Economic effects of clinical pharmacy interventions: A literature review

Rijdt, Thomas De; Willems, Ludo; Simoens, Steven

doi:10.2146/ajhp070506

Cited by 144 publications

(112 citation statements)

References 36 publications

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“…Adverse drug events are shown to decrease significantly when the patient has access to a clinical pharmacist, who can actively engage in managing the patient's medicine. 1 By encouraging pharmacists to practice at the top of their field, patients benefit from better use of the pharmacist's knowledge and experience. Increased clinical involvement between pharmacist and patient can result in better patient response to medications, fewer side effects, and avoidance of ADEs.…”

Section: Policymentioning

confidence: 99%

How space design and technology can support the Pharmacy Practice Model Initiative through interprofessional collaboration

Hahn¹,

Buckner²,

Burns³

et al. 2014

Innov Pharm

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Section: Policymentioning

confidence: 99%

How space design and technology can support the Pharmacy Practice Model Initiative through interprofessional collaboration

Hahn¹,

Buckner²,

Burns³

et al. 2014

Innov Pharm

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“…However, since the 1960s in Japan, debate has been ongoing about whether pharmacists' interventions in medical treatment curtailed drug expenses. It has been pointed out that most economic evaluations of clinical pharmacy intervention suffer from several methodological limitations relating to the absence of a control group without clinical pharmacy interventions (De Rijdt, Willems, & Simoen, 2008).…”

Section: Introductionmentioning

confidence: 99%

The Role of Dispensing by Japanese Community Pharmacists in Reducing Medicine Costs

Yokoi

Tashiro

2017

GJHS

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This study investigated the economic efficacy of separation of drug prescribing and dispensing (separation system). We examined whether daily medical expenses on prescriptions for former drugs, generic drugs, medical devices, and the number of drugs are curtailed due to the separation system, whose function is to separate the manager between prescribing and dispensing drug, and the effect of mutual check between prescribing doctors and dispensing pharmacists. Participation in the separation system is legally optional for Japanese medical institutions. It causes that the growth rate of the separation system in administrative districts is wide range. Furthermore, this study investigated the separation system in Japanese administrative districts with available open public data. We examined the separation system effect using National Healthcare Insurance data for 2011-2015. We tested whether the separation system growth rate for each Japanese administrative district was correlated to former drug significantly, generic drug, medical device price, and the number of drugs on prescriptions. The results show that growth of the separation system influenced the daily expense of prescribed former drugs and medical devices and the correlations were significant. Contrastively, the number of drugs and the expense of generic drugs on prescriptions were not significantly correlated with the separation system growth rate. Therefore, the separation system was effective at curtailing expenses of daily former drugs and medical devices but little effective at curtailing the number of daily drugs and generic drugs expense.

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“…1,2 Multiple studies have evaluated the impact on various systems to reduce errors hospital-wide, including physician order entry, bar code scanning, automation, and the benefits of having a pharmacist in the adult intensive care unit. [3][4][5][6][7][8] As more has been learned about preventing medication errors in the adult population during the past 20 to 30 years, attention has shifted to the pediatric population. Research has shown that the potential risk for medication errors within the pediatric inpatient population is about 3 times as high as that of their adult hospitalized counterparts.…”

Section: Introductionmentioning

confidence: 99%

Analysis of Clinical Interventions and the Impact of Pediatric Pharmacists on Medication Error Prevention in a Teaching Hospital

Cunningham

2012

The Journal of Pediatric Pharmacology and Therapeutics

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OBJECTIVE Research has shown that the potential risk for medication errors within the pediatric inpatient population is about 3 times as high as for adults; however, there is limited information regarding the impact of a pediatric pharmacist's contribution to decreasing medication errors and adverse drug events (ADEs). The purpose of this study was to record and analyze all interventions during a 2-month time span in a pediatric teaching hospital to determine the benefit of having a pediatrics-trained clinical pharmacist on the floor. METHODS Pediatric pharmacists prospectively collected data for all interventions and medication errors made between July 1 and August 31, 2010. The pediatric hospital comprises 87 beds, and data were collected during the influx of new pediatric resident interns on the general pediatric ward and pediatric and neonatal intensive care units. RESULTS During the study period, 1315 interventions were recorded, which is an average of 21 interventions per day. Most interventions were made through order entry. Errors made up 24.5% of all interventions, with the most common cause of error being prescribing. Physicians with the least amount of training made the most errors. Of order pages scanned, 5.9% contained an error in the order; however, only 0.2% of all errors reached the patient. CONCLUSIONS This study highlighted the impact a pediatric pharmacist can make on prevention of ADEs and medication errors. Only 0.2% of all errors made during the study period reached the patient owing to interventions made by the pediatric pharmacists, which shows a vast improvement in patient safety.

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Economic effects of clinical pharmacy interventions: A literature review

Cited by 144 publications

References 36 publications

How space design and technology can support the Pharmacy Practice Model Initiative through interprofessional collaboration

How space design and technology can support the Pharmacy Practice Model Initiative through interprofessional collaboration

The Role of Dispensing by Japanese Community Pharmacists in Reducing Medicine Costs

Analysis of Clinical Interventions and the Impact of Pediatric Pharmacists on Medication Error Prevention in a Teaching Hospital

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