Partnered pharmacist charting on admission in the General Medical and Emergency Short-stay Unit - a cluster-randomised controlled trial in patients with complex medication regimens

Tong, Erica; Roman, Cristina; Mitra, Biswadev; Yip, Gary; Gibbs, Harry; Newnham, Harvey; Smit, Devilliers; Galbraith, Kirsten; Dooley, Michael

doi:10.1111/jcpt.12405

Cited by 55 publications

(92 citation statements)

References 16 publications

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“…The medication error rates in the setting of standard medical charting observed in the preintervention phase of this study were consistent with the previously reported randomised trial and previously published literature . Potential factors associated with such errors may be the multiple tasks provided by junior medical officers in the setting of an acute admission and the often limited history available from patients who are acutely unwell.…”

Section: Discussionsupporting

confidence: 88%

“…Due to the large volume of errors identified and a previous randomised controlled trial demonstrating a reduction in high and extreme risk errors, a subset of 1 in 10 errors in the preintervention phase were randomly selected and assigned a risk rating by a blinded independent expert panel. The panel comprised a general physician, an emergency physician and a senior clinical pharmacist.…”

Section: Methodsmentioning

confidence: 99%

“…A pilot study conducted in 2012 demonstrated feasibility of a multidisciplinary approach to improve timely care and reduce medication errors by introducing an early collaborative review by a medical officer and pharmacist as soon as possible after the patient admission, followed by the charting by pharmacists of medication for administration . A single centre randomised controlled trial, conducted in 2016, confirmed a significant reduction in medication error rates with the implementation of this partnered pharmacist medication charting (PPMC) model when compared to standard medical charting . The aim of this study was to translate the above evidence and undertake a multicentre evaluation of the effectiveness of the PPMC model in patients admitted to GMUs in 7 public hospitals in the state of Victoria, Australia.…”

Section: Introductionmentioning

confidence: 99%

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Multi‐site evaluation of partnered pharmacist medication charting and in‐hospital length of stay

Tong

Mitra

Yip

et al. 2020

Brit J Clinical Pharma

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Aims To undertake a multicentre evaluation of translation of a partnered pharmacist medication charting (PPMC) model in patients admitted to general medical units in public hospitals in the state of Victoria, Australia. Methods Unblinded, prospective cohort study comparing patients before and after the intervention. Conducted in seven public hospitals in Victoria, Australia from 20 June 2016 to 30 June 2017. Patients admitted to general medical units were included in the study. Medication charting by pharmacists using a partnered pharmacist model was compared to traditional medication charting. The primary outcome variable was the length of inpatient hospital stay. Secondary outcome measures were medication errors detected within 24 h of the patients' admission, identified by an independent pharmacist assessor. Results A total of 8648 patients were included in the study. Patients who had PPMC had reduced median length of inpatient hospital stay from 4.7 (interquartile range 2.8–8.2) days to 4.2 (interquartile range 2.3–7.5) days (P < 0.001). PPMC was associated with a reduction in the proportion of patients with at least 1 medication error from 66% to 3.6% with a number needed to treat to prevent 1 error of 1.6 (95% confidence interval: 1.57–1.64). Conclusion Expansion of the partnered pharmacist charting model across multiple organisations was effective and feasible and is recommended for adoption by health services.

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Section: Discussionsupporting

confidence: 88%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Multi‐site evaluation of partnered pharmacist medication charting and in‐hospital length of stay

Tong

Mitra

Yip

et al. 2020

Brit J Clinical Pharma

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“…The benefits of pharmacists partnering with medical staff to manage medications for hospitalised patients have been demonstrated in multiple studies and include a significant reduction in medication errors. 5 However, there is still significant scope for these roles to be extended and for further roles to be developed.…”

Section: Improving Patient Care Today: More Timely Care and Expanded mentioning

confidence: 99%

“…Here the authors examine the inpatient chart before the introduction of the CPOE, the CPOE with the antimicrobial approval system, and then the CPOE alone -depending on which data was available in each time period. In a similar vein, the study by McInerney et al 5 of pharmacist interventions at an outpatient chemotherapy clinic used audits done at two separate times to investigate whether a new integrated cancer centre improved pharmacists' impact.…”

mentioning

confidence: 99%

Improving patient care today: more timely care and expanded roles of pharmacists

Tong

Dooley

2017

Pharmacy Practice and Res

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Reducing medication errors for adults in hospital settings

Ciapponi

Nievas

Seijo

et al. 2021

Cochrane Database of Systematic Reviews

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BackgroundMedication errors are preventable events that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the healthcare professional or patient. Medication errors in hospitalised adults may cause harm, additional costs, and even death. ObjectivesTo determine the e ectiveness of interventions to reduce medication errors in adults in hospital settings. Search methodsWe searched CENTRAL, MEDLINE, Embase, five other databases and two trials registers on 16 January 2020. Selection criteriaWe included randomised controlled trials (RCTs) and interrupted time series (ITS) studies investigating interventions aimed at reducing medication errors in hospitalised adults, compared with usual care or other interventions. Outcome measures included adverse drug events (ADEs), potential ADEs, preventable ADEs, medication errors, mortality, morbidity, length of stay, quality of life and identified/ solved discrepancies. We included any hospital setting, such as inpatient care units, outpatient care settings, and accident and emergency departments. Data collection and analysisWe followed the standard methodological procedures expected by Cochrane and the E ective Practice and Organisation of Care (EPOC) Group. Where necessary, we extracted and reanalysed ITS study data using piecewise linear regression, corrected for autocorrelation and seasonality, where possible.

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Partnered pharmacist charting on admission in the General Medical and Emergency Short-stay Unit - a cluster-randomised controlled trial in patients with complex medication regimens

Cited by 55 publications

References 16 publications

Multi‐site evaluation of partnered pharmacist medication charting and in‐hospital length of stay

Multi‐site evaluation of partnered pharmacist medication charting and in‐hospital length of stay

Improving patient care today: more timely care and expanded roles of pharmacists

Reducing medication errors for adults in hospital settings

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