Impact of a Surgical Preadmission Clinic Pharmacist on the Quality of Medication Management from Preadmission to Discharge: a Randomised Controlled Study

George, Lewis Jw; Senturk-Raif, Reyhan; Hodgkinson, Marisa; Emmerton, Maggie; Larmour, Ian

doi:10.1002/j.2055-2335.2011.tb00864.x

Cited by 12 publications

(15 citation statements)

References 9 publications

(26 reference statements)

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“… 46 – 55 Table 1 describes the characteristics of the studies, including study design with the Scottish Intercollegiate Guidelines Network rating 56 for bias assessment, total number of subjects, patient age, percentage of male subjects, target disease or condition, outcomes measured, and primary results. There were four RCTs, 50 – 52 , 54 three prospective cohort studies, 46 , 47 , 55 one before-and-after study evaluating the same patient cohort before and after intervention), 53 and two before-and-after studies evaluating different patient cohorts before and after intervention. 48 , 49 The number of study subjects ranged from 25 in a before-and-after study 48 to 59,680 in an RCT.…”

Section: Current Impact Of Pharmacists In the Care Of Older Adultsmentioning

confidence: 99%

“… 46 , 49 , 51 – 55 One study each focused on patients having anticoagulation, 47 COPD exacerbation, 48 and orthopedic, colorectal, or vascular surgery. 50 …”

Section: Current Impact Of Pharmacists In the Care Of Older Adultsmentioning

confidence: 99%

“…Nine studies were conducted in a hospital, 46 – 51 , 53 – 55 with four specifically in a geriatric care setting, 49 , 53 – 55 while one study was conducted at an outpatient health maintenance organization. 52 Pharmacist-delivered interventions included medication reconciliation; 48 , 55 and medication-management interventions included systematic medication care plans, 46 warfarin dosing, 47 interim residential care medication administration charts, 49 pharmacotherapy changes, 50 PIMs, potential prescription-omission resolution, 51 , 52 and an in-hospital pharmaceutical care program. 54 All studies involved pharmacists providing direct and/or health care team-based collaborative interventions to older patients.…”

Section: Current Impact Of Pharmacists In the Care Of Older Adultsmentioning

confidence: 99%

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Optimizing pharmacotherapy in elderly patients: the role of pharmacists

Lee¹,

Alshehri²,

Kutbi³

et al. 2015

IPRP

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As the world’s population ages, global health care systems will face the burden of chronic diseases and polypharmacy use among older adults. The traditional tasks of medication dispensing and provision of basic education by pharmacists have evolved to active engagement in direct patient care and collaborative team-based care. The care of older patients is an especially fitting mission for pharmacists, since the key to geriatric care often lies with management of chronic diseases and polypharmacy use, and preventing harmful consequences of both. Because most chronic conditions are treated with medications, pharmacists, with their extensive training in pharmacotherapy and pharmacokinetics, are in a unique and critical position in the management of them. Pharmacists have the expertise to detect, resolve, and prevent medication errors and drug-related problems, such as overtreatment, undertreatment, adverse drug events, and nonadherence. Pharmacists are also competent in critically reviewing and applying clinical guidelines to the care of individual patients, and in some instances confront the lack of data (common in older adults) to provide the best possible patient-centered care. The current review aimed to depict the evidence of geriatric pharmacy care, demonstrate current impact of pharmacists’ interventions on older patients, survey the tools used by pharmacists to provide effective care, and explore their role in pharmacotherapy optimization in elders. The findings of the current review strongly support previous studies that showed positive impact of pharmacists’ interventions on older patients’ health-related outcomes. There is a clear role for pharmacists working directly or collaboratively to improve medication use and management in older populations. Therefore, in global health care systems, teams caring for elders should involve pharmacists to optimize pharmacotherapy.

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Section: Current Impact Of Pharmacists In the Care Of Older Adultsmentioning

confidence: 99%

“… 46 , 49 , 51 – 55 One study each focused on patients having anticoagulation, 47 COPD exacerbation, 48 and orthopedic, colorectal, or vascular surgery. 50 …”

Section: Current Impact Of Pharmacists In the Care Of Older Adultsmentioning

confidence: 99%

Section: Current Impact Of Pharmacists In the Care Of Older Adultsmentioning

confidence: 99%

See 1 more Smart Citation

Optimizing pharmacotherapy in elderly patients: the role of pharmacists

Lee¹,

Alshehri²,

Kutbi³

et al. 2015

IPRP

View full text Add to dashboard Cite

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“…Poor communication of clinical information at healthcare transitions is 32 responsible for over 50% of all medication errors and up to 20% of adverse events. [1][2][3][4] …”

mentioning

confidence: 99%

Pharmacy led medicine reconciliation at hospital: A systematic review of effects and costs

Hammad

Bale

Wright

et al. 2017

Research in Social and Administrative Pharmacy

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“… 16 During a particular instance when pharmacists conducted medication histories, a healthcare organization benefited through a 50% decrease in adverse drug, a 16% decrease in hospital readmission rates, an increase in efficiency, and an increase in employee and physician satisfaction. 20 …”

Section: Discussionmentioning

confidence: 99%

Impact of pharmacy-led medication reconciliation on medication errors during transition in the hospital setting

Smith¹,

Mosley²,

Lott³

et al. 2015

Pharm Pract (Granada)

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Objective:To assess if the pharmacy department should be more involved in the medication reconciliation process to assist in the reduction of medication errors that occur during transition of care points in the hospital setting.Methods:This was an observational prospective cohort study at a 531-bed hospital in Pensacola, FL from June 1, 2014 to August 31, 2014. Patients were included in the study if they had health insurance and were taking five or more medications. Patients with congestive heart failure were excluded from the study. Student pharmacists collected and evaluated medication histories obtained from patients’ community pharmacies, and directed patient interviews. Primary care providers were only contacted on an as needed basis. The information collected was presented to the clinical pharmacist, where interventions were made utilizing clinical judgment.Results:During the three month study, 1045 home medications were reviewed by student pharmacist. Of these, 290 discrepancies were discovered (27.8%; p=0.02). The most common medication discrepancy found was dose optimization (45.5%). The remaining discrepancies included: added therapy (27.6%), other (15.2%), and discontinued therapy (11.7%). Pharmacists made 143 interventions based on clinical judgment (49.3%; p=0.04).Conclusion:Involvement of pharmacy personnel during the medication reconciliation process can be an essential component in reducing medical errors. With the addition of the pharmacy department during the admission process, accuracy, cost savings, and patient safety across all phases and transition points of care were achieved.

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Impact of a Surgical Preadmission Clinic Pharmacist on the Quality of Medication Management from Preadmission to Discharge: a Randomised Controlled Study

Cited by 12 publications

References 9 publications

Optimizing pharmacotherapy in elderly patients: the role of pharmacists

Optimizing pharmacotherapy in elderly patients: the role of pharmacists

Pharmacy led medicine reconciliation at hospital: A systematic review of effects and costs

Impact of pharmacy-led medication reconciliation on medication errors during transition in the hospital setting

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