Optimising patient safety using pharmaceutical intervention in domiciliary hospitalization

Brito, Ana Mafalda; Simões, Ana Margarida; Alcobia, A; Costa, Filipa Alves da

doi:10.1007/s11096-017-0512-9

Cited by 6 publications

(15 citation statements)

References 9 publications

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“…Previous national studies have demonstrated pharmacy students' willingness and capacity to meet such purposes in varied settings. 24,25 During the early detection event, 11 cases of known AF were noted, two of which were not treated with oral anticoagulation as recommended by the European Society of Cardiology (ESC) guidelines. 5 These were situations where additional information had to be collected to identify the reason for not having the correct treatment instituted, so that room for pharmacotherapy optimisation could be identified in an interprofessional context considering the interests of the citizens as central.…”

Section: Discussionmentioning

confidence: 99%

Raising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individuals

Cunha

Antunes

Antoniou

et al. 2020

Research in Social and Administrative Pharmacy

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Section: Discussionmentioning

confidence: 99%

Raising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individuals

Cunha

Antunes

Antoniou

et al. 2020

Research in Social and Administrative Pharmacy

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“…Including pharmacists in domiciliary hospitalization units leads to increased patient safety. 50 Thus, if community pharmacists evaluate the risk of their users in institutions and homes, this further reason for nonattendance would be circumvented. Public cognizance, awareness and previous use of pharmacy services facilitate the receptivity of the services.…”

Section: -39mentioning

confidence: 99%

Feasibility of cardiovascular risk screening in Portuguese community pharmacies

Fonseca

Lima

Castel‐Branco

et al. 2021

Pharm Pract (Granada)

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Background: Cardiovascular disease (CVD) remains the leading cause of human mortality. As highly accessible and qualified health professionals, community pharmacists can be included in the early detection of patients at risk for CVD by implementing CVD screening programs. Objective: To assess the feasibility of CVD risk screening services in Portuguese community pharmacies from the evaluation of customers acceptability. Methods: A cross-sectional study was conducted in a community pharmacy in Portugal. The purpose of entering the pharmacy was recorded for all customers. Afterwards, the customers were invited to be interviewed by the pharmacist, who registered their willingness to participate and collected the participants’ data and biochemical and physical parameters to assess their CV risk by applying the Systematic COronary Risk Evaluation (SCORE) model. For the participants who were not eligible for the SCORE-based risk assessment, the pharmacist considered the major modifiable CVD risk factors - hypertension, dyslipidemia, smoking habits, obesity, impaired fasting glucose and sedentary behavior - according to the ESC guidelines. Results: Picking up medication was the most prevalent reason 69.8% (n=1,600) for entering the pharmacy, and among the contacted customers, 56.4% (n=621) agreed to have their CVD risk assessed. Of the 588 participants, 56.6% (n=333) were already on CV pharmacotherapy and were therefore not eligible for screening. Of the 43.4% (n=255) CV pharmacotherapy-naïve participants, 94.9% (n=242) were screened with at least one CVD risk factor; 52.9% (n=135) were not eligible for the SCORE assessment, of which 92.6% (n=125) presented CVD risk factors. Of the 120 SCORE eligible participants, 80.0% (n=96) were at least at moderate risk of CVD. Conclusions: We determined the feasibility of CVD risk screening in Portuguese community pharmacies, as we found high customer acceptability, noted the reasons for nonattendance, and found a high prevalence of CVD risk factors in at-risk patients. This is an opportunity for Portuguese community pharmacists to take a leading role in the early detection of CVD.

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“…However, in a few of these studies, a health condition(s) was not specified and instead participants subject to the approach were described as frail or vulnerable. Empirical studies comprised the majority of study types and included randomised control trials, 37 38 40–42 44 49 qualitative studies, 35 36 39 45 mixed methods studies, 27 34 retrospective analysis of medical records, 30 43 a cohort study, 48 a cross-sectional study, 33 an observational study, 36 a systematic review 15 and action research. 46 Service evaluations 28 31 32 and quality improvement (QI) studies 29 47 were also among the list of included studies.…”

Section: Resultsmentioning

confidence: 99%

Approaches to improving patient safety in integrated care: a scoping review

Lalani

Wytrykowski²,

Hogan

2023

BMJ Open

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ObjectivesThis scoping review aimed to establish the approaches employed to improving patient safety in integrated care for community-dwelling adults with long-term conditions.DesignScoping review.SettingAll care settings.Search strategySystematic searches of seven academic and grey literature databases for studies published between 2000 and 2021. At the full-text review stage both the first and second reviewer (SW) independently assessed full texts against the eligibility criteria and any discrepancies were discussed.ResultsOverall, 24 studies were included in the review. Two key priorities for safety across care boundaries for adults with long-term conditions were falls and medication safety. Approaches for these priorities were implemented at different levels of an integrated care system. At the micro-level, approaches involved care primarily in the home setting provided by multi-disciplinary teams. At the meso-level, the focus was on planning and designing approaches at the managerial/organisational level to deliver multi-disciplinary care. At the macro-level, system-wide approaches included integrated care records, training and education and the development of care pathways involving multiple organisations. Across the included studies, evaluation of these approaches was undertaken using a wide range of process and outcome measures to capture patient harm and contributory factors associated with falls and medication safety.ConclusionsFor integrated care initiatives to fulfil their promise of improving care for adults with long-term conditions, approaches to improve patient safety need to be instituted across the system, at all levels to support the structural and relational aspects of integrated care as well as specific risk-related safety improvements.

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Optimising patient safety using pharmaceutical intervention in domiciliary hospitalization

Cited by 6 publications

References 9 publications

Raising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individuals

Raising awareness and early detection of atrial fibrillation, an experience resorting to mobile technology centred on informed individuals

Feasibility of cardiovascular risk screening in Portuguese community pharmacies

Approaches to improving patient safety in integrated care: a scoping review

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