Drug-related problems identified by clinical pharmacist's students and pharmacist's interventions

Al‐Hajje, Amal; Atoui, F.; Awada, Sanaa; Rachidi, Samar; Zein, Sharif Hussein Sharif; Salameh, Pascale

doi:10.1016/j.pharma.2012.02.004

Cited by 42 publications

(60 citation statements)

References 23 publications

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“…It differs with study conducted by Al-Hajje et al [13], Ayalew et al [14], and Huri and Wee [15] where drug interactions was the most frequent of DRPs. Drug interactions in the study involve drug interaction between amlodipine and simvastatin (2); captopril and allopurinol (2); levofloxacin and ondansetron (1); aspirin and clopidogrel (1); ketorolac and amlodipine (1); potassium supplement and blood infusion (1).…”

Section: Drug Use Without Indication Was the Second Most Cause Of Drpcontrasting

confidence: 78%

A Study of Drug Related Problem in Urologic Patients: a Cohort Prospective Study

Faizah

Diniya

2017

Asian J Pharm Clin Res

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Objective: Drug Related problems (DRPs) are the clinical domain of the pharmaceutical care practitioner. The purpose of identifying drug therapy problems is to help patients on achieving their goals of therapy and realizing the best possible outcomes from drug therapy. The purpose of this study was to determine the number of DRPs and to classify DRPs that occurred in post-operative patients from urology surgery ward. Methods:A 3-month prospective study was conducted by considering 62 hospitalized post-operative patients from urology surgery ward at the Teaching Hospital in Surabaya, East Java, Indonesia. Clinical pharmacists were involved in medical rounds to identify DRPs.Results: From 37 patients, 81 DRPs were identified in this study. About 20 patients were considered to have more than one DRP. The most common identified DRPs were overdosage (38%), drug use without indication (20%), improper drug (11%), drug interaction (10%), untreated indication (9%), adverse drug reaction (7%), failure to receive drug (4%), and subtherapeutic drugs (1%). The clinical pharmacists were involved in doing dose adjustment, monitoring, evaluating drug discontinuation, doing drug substitution and additional therapy, counseling to patients, increasing dose, and referring to prescriber. Conclusion:The most identified DRPs were overdosage, drug use without indication, and improper drug. Clinical pharmacist's intervention was required to identify, prevent, resolve DRPs, and assist patient on achieving their goals of therapy and improving their quality of life.

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Section: Drug Use Without Indication Was the Second Most Cause Of Drpcontrasting

confidence: 78%

A Study of Drug Related Problem in Urologic Patients: a Cohort Prospective Study

Faizah

Diniya

2017

Asian J Pharm Clin Res

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“…An 80% acceptance rate for pharmaceutical interventions was also noted in several studies (Al-Hajje et al, 2012;Arroyo et al, 2009;Conde et al, 2006;Soria et al, 2011;Torner et al, 2003). A study conducted by López et al (2011) described a 100% acceptance rate.…”

Section: Discussionmentioning

confidence: 58%

Impact of pharmacy residents in pharmaceutical hospital care

Aguilera¹,

Matos²,

Ganassin

et al. 2015

Afr. J. Pharm. Pharmacol.

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The study aimed to identify and analyze drug-related problems (DRP), negative outcomes associated with medication (NOM) and the impact of pharmaceutical performance through interventions by pharmacy residents at the University Hospital of Campo Grande, Mato Grosso do Sul, Brazil. This retrospective, cross-sectional single-center study analyzed data registered in Pharmaceutical Intervention forms recorded by pharmacy residents between March 2011 and February 2012. DRP and NOM were classified according to the definitions proposed by the Third Consensus of Granada (2007). A total of 256 pharmaceutical interventions from 155 patients were registered, of which 50.78% were from patients of 60 years of age or above. Majority of interventions took place in the surgery wards, medical clinic and adult intensive care unit, with 89.06% of interventions being accepted. Among these interventions, 401 DRP, of which 21.07% were related to the probability of adverse effects, and 298 NOM, of which 33.87% were related to non-quantitative safety problems, were observed. Anti-infectives for systemic use were shown to be the group most often involved with DRP. Treatment effectiveness was the reason for intervention in 80.23% of forms. A close relationship between physicians and pharmacists ensures more rapid identification of prescription errors, possible adverse effects, DRP and NOM. Despite of the issue importance, the published studies on the topic remains scarce. The results of studies that evaluate DRP and NOM collaborate with the analysis of the pharmaceutical service provided to hospitalized patients in the present study.

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“…In another recently conducted studies in Beirut, it has been illustrated that addition of drugs (31 %) was one of the common interventions recommended by pharmacist [18]. In addition, another study suggested that drugs cessation was the most recurrent (31.9 %) suggestion offered by the intervening pharmacist followed by changes in the frequency of administration (21.3 %) and changes in the drug dose (19.1 %) [19].…”

Section: Discussionmentioning

confidence: 99%

Impact of pharmacist intervention in patient counseling at point of hospital discharge in a specialized cardiac center in Saudi Arabia

Assiri¹,

Khurshid²,

Almutairi³

et al. 2017

Trop. J. Pharm Res

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%). The most common reason for adding the drug during patient counseling was the omission of medications (35 %). Angiotensin-converting enzyme inhibitors/angiotensin receptor blockers (ACEI/ARBs), antidiabetics and antihyperlipidemics were the classes of drugs often associated with counseling pharmacist interventions. The cost-saving interventions identified were 200 (39.4 %). Out of these, drug discontinuation (n = 143) was the most frequent suggestion provided by the intervening pharmacist, followed by a dose reduction resulting in cost savings of 66.5 % (US $ 6,590.10) and 8.9 % (US $ 882.32), respectively. Conclusion:The results indicate that discharge medication discrepancies decrease as a result of pharmacist-facilitated patient counseling at the point of hospital discharge.

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Drug-related problems identified by clinical pharmacist's students and pharmacist's interventions

Cited by 42 publications

References 23 publications

A Study of Drug Related Problem in Urologic Patients: a Cohort Prospective Study

A Study of Drug Related Problem in Urologic Patients: a Cohort Prospective Study

Impact of pharmacy residents in pharmaceutical hospital care

Impact of pharmacist intervention in patient counseling at point of hospital discharge in a specialized cardiac center in Saudi Arabia

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