Identification of drug‐related problems followed by clinical pharmacist interventions in an outpatient pharmacotherapy clinic.

What is known and objective: Pharmacotherapy is an essential strategy for the treatment of many medical conditions especially chronic disease and often involves multiple medications being used simultaneously. Increasing the use of medications may pose some challenges to safe and effective drug thera...

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Published in:Journal of Clinical Pharmacy & Therapeutics Vol. 47; no. 7; pp. 964 - 973
Main Authors: Shahrami, Bita, Sefidani Forough, Aida, Najmeddin, Farhad, Hadidi, Elham, Toomaj, Somayeh, Javadi, Mohammad Reza, Gholami, Kheirollah, Sadeghi, Kourosh
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Jul2022
Online Access:View this record in EBSCOhost
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      dt: Jul2022
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/jcpt.13628
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        atl: Identification of drug‐related problems followed by clinical pharmacist interventions in an outpatient pharmacotherapy clinic.
      aug:
        au:
          Shahrami, Bita
          Sefidani Forough, Aida
          Najmeddin, Farhad
          Hadidi, Elham
          Toomaj, Somayeh
          Javadi, Mohammad Reza
          Gholami, Kheirollah
          Sadeghi, Kourosh
        affil: Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
      sug:
        subj:
          Ambulatory Care Facilities
          Pharmacists
          Professional Competence
          Adverse Drug Event Prevention and Control
          Adverse Drug Event Evaluation
          Drugs, Prescription Adverse Effects
          Adverse Drug Event Epidemiology
          Patient Compliance
          Physician Attitudes
          Attitude to Medical Treatment
          Human
          Iran
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Male
          Female
          Interviews
          Pharmacy Service
          Polypharmacy
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: What is known and objective: Pharmacotherapy is an essential strategy for the treatment of many medical conditions especially chronic disease and often involves multiple medications being used simultaneously. Increasing the use of medications may pose some challenges to safe and effective drug therapy and if not identified and prevented by the pharmacists eventually can lead to drug‐related problems (DRPs). The present study aimed to examine the incidence of DRPs in Iranian patients and to evaluate patients' adherence to the clinical pharmacist interventions as well as the physicians' acceptance of these recommendations. Methods: This study was conducted in a university‐affiliated outpatient pharmacotherapy clinic over a 22‐month period. Patients aged 18 years and older with at least one chronic disease receiving at least four medications were included in the study. The patients were interviewed by a clinical pharmacist for comprehensive medication review. DRPs were identified using the DOCUMENT classification system. Recommendations were provided by the clinical pharmacist including interventions involving patient and/or physician to resolve DRPs. The patients were followed up after 2 weeks to evaluate their compliance and physician acceptance of clinical pharmacist recommendations. Results and discussion: Two hundred patients were included in this study. Overall, 875 DRPs were identified with an average of 4.37 per patient. The most prevalent DRPs were related to patient education or information (22.8%), undertreated indications (17.4%) and patient compliance (17.2%). The most common drugs associated with DRPs were alimentary and metabolism (22.2% of DRPs) followed by the cardiovascular system (19.2%) and nervous system (9.6%) medications. The DRP incidence correlated with gender only and was higher in females (p = 0.019). The clinical pharmacist provided 912 interventions with an average of 4.56 and 1.04 interventions per patient and per DRPs respectively. Patient education (41.3%), medication initiation or discontinuation (24.5%), and non‐pharmacological interventions (12.9%) were the most common clinical pharmacist interventions. Out of 912 interventions, 665 were followed up, out of which 427 were patient dependent and 228 involved physicians. The patient's compliance with clinical pharmacist recommendations was 81.2%. The physician acceptance rate of the recommendations was 44.1%. What is new and conclusion: The study shows that especially designed services such as pharmacotherapy clinics running by clinical pharmacists are necessary to detect and resolve DRPs in an effective way. The high compliance rate of the patients indicates patients' confidence in the clinical pharmacist services provided in the pharmacotherapy clinic. The low acceptance rate of the physicians highlights the need to improve interprofessional collaboration between clinical pharmacists and physicians in an outpatient setting.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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