Implementation of clinical pharmacy services at a university hospital in Jordan

Al‐Azzam, Sayer; Shara, Mohd; Alzoubi, Karem H.; Almahasneh, Fatimah; Iflaifel, Mais

doi:10.1111/ijpp.12009

Cited by 18 publications

(17 citation statements)

References 10 publications

(26 reference statements)

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“…Twelve studies evaluated process outcomes, TRPs, and pharmacist interventions. 9 , 13 , 14 , 17 , 18 , 20 , 32 , 34 , 35 , 37 - 39 Therapeutic outcomes were reported in 9 studies. 10 , 20 , 23 , 30 - 35 Eleven studies reported humanistic outcomes.…”

Section: Resultsmentioning

confidence: 99%

“…Most studies were of moderate quality 9 , 11 , 12 , 14 , 17 , 20 , 23 , 31 , 32 , 34 , 36 and 3 were scored at high quality. 10 , 24 , 37 Studies often showed methodological strength with respect to standardized delivery of the intervention and outcome measurement.…”

Section: Resultsmentioning

confidence: 99%

“… 9 , 13 , 14 , 17 , 20 , 32 , 34 , 38 , 39 Pharmacist interventions were mainly to add a drug or prophylaxis therapy. 9 , 13 , 14 , 17 , 18 , 20 , 39 Physician acceptance rate ranged between 62% and 96%. However, of those accepted by doctors, on average, 60% were implemented.…”

Section: Resultsmentioning

confidence: 99%

“… 6 Since then, pharmacies in Jordan have been thriving. 9 The number of community pharmacies has exceeded 2,200 and the active workforce is estimated at approximately 12,000 pharmacists. Pharmacy education has also witnessed parallel advances; the total number of licensed pharmacy schools in 2015 was 15 of which 5 are public and 10 private schools.…”

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confidence: 99%

“…However, published studies progressively indicate that the role of pharmacists as members of the health care team has been expanding slowly and outline an existing mismatch between the intended role of graduates and actual job fulfillment. 9 - 26 Published reviews attempting to evaluate the literature on the effects of the interventions by clinical pharmacists on processes and outcomes of care in the US and other countries have highlighted that pharmacist-provided direct patient care has favorable effects across various patient outcomes, health care settings, and disease states. Incorporating pharmacists as health care team members in direct patient care was recommended as a viable solution to help improve health care and patient outcomes.…”

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confidence: 99%

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The impact of clinical pharmacists in improving Jordanian patients’ health outcomes

Hammad

Alqudah

Akour

2017

SMJ

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Objectives:To assess the impacts of clinical pharmacists on Jordanian patients’ health outcomes.Methods:A systematic review was conducted until July 2016 within EBSCO, Pubmed, Cochrane database, and ISI Web of Knowledge. Published studies evaluating the benefit of clinical pharmacy services on therapeutic, safety, humanistic, and economic outcomes in hospital or community settings in Jordan were targeted. Two reviewers independently extracted and assessed risk of bias using a pre-published validated tool. The literature search identified 130 publications of which 21 full texts met predetermined inclusion criteria.Results:Studies were of moderate quality. Pharmacist interventions resulted in an average reduction (95% CI) in systolic blood pressure of 5.45 mm Hg (2.95-7.92) and diastolic blood pressure of 3.03 mm Hg (1.09-4.96). The mean reduction in glycosylated hemoglobin was 0.75% (-0.49-1.99) and fasting blood sugar was 36.73 mg/dl (-19.7-93.1). The average reduction in low-density lipoprotein cholesterol was 2.36 (1.8-16.62) mg/dl and triglycerides was 20.16 (6.14-46.47). There was a minimal increase in the level of high-density lipoprotein cholesterol of 1.24 (1.64-4.11) mg/dl. Effects on safety along with humanistic and economic outcomes and long term effects remained unclear.Conclusion:Published evidence from Jordan highlights service opportunities for clinical pharmacists. Favorable but not always statistically significant impacts were found on therapeutic outcomes. More studies are needed to understand safety, humanistic, economic, and long-term outcomes. Therefore, the add-on benefits of this service to the health system are not well understood. Future studies of higher rigor and multi-perspective outcomes are mandated.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The impact of clinical pharmacists in improving Jordanian patients’ health outcomes

Hammad

Alqudah

Akour

2017

SMJ

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Drug‐related problems among hospitalized hypertensive and heart failure patients and physician acceptance of pharmacists' interventions at a teaching hospital in Ghana

Harrison

Marfo

Buabeng

et al. 2022

Health Science Reports

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Background: Hypertensive and heart failure patients frequently require multiple drug therapy which may be associated with drug-related problems (DRPs). Aim: To determine the frequency, types, and predictors of DRPs, and acceptance of pharmacists' interventions among hospitalized hypertensive and heart failure patients. Method: It was a prospective cross-sectional study at the internal medicine department wards of Korle Bu Teaching Hospital (KBTH) between January and June 2019 using a validated form (the pharmaceutical care form used by clinical pharmacists at the medical department). DRPs were classified based on the Pharmaceutical Care Network Europe (PCNE) Classification scheme for DRPs V8.02. Descriptive and inferential statistics were used for data analysis. Results: A total of 247 DRPs were identified in 134 patients. The mean number of DRPs was 1.84 (SD: 1.039) per patient. Most DRPs occurred during the prescribing process (40.5%; n(DRPs) = 100), and the highest prescribing problem was untreated indication (11.7%; n = 29). Other frequent DRPs were medication counseling need (25.1%; n = 62), administration errors 10.1%(n = 25), drug interaction (10.5%; n = 26), and "no" or inappropriate monitoring (10.5%; n = 26

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Role of the clinical pharmacist in improving the appropriateness of venous thromboembolism prophylaxis in hospitalised patients in Jordan

Gharaibeh

Younes

Albsoul-Younes

2017

Pharmacy Practice and Res

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Background Venous thromboembolism (VTE) is one of the most important preventable causes of death in hospitalised patients. The role of the clinical pharmacist in Jordan is still at its beginnings in this field; this study explored the contribution of the clinical pharmacist to improving the frequency of appropriate VTE prophylaxis. Aim To evaluate the role of the clinical pharmacist in improving appropriate VTE prophylaxis in a tertiary hospital. Methods This study with a single‐group pretest‐post test design. Recommendations of the clinical pharmacist concerning VTE prophylaxis for a group of hospitalised patients with odd ID numbers were provided to physicians. The main outcome measure was the appropriateness of VTE prophylaxis; therapy was defined as appropriate when it was fully concordant with the American College of Chest Physicians (ACCP) guidelines. Appropriateness of VTE prophylaxis was measured before and after the provision of recommendations. Results The extent of concordance with the ACCP guidelines increased from 78.9% to 87.8%, with a statistically significant increase of 8.9% (p < 0.001). Conclusion Employment of a clinical pharmacist coincided with an improvement in the rate of appropriate VTE prophylaxis.

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Implementation of clinical pharmacy services at a university hospital in Jordan

Abstract: The implementation of clinical pharmacy services in this setting was successful and should positively impact patient care.

Cited by 18 publications

References 10 publications

The impact of clinical pharmacists in improving Jordanian patients’ health outcomes

The impact of clinical pharmacists in improving Jordanian patients’ health outcomes

Drug‐related problems among hospitalized hypertensive and heart failure patients and physician acceptance of pharmacists' interventions at a teaching hospital in Ghana

Role of the clinical pharmacist in improving the appropriateness of venous thromboembolism prophylaxis in hospitalised patients in Jordan

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