Drug-related problems: evaluation of a classification system in the daily practice of a Swiss University Hospital

Lampert, Markus L.; Kraehenbuehl, Stephan; Hug, Balthasar L.

doi:10.1007/s11096-008-9213-8

Cited by 57 publications

(63 citation statements)

References 19 publications

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“…This reflects the typical focus areas of rational pharmacotherapy in the elderly and in polypharmacy patients [9,54,55] and is similar to other studies classifying DRPs with the PCNE classification [9,56,57]. The typical approach has to be changed in more than just the timing when performing medication review in the acute ward setting.…”

Section: Interventionssupporting

confidence: 70%

“…The majority of hospitalised patients have drug-related problems (DRPs) [1][2][3][4][5][6][7][8][9][10][11] which are events or circumstances involving drug therapy that actually or potentially can interfere with the desired health outcomes [12]. The total cost of drug-related morbidity and mortality exceeds the cost of the medications themselves [3].…”

Section: Introductionmentioning

confidence: 99%

“…On the European level, The Pharmaceutical Care Network Europe (PCNE) has developed 'The PCNE Classification for Drug Related Problems', which has proven to be a useful tool in documenting clinical pharmacist services in the hospital setting [9]. The PCNE system is continuously being developed [40] and might be a good option for a useful system for research and practise in the acute wards as well.…”

Section: Introductionmentioning

confidence: 99%

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Clinical pharmacist service in the acute ward

Nielsen

Andersen

Rasmussen³

et al. 2013

Int J Clin Pharm

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Background The majority of hospitalised patients have drug-related problems. Clinical pharmacist services including medication history, medication reconciliation and medication review may reduce the number of drug-related problems. Acute and emergency hospital services have changed considerably during the past decade in Denmark, and the new fast-paced workflows pose new challenges for the provision of clinical pharmacist service. Objective To describe and evaluate a method for a clinical pharmacist service that is relevant and fit the workflow of the medical care in the acute ward. Setting Acute wards at three Danish hospitals. Methods The clinical pharmacist intervention comprised medication history, medication reconciliation, medication review, medical record entries and entry of prescription templates into the electronic medication module. Drug-related problems were categorised using The PCNE Classification V6.2. Inter-rater agreement analysis was used to validate the tool. Acceptance rates were measured as the physicians' approval of prescription templates and according to outcome in the PCNE classification. Main outcome measure Acceptance rate of the clinical pharmacists' interventions through the described method and inter-rater agreement using the PCNE classification for drug-related problems. Results During 17 months, 188 patients were included in this study (average age 72 years and 55 % women). The clinical pharmacists found drug-related problems in 85 % of the patients. In the 1,724 prescriptions, 538 drug-related problems were identified. The overall acceptance rate by the physicians for the proposed interventions was 76 % (95 % CI 74-78 %). There was a substantial inter-rater agreement when using the PCNE classification system. Conclusion The methods for a clinical pharmacist service in the acute ward in this study have been demonstrated to be relevant and timely. The method received a high acceptance rate, regardless of no need for oral communication, and a substantial inter-rater agreement when classifying the drug-related problems.

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Section: Interventionssupporting

confidence: 70%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical pharmacist service in the acute ward

Nielsen

Andersen

Rasmussen³

et al. 2013

Int J Clin Pharm

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“…Many studies have shown drug-related problems (DRPs) to be very common in primary care and in hospital settings [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16]. In both settings there is evidence that pharmacists' interventions can reduce the occurrence of DRPs [6,9,14,15,17].…”

Section: Introductionmentioning

confidence: 99%

Classification of drug-related problems with new prescriptions using a modified PCNE classification system

et al. 2010

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Clinical and technical DRPs are frequently observed in primary care as well as in hospital discharge prescriptions. The modified PCNE classification system, especially the amendment with a technical DRP category, proved to be useful and allowed the classification of all DRPs. Neither the setting (hospital discharge vs. primary care) nor the quality of electronically printed prescriptions, but only the number of prescribed drugs influenced the occurrence of clinical or technical DRPs.

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“…ABD'de, yılda en az 1,5 milyon hasta, aslında önlenebilecek olan advers ilaç olaylarından zarar görmekte ve bunların tedavisi her yıl en az 3,5 milyar dolara mal olmaktadır 4, . İlaçla ilgili problemler, farklı gruplar tarafından farklı sınıflandırmalar altında kategorize edilseler de, ilaç hataları, advers ilaç reaksiyonları ve advers ilaç olayları bu kapsamın içindedir [5][6][7][8] . Hastanelerde görülen advers olayların %10.8-%37.…”

Section: Introductionunclassified

A comparison of the version 4 and version 5 service quality standards in terms of the medication safety in hospitals

Aksöz¹,

Korkut²

2016

BSBD

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bsbd@balikesir.edu.tr www.bau-sbdergisi.com ÖZET GİRİŞ ve AMAÇ: Hastanelerde ilaçla ilişkili problemler artık dünya çapında endişe uyandırmaktadır. TC Sağlık Bakanlığı hastaneler tarafından sağlanan sağlık kalitesini artırmak ve değerlendirmek için, bir rehber kitap üretmiştir: Hastane Hizmet Kalite Standartları. Rehber yıllar içinde güncellenmiş ve 2015 yılında Versiyon 5 yayımlanmıştır. Birçok başka konuya ek olarak rehber, ilaç güvenliği hakkında da bilgi içermektedir. Bu çalışmanın amacı, hastanelerde ilaç güvenliği açısından Versiyon 4 ve Versiyon 5'i karşılaştırmaktır. YÖNTEM ve GEREÇLER: Her iki rehber de ilaçla ilgili bilgiler için tarandı. İlaçla ilgili maddeler saptanarak 6 ana başlık altında sınıflandırıldı (muhafaza, doktor istemi, hazırlama ve transfer, uygulama ve izlem, eğitim, düzenlemeler) ve ilgili literatür ışığında değerlendirildi. BULGULAR: Toplamda, Versiyon 4 içeriğinin %15,15'i ilaçla ilişkiliydi; ayrıca, ilaçla ilişkili kalite puanları hastane personeline dağıtılan ödemeleri % 15'lere varan oranlarda etkilemekteydi. Bununla beraber, Versiyon 5 içeriğinin %6,64'ü ilaçla ilişkiliydi; ve ilgili kalite puanları hastane personeline dağıtılan ödemeleri sadece %7,84 oranında etkilemekteydi. TARTIŞMA ve SONUÇ: Versiyon 5'te ilaç güvenliği standartları daha düzenli ve geliştirilmiş olmasına rağmen, bu standartlar için ayrılan puanların genel hastane kalite puanlarına etkisi Versiyon 4'ün sadece yarısı kadar olduğundan ve bu da personelin ek ödemelerinde azalma ile sonuçlandığından, uygulamada V5, V4 kadar etkili olmayabilir. Öte yandan, her iki rehber de hastanelerde ilaç güvenliğini sağlamak için yararlı araçlar gibi görünmektedir.Anahtar Kelimeler: İlaçla ilişkili problemler, İlaç Güvenliği, İlaç Hataları, Hastaneler SUMMARY INTRODUCTION: Drug-related problems (DRPs) in hospitals represent a worldwide concern nowadays. To evaluate and improve the quality of healthcare provided by hospitals, the Ministry of Health of Turkey produced a guidebook; The Hospital Service Quality Standards. The guidebook has been updated in years and Version 5 was published in 2015. In addition to numerous other topics, the guidebook contains information on medication safety. The aim of this study was to compare the Version 4 with the Version 5 in terms of drug safety. METHODS: Both guidebooks were reviewed for drug related information. Drug-related sections were determined and classified under the following six main headings (storage, physician orders, preparation and transfer, implementation and monitoring, training and regulations) and evaluated with the relevant literature. RESULTS: In total, 15,15% of the contents of the version 4 were drug-related; furthermore, drug-related quality scores affected the payments distributed to hospital personnel by up to 15%. However, 6,64 % of the contents of the version 5 were drug-related; and related scores affected the payments distributed to hospital personnel by just 7,84%. DISCUSSION AND CONCLUSION: The impact of the scores allocated to drug safety on the overall hospital ...

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Drug-related problems: evaluation of a classification system in the daily practice of a Swiss University Hospital

Abstract: We consider the PCNE system to be a practical tool in the hospital setting, which demonstrates the values of a clinical pharmacy service in terms of identifying and reducing DRPs and also has the potential to reduce prescribing costs.

Cited by 57 publications

References 19 publications

Clinical pharmacist service in the acute ward

Clinical pharmacist service in the acute ward

Classification of drug-related problems with new prescriptions using a modified PCNE classification system

A comparison of the version 4 and version 5 service quality standards in terms of the medication safety in hospitals

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