood sugars in the post-intervention group was nonsignificantly higher than in the pre-intervention group. Conclusion: Pharmacists and additional health care providers from other departments such as nursing and dietary departments need to be devoted to glycemic control service. Collaborative practice agreement between physicians is necessary to promote this service and help to increase the use of such services in different settings for diabetes control.

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Section: Discussionmentioning

confidence: 99%

Glycemic control in the infectious diseases ward; role of clinical pharmacist interventions

Farsaei

Karimzadeh

Elyasi

et al. 2014

J Infect Dev Ctries

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“…We were not able to identify any adequate study from developing countries reporting TRPs or the impact of proper clinical pharmacy service on hospitalized patients. We have identified only few reports of very small sample size or studies describing limited or disease specific clinical pharmacy service [34][35][36][37][38]. The main aim of the current study was to identify the prevalence and characteristics of TRPs in hospitalized internal medicine patients in Jordan.…”

Section: Discussionmentioning

confidence: 99%

Comprehensive assessment of treatment related problems in hospitalized medicine patients in Jordan

et al. 2011

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We have found that prevalence of TRPs is substantially high among patients hospitalized at the internal medicine department. TRPs related to Dosage regimens, untreated conditions, patient monitoring, drug interactions, and drug choices were the most common. Most of TRPs identified by pharmacists were clinically significant. Pharmacists' interventions contributed substantially to the resolving of many of the identified TRPs. Patients suffering from higher number of medical conditions and receiving higher number of medications should be given the priority for clinical pharmacy service in hospitalized internal medicine patients.

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“…Studies have shown the benefit of pharmacist's interventions in improving patients' outcomes by involving in the health care team rounds, interviewing patients, reconciling medications, and providing patient discharge counseling and follow-up [6][7][8][9][10][11][12]. Clinical pharmacists actively participated in medical treatment team in the teaching hospitals in Iran.…”

Section: Discussionmentioning

confidence: 99%

Role of clinical pharmacists’ interventions in detection and prevention of medication errors in a medical ward

et al. 2011

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Clinical pharmacy services in an Iranian teaching hospital: a descriptive study

Abstract: These results support the importance of clinical pharmacists' participation in health care team rounds to improve the overall quality of medication therapy, enhance patient care and outcome and reduce drug costs to patients and society.

Cited by 22 publications

References 17 publications

Glycemic control in the infectious diseases ward; role of clinical pharmacist interventions

Glycemic control in the infectious diseases ward; role of clinical pharmacist interventions

Comprehensive assessment of treatment related problems in hospitalized medicine patients in Jordan

Role of clinical pharmacists’ interventions in detection and prevention of medication errors in a medical ward

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