Emergency department physicians' experiences and perceptions with medication-related work tasks and the potential role of clinical pharmacists.

Purpose: Medication-related problems are frequent among emergency department patients. Clinical pharmacists play an important role in identifying, solving, and preventing these problems, but are not present in emergency departments worldwide. We aimed to explore how Norwegian physicians experience m...

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Bibliographic Details
Published in:International Journal of Qualitative Studies on Health & Well-Being Vol. 18; no. 1; pp. 1 - 12
Main Authors: Johnsgård, Tine, Elenjord, Renate, Lehnbom, Elin C., Risør, Torsten, Zahl-Holmstad, Birgitte, Vesela Holis, Renata, Hugaas Ofstad, Eirik, Garcia, Beate Hennie
Format: research tables/charts Journal Article
Published: Taylor & Francis Ltd Dec2023
Online Access:View this record in EBSCOhost
Description
Summary:Purpose: Medication-related problems are frequent among emergency department patients. Clinical pharmacists play an important role in identifying, solving, and preventing these problems, but are not present in emergency departments worldwide. We aimed to explore how Norwegian physicians experience medication-related work tasks in emergency departments without pharmacists present, and how they perceive future introduction of a clinical pharmacist in the interprofessional team. Methods: We interviewed 27 physicians in three emergency departments in Norway. Interviews were audio-recorded, transcribed, and analysed using qualitative content analysis. Results: Our informants' experience with medication-related work tasks mainly concerned medication reconciliation, and few other tasks were systematically performed to ensure medication safety. The informants were welcoming of clinical pharmacists and expressed a need and wish for assistance with compiling patient's medication lists. Simultaneously they expressed concerns regarding e.g., responsibility sharing, priorities in the emergency department and logistics. These concerns need to be addressed before implementing the clinical pharmacist in the interprofessional team in the emergency department. Conclusions: Physicians in Norwegian emergency departments welcome assistance from clinical pharmacists, but the identified professional, structural, and legislative barriers for this collaboration need to be addressed before implementation.