Utvärdering av enkla läkemedelsgenomgångar utförda av farmaceuter på medicinska akutmottagningen, Danderyds sjukhus, Stockholm: Behov, tidsbesparingspotential och uppskattad nytta
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)
Evaluation of medicines reviews conducted by clinical pharmacists at an emergency department
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.
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).
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.
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.
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.
Medicines review, medicines evaluation, clinical pharmacy, clinical pharmacist
Läkemedelsgenomgång, läkemedelsavstämning, klinisk farmaci, klinisk farmaceut
Other Medical Sciences
IdentifiersURN: urn:nbn:se:uu:diva-298935OAI: oai:DiVA.org:uu-298935DiVA: diva2:948486
Akutmottagningen, Medicinsektionen, Danderyds sjukhus, Stockholm.
Master Programme in Clinical Pharmacy
Danell-Möller, Maria, Farm mag., klinisk farmaceut.