Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety

White, Annesha; Fulda, Kimberly; Blythe, Rachel; Chui, Michelle A.; Reeve, Emily; Young, Richard A.; Espinoza, Anna; Hendrix, Noah; Xiao, Yan

doi:10.1080/14740338.2022.2147923

Cited by 9 publications

(4 citation statements)

References 45 publications

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“…Indeed, a meta-analysis showed that a multidisciplinary collaboration as an intervention to reduce medication errors in the primary care setting tended to be effective (estimated reduction of 1% in hospital admissions, 29% in emergency department visits, and 2% in mortality) 21 . Two more recent systematic reviews (2022) reached the same conclusions, specifically on the pharmacist-nurse collaboration in primary care: it improved disease management, prevented adverse drug events, and reduced hospitalizations 22,23 .…”

Section: Discussionmentioning

confidence: 83%

Current Practice in Weekly Pillbox Preparation and Perceived Added Value of Future Collaboration between Community Pharmacists and Home Care Nurses in Belgium

Crunenberg,

Ethgen,

Simon

2023

Journal of Advanced Pharmacy Research

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Background: Medication-related errors represent a public health burden but are mainly preventable. A strategy to reduce medication errors could be pharmacist-nurse collaboration in weekly pillbox preparation. Unfortunately, there is little inventory in the literature on the actual pharmacist-nurse collaboration in weekly pillbox preparation and its added value in the healthcare practice. Objective: To assess the weekly pillbox preparation practices among home care nurses and community pharmacists, their collaboration for this service, and its added value, ultimately aiming to promote patient safety. Methods: An extensive survey was launched in French-speaking Belgium in 2022. The study occurred across two populations: home care nurses and community pharmacists in French-speaking Belgium. A self-administered questionnaire was developed. Three main outcomes were reported: the pillbox preparation, the medication plan, and the opinion about the pharmacist-nurse collaboration. A descriptive statistical analysis was carried out. Results: A total of 260 home care nurses and 204 community pharmacists answered the questionnaire. Our survey showed that weekly pillbox preparation was mainly performed by home care nurses (100%) than by community pharmacists (49%) in the primary care of the Belgian health system. There was only sometimes (or even no) remuneration for this service. Most home care nurses (82.7%) and community pharmacists (57.6%) have already pointed out errors in the medication plan used for the weekly pillbox preparation. The pharmacist-nurse collaboration for the weekly pillbox preparation was rare in Belgium. However, the majority of community pharmacists and home care nurses (more than 90% of both groups) would like to collaborate for this act, with the principal motivation of improving patient safety. Conclusion: Our survey showed that pharmacistnurse collaboration in the weekly pillbox preparation was perceived as helpful in primary care with the ultimate goal of patient safety. Further studies are needed to examine the impact of this intervention and if it could be cost-effective.

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Section: Discussionmentioning

confidence: 83%

Current Practice in Weekly Pillbox Preparation and Perceived Added Value of Future Collaboration between Community Pharmacists and Home Care Nurses in Belgium

Crunenberg,

Ethgen,

Simon

2023

Journal of Advanced Pharmacy Research

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“…The lack of community pharmacist's time to provide clinical services was cited by White, et al [37]. The success of CPA services would require innovative community pharmacist staffing arrangements with dedicated time for medication monitoring and management services without dispensing responsibilities.…”

Section: Barriers To Community Pharmacist Integrationmentioning

confidence: 99%

Return to Work after Uncomplicated Acute Myocardial Infarction

2024

J Family Med Prim Care Open Acc

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Introduction: Community pharmacists are highly trained and accessible health professionals. Over 95% of the US public is within 10 miles of a community pharmacy. This study characterizes current community pharmacist-primary care provider (PCP) communications, and PCP perspectives on establishing medication-related services and collaborative practice agreements (CPAs) with community pharmacists to improve public health. Methods: PCPs responded to an online, cross-sectional survey from December 2020 to January 2021. Results: Of 222 PCP respondents, nearly 50% of PCPs or staff members communicated weekly with community pharmacists about prescriptions, and 66% of PCPs were not aware of community pharmacists' capabilities to monitor and manage medications. Only 31% of PCPs were aware that community pharmacists use Collaborative Practice Agreements (CPA). PCPs with less than 16 years of practice experience agreed that community pharmacists working with a CPA could decrease their clinical workload burden. Facilitators of PCP support for community pharmacists providing medication monitoring and management services included positive patient feedback, patient outcome improvement, and patient perception of the community pharmacist as a primary care team member. PCP perceived barriers were the lack of PCP knowledge of community pharmacist clinical training, no dedicated pharmacist time to provide direct patient care services, minimal pharmacist experience in providing medication monitoring and management, and poor documentation of community pharmacist services in electronic health records. Conclusion: Opportunities exist for greater community pharmacist-PCP collaboration to improve chronic disease patient outcomes. Given their public accessibility, community pharmacist medication monitoring and management services should be considered to improve public health.

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“…Research suggests that clear frameworks, guidelines, and expectations promote clarity, understanding, and accountability within teams, reducing conflicts and improving collaboration [49,50]. Moreover, regular communication and well-defined decision-making processes establish a shared understanding and facilitate smoother team interactions [51]. By incorporating these strategies informed by empirical data, universities can create an environment conducive to effective collaboration, conflict resolution, and positive team dynamics during collaborative tasks among university undergraduate students.…”

Section: Question 2 Theme 2: Establishing Clear Guidelines and Expect...mentioning

confidence: 99%

Addressing Potential Conflict among University Students during Collaborative Tasks

Omodan,

Skosana

2023

Education Sciences

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This study addresses potential conflicts during collaborative tasks among university undergraduate students and presents strategies to mitigate such conflicts at a university in South Africa. Drawing on the unique context of South Africa, characterised by its rich cultural diversity and historical challenges, Social Identity Theory (SIT) was used to theorise the study within a transformative paradigm, qualitative approach and participatory research design. Ten undergraduate students were sampled and interviewed. Thematic analysis was employed to make sense of the data. The study found that a lack of a culture of open dialogue and clear guidelines and expectations leads to conflict, and the study also found that promoting a culture of open dialogue and establishing clear guidelines and expectations during collaborative projects can help prevent potential conflicts among university undergraduate students during collaborative engagement. The study concludes that promoting a culture of open dialogue and fostering establishing clear guidelines and expectations provide undergraduate students with the tools to manage group conflicts.

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Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety

Cited by 9 publications

References 45 publications

Current Practice in Weekly Pillbox Preparation and Perceived Added Value of Future Collaboration between Community Pharmacists and Home Care Nurses in Belgium

Current Practice in Weekly Pillbox Preparation and Perceived Added Value of Future Collaboration between Community Pharmacists and Home Care Nurses in Belgium

Return to Work after Uncomplicated Acute Myocardial Infarction

Addressing Potential Conflict among University Students during Collaborative Tasks

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