Tools
Tools
Bullock, B., Donovan, P., Mitchell, C., Whitty, J. A. 
ORCID: https://orcid.org/0000-0002-5886-1933 and Coombes, I.
(2019)
The impact of a pharmacist on post-take ward round prescribing and medication appropriateness.
International Journal of Clinical Pharmacy, 41 (1).
65–73.
ISSN 2210-7703
Preview |
PDF (Published_Version)
- Published Version
Available under License Creative Commons Attribution. Download (811kB) | Preview |
Abstract
Background Medication communication and prescribing on the post-take ward round following patient admission to hospital can be suboptimal leading to worse patient outcomes. Objective To evaluate the impact of clinical pharmacist participation on the post-take ward round on the appropriateness of medication prescribing, medication communication, and overall patient health care outcomes. Setting Tertiary referral teaching hospital, Brisbane, Australia. Method A pre-post intervention study was undertaken that compared the addition of a senior clinical pharmacist attending the post-take ward was compared to usual wardbase pharmacist service, with no pharmacist present of the post-take ward round. We assessed the proportion of patients with an improvement in medication appropriateness from admission to discharge, using the START/STOPP checklists. Medication communication was assessed by the mean number of brief and in-depth discussions, with health care outcomes measured by comparing length of stay and 28-day readmission rates. Main outcome measures: Medication appropriateness according to the START/STOPP list, number and type of discussions with team members and length of stay and readmission rate. Results Two hundred and sixty patients were recruited (130 pre- and 130-post-intervention), across 23 and 20 post-take ward rounds, respectively. Post-intervention, there was increase in the proportion of patients who had an improvement medication appropriateness (pre-intervention 25.4%, post-intervention 36.9%; p = 0.004), the number of in-depth discussions about patients’ medication (1.9 ± 1.7 per patient pre-intervention, 2.7 ± 1.7 per patient post-, p < 0.001), and the number relating to high-risk medications (0.71 ± 1.1 per patient pre-intervention, to 1.2 ± 1.2 per patient post-, p < 0.05). Length of stay and 28-day mortality were unchanged. Conclusion Clinical pharmacist participation on the post-take ward round leads to improved medication-related communication and improved medication appropriateness but did not significantly improve health care outcomes.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | australia,communication,medication safety,prescribing,team work,ward round,pharmacy,toxicology,pharmacology,pharmaceutical science,pharmacology (medical) ,/dk/atira/pure/subjectarea/asjc/3600/3611 |
| Faculty \ School: | Faculty of Medicine and Health Sciences > Norwich Medical School |
| UEA Research Groups: | Faculty of Medicine and Health Sciences > Research Groups > Health Economics Faculty of Medicine and Health Sciences > Research Groups > Respiratory and Airways Group Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) |
| Related URLs: | |
| Depositing User: | LivePure Connector |
| Date Deposited: | 22 Jan 2019 13:30 |
| Last Modified: | 21 Oct 2022 21:35 |
| URI: | https://ueaeprints.uea.ac.uk/id/eprint/69653 |
| DOI: | 10.1007/s11096-018-0775-9 |
Downloads
Downloads per month over past year
Actions (login required)
 |
View Item |