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Utvärdering av enkla läkemedelsgenomgångar utförda av farmaceuter på medicinska akutmottagningen, Danderyds sjukhus, Stockholm: Behov, tidsbesparingspotential och uppskattad nytta
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Pharmacy, Department of Pharmaceutical Biosciences, Division of Pharmacokinetics and Drug Therapy.
2016 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Evaluation of medicines reviews conducted by clinical pharmacists at an emergency department (English)
Abstract [en]

Title

Evaluation of medicines reviews conducted by clinical pharmacists at an emergency department

Authors

Söderberg M.

Institute

Uppsala University, Uppsala, Sweden.

Background and Objective

In order to avoid problems with erroneous medication records in acutely hospitalized patients, a collaboration between pharmacists and physicians was implemented at the Emergency Department (ED) at Danderyd Hospital. The objective is to evaluate the need for the Medicines reviews (MR) by clinical pharmacists, its perceived benefits and time-saving potential. 

Design

Two clinical pharmacists performed MR during four weeks (04-04-2016 to 04-05-2016) at the ED. The number and type of discrepancies identified in the medication record were recorded for each patient (n=202). A webb-based questionnaire with closed- and open-ended questions was used to assess the perceived benefits and disadvantages of the ED-based pharmacists from the physicians’ perspectives. The questionnaire was distributed at the end of the collaboration to physicians who had worked with the pharmacists during the project (n=33). The answers to the open-ended questions were analyzed by content analysis and the answers to closed-ended questions were analyzed descriptively. The mean patient time spent at the ED was compared with four previous weeks (Z test). The self-estimated time physicians spent on MR before and during the project was compared (95% CI). 

Setting

ED, Section for internal medicine, Danderyd Hospital, Stockholm. 

Main outcome measures

The physicians’ level of satisfaction with the collaboration and their opinions about its benefits. The number of medication records corrected by the pharmacists. Difference in patient waiting-time at the ED and in physician-time spent on MR.

Results

There were one or more discrepancies corrected by the pharmacists in 87% of the medication records. Among 20 (61%) responding physicians, 80% were very satisfied with the collaboration and 90% thought that it improved patient safety. In average, 2 hours per day was saved in physician-time. No difference in waiting time at the ED was shown. 

Conclusion

The high frequency of errors in the medication records indicates a need for routinely performed MR:s to all patients. The MR by clinical pharmacists was appreciated by the physicians. The collaboration has potential to save physician-time and improve patient safety.

Place, publisher, year, edition, pages
2016. , 14 p.
Keyword [en]
Medicines review, medicines evaluation, clinical pharmacy, clinical pharmacist
Keyword [sv]
Läkemedelsgenomgång, läkemedelsavstämning, klinisk farmaci, klinisk farmaceut
National Category
Other Medical Sciences
Identifiers
URN: urn:nbn:se:uu:diva-298935OAI: oai:DiVA.org:uu-298935DiVA: diva2:948486
External cooperation
Akutmottagningen, Medicinsektionen, Danderyds sjukhus, Stockholm.
Educational program
Master Programme in Clinical Pharmacy
Supervisors
Examiners
Available from: 2016-08-19 Created: 2016-07-12 Last updated: 2016-08-19Bibliographically approved

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