Implementation assessment of a patient personalized clinical pharmacy programme (5P project) into orthogeriatric care pathway.
What is known and objective: The orthogeriatric path (hip‐fractured elderly patients) is composed of several transition points (emergency surgery, orthopaedic, geriatric and rehabilitation units). The intervention of clinical pharmacists can ensure the continuity of patients' drug management during...
| Published in: | Journal of Clinical Pharmacy & Therapeutics Vol. 47; no. 7; pp. 956 - 964 |
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| Main Authors: | , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Jul2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158179887&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158179887 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02694727 EV4 jtl: Journal of Clinical Pharmacy & Therapeutics issn: 02694727 maglogo: Y pubinfo: dt: Jul2022 vid: 47 iid: 7 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 158179887 155613822 158179887 158179887 10.1111/jcpt.13627 158179887 ppf: 956 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Implementation assessment of a patient personalized clinical pharmacy programme (5P project) into orthogeriatric care pathway. aug: au: Martin, Julie Barral, Marine Janoly Dumenil, Audrey Carre, Emmanuelle Poletto, Nicolas Goutelle, Sylvain Rioufol, Catherine Novais, Teddy Pivot, Christine Hoegy, Delphine Mouchoux, Christelle affil: Pharmacie, Hospices Civils de Lyon, Lyon, France sug: subj: Hip Fractures Critical Path Medication Errors Prevention and Control Patient Satisfaction Medication Management Pharmacy Service Human Workload Aged Aged, 80 and Over Medication Reconciliation Questionnaires Adverse Health Care Event Descriptive Statistics Aged: 65+ years Aged, 80 & over ab: What is known and objective: The orthogeriatric path (hip‐fractured elderly patients) is composed of several transition points (emergency surgery, orthopaedic, geriatric and rehabilitation units). The intervention of clinical pharmacists can ensure the continuity of patients' drug management during their hospital stay. The aim of the study was to assess the implementation of clinical pharmacy activities in an orthogeriatric pathway, regarding its impact on medication error prevention, the healthcare professionals' and patients' satisfaction, and the estimated associated pharmaceutical workload. Methods: Participants were aged 75 or older and managed for proximal femoral fracture. Their admission prescription was reviewed. If they were evaluated at high risk of adverse event (AE), medication reconciliation (MedRec) and pharmaceutical interviews (admission, discharge, and targeted on oral anticoagulant) were added at different steps of their care pathway. The achievement and duration of each clinical pharmacy activity were recorded. The number of pharmaceutical interventions (PI) made during prescription review, and unintentional discrepancies (UID) identified during MedRec were collected. A satisfaction questionnaire was sent to patients and healthcare professionals. Results and discussion: Among 455 included patients, 284 patients were considered at high risk of AE. Clinical pharmacy activity achievement rates varied between 12% and 98%. A total of 622 PI and 333 UID were identified. The overall patients' and healthcare professionals' satisfaction was rated from 63% to 100%. The total workload was estimated at 376 h: on average 16 min per prescription review, 43 min per admission MedRec, 26 min per discharge MedRec and 17 to 25 minutes per interview. Conclusion: The implementation of the programme showed a high potential of drug management securing. To sustain it, additional pharmaceutical human resources and high‐performance computing tools are needed. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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