MyJournals Home  

RSS Feeds51 Evaluation of a Clinical Pharmacy Service on an Inpatient Ward in an Acute Hospital (Age and Ageing)

 
 

16 september 2019 20:00:44

 
51 Evaluation of a Clinical Pharmacy Service on an Inpatient Ward in an Acute Hospital (Age and Ageing)
 




AbstractBackgroundIntensive clinical pharmacy input from admission to discharge has been shown to improve patient outcomes. The clinical pharmacy service in our institution has historically been under-resourced. The aim of this study is to develop a ward-based clinical pharmacy service and to evaluate its impact using a number of clinical, safety and financial metrics.MethodsA clinical pharmacist was assigned to provide pharmaceutical care to patients on a Medicine for the Older Person ward. Over an eight week period, the pharmacist prospectively recorded her interventions/activities. To assess impact on patient care, interventions were graded according to the Eadon criteria. The potential cost avoidance associated with interventions was estimated. Medication incident reporting was analysed to assess the impact on patient safety.Results87% of patients had at least one pharmacist intervention, across a spectrum of activities including medication reconciliation and clinical review.90% of interventions requiring follow-up with the medical team were accepted and resulted in a change to patient`s care.Eadon grading of interventions deemed 99% to be significant, with 81% improving the standard of patient care.Two different methods were used to estimate potential cost avoidance: one estimated annual savings of EUR154,103 - EUR344,926; the other estimated these at EUR174,373. Given current pharmacist salary costs, this equates to a cost-benefit ratio of 2.8:1 to 6.3:1. (This does not include the 27% reduction in drug spend observed during the study period. However, more longitudinal data are required to confirm and characterise this phenomenon.)A five-fold increase in medication incident reporting from the ward was observed, suggestive of an enhanced culture of patient safety.ConclusionThis study assessed and quantified a wide spectrum of pharmacist contributions to medication management and safety. Costing of these contributions estimates the cost-benefit ratio of the clinical pharmacy service, providing compelling support for the extension of this service throughout the hospital.


Del.icio.us Digg Facebook Google StumbleUpon Twitter
 
9 viewsCategory: Geriatrics, Medicine, Pathology
 
167 An Alternative to the Emergency Department for Frail Older People (Age and Ageing)
147 Assessing Assessment: An Audit of Continence Assessment and Documentation in a City Centre Teaching Hospital (Age and Ageing)
 
 
blog comments powered by Disqus


MyJournals.org
The latest issues of all your favorite science journals on one page

Username:
Password:

Register | Retrieve

Search:

Pathology

Use these buttons to bookmark us:
Del.icio.us Digg Facebook Google StumbleUpon Twitter


Valid HTML 4.01 Transitional
Copyright © 2008 - 2019 Indigonet Services B.V.. Contact: Tim Hulsen. Read here our privacy notice.
Other websites of Indigonet Services B.V.: Nieuws Vacatures News Tweets Travel Photos Nachrichten Indigonet Finances Leer Mandarijn