Comparison of a pharmacist–hospitalist collaborative model of inpatient care with multidisciplinary rounds in achieving quality measures

Okere, Arinze Nkemdirim; Renier, Colleen M.; Willemstein, Megan

doi:10.2146/ajhp150225

Cited by 11 publications

(20 citation statements)

References 8 publications

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“…Of these, four studies of 3212 patients (n = 12; 33%) reported a statistically significant positive effect , and one study of 199 patients (n = 12; 8%) reported a negative result . Considering only LOS of index admission, three studies of 3171 patients (n = 12; 25%) showed a positive effect reducing LOS on average by 1.4 days . One study of 833 patients (n = 2; 50%) reported a reduction in LOS of the first readmission within 12 months after index admission .…”

Section: Resultsmentioning

confidence: 97%

“…. In total, 11,896 publications were imported, 544 full texts were read, and 28 publications were included in the analysis.…”

Section: Resultsmentioning

confidence: 99%

“…The total amount of patients in the 28 studies was 18.113 patients. For four studies, the number of patients in the intervention and control group was purposefully dissimilar . All 28 studies included adults, and the mean age ranged from 58 to 85 years.…”

Section: Resultsmentioning

confidence: 99%

“…Of these, seven studies of 4866 patients (n = 16; 44%) reported a significant positive difference . The remaining nine studies of 9741 patients reported a non‐significant result . The follow‐up time varied between 3 days and 1 year.…”

Section: Resultsmentioning

confidence: 99%

“…LOS and time to revisit were investigated by 12 studies of 11,519 patients (table ) . Of these, four studies of 3212 patients (n = 12; 33%) reported a statistically significant positive effect , and one study of 199 patients (n = 12; 8%) reported a negative result . Considering only LOS of index admission, three studies of 3171 patients (n = 12; 25%) showed a positive effect reducing LOS on average by 1.4 days .…”

Section: Resultsmentioning

confidence: 99%

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Multifaceted Pharmacist‐led Interventions in the Hospital Setting: A Systematic Review

Skjøt‐Arkil

Lundby

Kjeldsen³

et al. 2018

Basic Clin Pharma Tox

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Clinical pharmacy services often comprise complex interventions. In this MiniReview, we conducted a systematic review aiming to evaluate the impact of multifaceted pharmacist-led interventions in a hospital setting. We searched MEDLINE, Embase, Cochrane Library and CINAHL for peer-reviewed articles published from 2006 to 1 March 2018. Controlled trials concerning hospitalized patients in any setting receiving patient-related multifaceted pharmacist-led interventions were considered. All types of outcome were accepted. Inclusion and data extraction were performed. Study characteristics were collected, and risk of bias assessment was conducted utilizing the Cochrane Risk of Bias tools. All stages were conducted by at least two independent reviewers. The review was registered in PROSPERO (CRD42017075808). A total of 11,896 publications were identified, and 28 publications were included. Of these, 17 were conducted in Europe. Six of the included publications were multi-centre studies, and 16 were randomized trials. Usual care was the comparator. Significant results on quality of medication use were reported as positive in eleven studies (n = 18; 61%) and negative in one (n = 18, 6%). Hospital visits were reduced significantly in seven studies (n = 16; 44%). Four studies (n = 12; 33%) reported a positive significant effect on either length of stay or time to revisit, and one study reported a negative effect (n = 12; 6%). All studies investigating mortality (n = 6), patient-reported outcome (n = 7) and cost-effectiveness (n = 1) showed no significant results. This MiniReview indicates that multifaceted pharmacist-led interventions in a hospital setting may improve the quality of medication use and reduce hospital visits and length of stay, while no effect was seen on mortality, patient-reported outcome and cost-effectiveness.

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Section: Resultsmentioning

confidence: 97%

“…. In total, 11,896 publications were imported, 544 full texts were read, and 28 publications were included in the analysis.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Multifaceted Pharmacist‐led Interventions in the Hospital Setting: A Systematic Review

Skjøt‐Arkil

Lundby

Kjeldsen³

et al. 2018

Basic Clin Pharma Tox

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Characterization of clinical pharmacist and hospitalist collaborative relationships

Olin

Anderson

Hellwig

et al. 2020

J Am Coll Clin Pharm

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Introduction: Hospitalists provide inpatient care including coordinating with other providers and transitioning care to the community. Clinical pharmacists interact with hospitalists, usually on multidisciplinary teams. A statement by the American Society of Health-System Pharmacists and the Society of Hospital Medicine promotes collaboration and encourages interdisciplinary optimization of patient care. However, literature detailing this collaboration is sparse. It is unclear how to utilize these joint working relationships most effectively. Objectives: The purpose of this study was to describe the environment of pharmacist and hospitalist collaborative relationships and activities of pharmacists practicing with hospitalists for foundational information. Methods: This was a cross-sectional study. An Institutional Review Board-approved survey was distributed to pharmacists and hospitalists via email. Questions considered the team and the environment, clinical pharmacist activities related to the pharmacists' patient care process, and perceived barriers to effective teamwork. Results were analyzed with descriptive statistics. Results: Seventy pharmacists and 25 hospitalists participated in the survey. Most were from the Midwest or Southeast United States and practicing up to 10 years in a large health care system. Pharmacists spent the most time on development of a therapeutic plan (1-5 ranking scale [1 = most, 5 = least time spent]; median 2; range 1-5.) There were variations in responses related to the institutional staffing model allowing for collaboration with hospitalists, whether technology enhanced collaboration and additional job responsibilities hindered collaboration, and whether absence of pharmacy participation on rounds was noticed. Most hospitalists (68%) initiated frequent communication with a pharmacist. Hospitalists (32%) would collaborate with a pharmacist more frequently if a specific individual was designated for the position.

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Predictors of Hospital Length of Stay and Readmissions in Ischemic Stroke Patients and the Impact of Inpatient Medication Management

Okere

Renier

Frye

2016

Journal of Stroke and Cerebrovascular Diseases

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Comparison of a pharmacist–hospitalist collaborative model of inpatient care with multidisciplinary rounds in achieving quality measures

Cited by 11 publications

References 8 publications

Multifaceted Pharmacist‐led Interventions in the Hospital Setting: A Systematic Review

Multifaceted Pharmacist‐led Interventions in the Hospital Setting: A Systematic Review

Characterization of clinical pharmacist and hospitalist collaborative relationships

Predictors of Hospital Length of Stay and Readmissions in Ischemic Stroke Patients and the Impact of Inpatient Medication Management

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