The impact of an emergency medicine clinical pharmacist on nursing satisfaction

Treu, Cierra N; Llamzon, Janine L; Acquisto, Nicole M.; Lazar, Jeffrey D

doi:10.1007/s11096-019-00927-y

Cited by 5 publications

(1 citation statement)

References 10 publications

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“…In recent years, the roles and the missions entrusted to hospital pharmacists have evolved and pharmacists have gained more and more importance in the support of clinical patients [1,2] particularly through the advent of clinical pharmacy [3]. Clinical pharmacists interventions in clinical services are valued by health care providers [4,5] and result in reducing medication errors [6,7] and drug related hospitalization [8] cost savings [9,10] and even reducing mortality [11]. When addressed to patients, pharmaceutical interventions improved patient satisfaction and decreased non-adherence to medication [12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

A pharmaceutical interview improves clinical outcomes: a randomized controlled study on hypertension, type 2 diabetes and hypercholesterolemia.

Delage

Lelong

Brion

et al. 2020

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Aims: These last years, pharmacists gained more and more importance in the clinical support of patients. However, few studies have explored the clinical outcomes of a pharmaceutical intervention on chronic patients. Methods: A randomized controlled study single blinded, evaluating the impact of a single pharmaceutical interview on hypertension, type 2 diabetes and hypercholesterolemia patients not reaching the therapeutic objectives despite a drug therapy. Patients in the intervention group were interviewed by a pharmacist who provided patient education on pathology management and advice on how to deal with the pathology on a daily basis, and identified any prescription problems. The primary outcome was the proportion of patients reaching the therapeutic objectives for blood pressure, glycated hemoglobin level and low-density lipoprotein cholesterol level at the three-month follow up consultation. Results: Seventy-three patients completed the study. In the control group, 33.3% patients reached the therapeutic objectives with the usual care versus 61.7% in the intervention group (p=0.015). The intervention was significantly more effective on patients with more than five different drugs prescribed (+16.7% vs +60.0%; p=0.005) and with a high education level (+29.4% vs +68.8%; p=0.024). A much lower rate of type 2 diabetes patients reached the therapeutic objectives whatever the group. Interestingly, the efficacy of the intervention did not depend on the number of chronic diseases or age after adjustment for the number of different drugs prescribed. Conclusions: There is a concrete clinical and public health impact of a single pharmaceutic interview, especially on polypharmacy patients with hypertension or hypercholesterolemia.Statement 1: What is already known about this subject? (up to three bullet points)• Adherence is a major health issue as an estimated 50% of chronic patients are non-adherent • A single pharmacist intervention seems to increase chronic patients' satisfaction and adherence to treatments • There is a need for proof of these interventions' value on direct clinical and public health outcomes Statement 2: What this study adds: (up to three bullet points) • Proof of enhanced clinical outcome of patient mentoring by a pharmacist • A single pharmacist intervention doubles the number of patients reaching the therapeutic objectives in hypertension, type 2 diabetes and hypercholesterolemia • Polypharmacy patients are a preferential target population

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Section: Introductionmentioning

confidence: 99%

A pharmaceutical interview improves clinical outcomes: a randomized controlled study on hypertension, type 2 diabetes and hypercholesterolemia.

Delage

Lelong

Brion

et al. 2020

Preprint

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Effect of a pharmacist-led educational intervention on clinical outcomes: a randomised controlled study in patients with hypertension, type 2 diabetes and hypercholesterolaemia

et al. 2021

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Emergency Medicine Physician Residents’ Perceptions of Emergency Medicine Clinical Pharmacists’ Involvement in Their Training

Ibarra,

Sawtelle,

Cruz

2024

Ann Pharmacother

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Background: Although the clinical impact of emergency medicine clinical pharmacists (EMCPs) on patient care outcomes is well documented, their educational impact on resident physicians’ training is not. Objective: To further highlight the utility of EMCPs, this study evaluated emergency medicine (EM) resident physicians’ perceptions of EMCPs’ involvement in their training. Methods: A voluntary, anonymous web-based survey was sent by email to all 44 EM resident physicians in July 2022. The survey included multiple choice, 5-point Likert scale, and free response questions derived from Accreditation Council for Graduate Medical Education pharmacotherapy competency-based milestones. Results: Thirty-six of the 44 (82%) residents completed the survey and all 10 PGY-4 class residents completed the survey. Nearly half of the respondents (44.4%) reported they consulted/interacted with the EMCPs 3 to 5 times per week and this number increased with the level of training. Respondents most often consulted the EMCPs to obtain medication indications, antibiotic dosing, pediatric dosing, and contraindications. Overall, respondents primarily reported strongly agree to all survey questions. Nearly all respondents strongly agreed the EMCPs are an important part of the patient care team and provide education that is different from what a supervising physician provides. All respondents who completed the pharmacy elective strongly agreed the elective was valuable and strongly recommended other residents to complete it. Conclusion and relevance: Respondents reported EMCPs are an important part of the patient care team, play a significant role in their training, and provide education that is different from what a supervising physician provides. Our findings encourage other institutions to leverage physicians’ views of EMCPs to expand their service line.

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The impact of an emergency medicine clinical pharmacist on nursing satisfaction

Cited by 5 publications

References 10 publications

A pharmaceutical interview improves clinical outcomes: a randomized controlled study on hypertension, type 2 diabetes and hypercholesterolemia.

A pharmaceutical interview improves clinical outcomes: a randomized controlled study on hypertension, type 2 diabetes and hypercholesterolemia.

Effect of a pharmacist-led educational intervention on clinical outcomes: a randomised controlled study in patients with hypertension, type 2 diabetes and hypercholesterolaemia

Emergency Medicine Physician Residents’ Perceptions of Emergency Medicine Clinical Pharmacists’ Involvement in Their Training

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