Effect of Full-time Allocation of Pharmacists in Every Hospital Ward on Medical Safety

Kumakura, Yasuo; Torimoto, Mayumi; Sakai, Yusuke; Kubota, Aki; Kiriyama, Noriko; Tojima, Ayano; Kurachi, Akane; Senzaki, Koji; Yamamoto, Masato; Ishikawa, Kazuhiro; Yamada, Kiyofumi

doi:10.5649/jjphcs.40.1

Cited by 5 publications

(2 citation statements)

References 1 publication

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“…Without pharmacists' CPBM, nurses have to check the medicine, however, there was a report that pharmacists' CPBM was superior to nurses [10]. The benefit of ward pharmacy services have been reported [3,11,12] and the CPBM is beneficial for patients' care in a hospital [3,4,8]. The CPBM service is basic evaluation of inpatients and the information relates to following patients' treatment.…”

Section: Discussionmentioning

confidence: 99%

Places to Managing Medicines Patients Brought in Hospital: Which is Better Central Pharmacy or Hospital Wards?

Suzuki¹,

Yoshino²,

Koike³

et al. 2016

J Community Med Health Educ

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Background: Checking patients brought in medicine (CPBM) service in a hospital is one of the core service in the pharmacy division. At the National Cancer Center Hospital East, pharmacists performed the service in a central pharmacy, however, it has changed the working place, from the central pharmacy to hospital wards, since it was criticized that patients had long waiting time for CPBM. According to the change of working place, ward pharmacists check the medicines in a ward from February 5 th 2015, compared that pharmacists checked the medicine in the central pharmacy in the past.

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Section: Discussionmentioning

confidence: 99%

Places to Managing Medicines Patients Brought in Hospital: Which is Better Central Pharmacy or Hospital Wards?

Suzuki¹,

Yoshino²,

Koike³

et al. 2016

J Community Med Health Educ

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“…Others: Other cases. Before Optimization of dosage regimens 0(0) 0(0) 4(2) 13( 8) 0(0) 0(0) 2(2) 4(1) Detection/avoidance of double administration 0(0) 0(0) 0(0) 2( 1) 0(0) 1(1) 0(0) 2(1) Detection/avoidance of interactions 0(0) 0(0) 1(1) 0( 0) 0(0) 3(0) 0(0) 0(0) Detection/avoidance of adverse reactions 1(0) 1(1) 1(1) 1( 1) 2(0) 1(0) 0(0) 1(0) Detection of poor compliance and consultation 1(0) 2(2) 0(0) 5( 2) 1(0) 40(3) 0(0) 1(1) Conˆrmation of incompatibility 0(0) 0(0) 0(0) 0( 0) 5(0) 20(1) 0(0) 0(0) Mis-prescription/prescription errors/running-out of drugs brought from home 7 (5) 9(8) 0(0) 1( 0) 0(0) 5(3) 0(0) 1 (1) Prescription proposal based on patient information 4(4) 12(5) 0(0)…”

mentioning

confidence: 99%

Changes in Medical Safety Interventions Conducted by Ward-based Pharmacists since the Introduction of Their Services in Complex Medical Ward

et al. 2015

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Despite an increase in the number of reports on medical safety interventions conducted by ward-based pharmacists, only a few reports have classiˆed intervention cases in detail. We classiˆed and compared the types of medical safety intervention conducted by ward-based pharmacists since the introduction of their services. The interventions were classied into: cases that were identiˆed by pharmacists or through asking questions about physicians' prescriptions before dispensing medications (active interventions); and those in which pharmacy technicians could contribute to medical safety by receiving inquiries from patients or healthcare providers (passive interventions). The numbers of the two types of intervention were compared. The number of interventions signiˆcantly increased after the introduction of ward-based clinical pharmacy services. Especially, the numbers of cases identiˆed during ward rounds conducted by ward-based pharmacists (active interventions) and those identiˆed by receiving inquiries from physicians or nurses (passive interventions) signiˆcantly increased, possibly because the collection of patient information was performed more e‹ciently by conducting ward rounds, and an environment where physicians and nurses can easily make inquiries to pharmacists was established after increasing the time pharmacists spend on hospital wards. The results demonstrate that the introduction of ward-based clinical pharmacy services has improved communication with patients, facilitated information-sharing among physicians, nurses, and other healthcare providers, contributed to the safer management of pharmaceutical operations, and increased interest of patients.

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Evaluation of the Effects of Pharmacist Intervention for Adverse Drug Reaction Detection and Exacerbation Avoidance

Imaura

Yamaya²,

Uehara³

et al. 2017

YAKUGAKU ZASSHI

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We evaluated the eŠects of pharmacist intervention for adverse drug reaction detection and exacerbation avoidance, as well as the severity and outcome of reactions based on analyses of pharmacist involvement in a collaborative approach to medicine. Of 5436 cases with pharmacist involvement, adverse drug reaction prevention was seen in 440, accounting for 8.1％, and exacerbation avoidance in 213, accounting for 3.9％. We concluded that pharmacist involvement contributes to detect adverse drug reactions and avoid exacerbation, and improves pharmacotherapy safety. We also analyzed 131 cases in which the course after intervention was followed. When categorized by adverse drug reaction severity, Grade 1 and 2 were the same at 45.8％, Grade 3 at 8.4％, respectively. Thoseˆndings suggested that pharmacist intervention contributes to early detection of an adverse drug reaction. Also, the relationship between clues for detecting adverse drug reactions by a pharmacist and their severity showed that objective evaluations such as clinical laboratory test results, physical assessments and medication history were important for detecting reactions that became more serious. Patients recovered or recovering from an adverse reaction comprised 76.4％, indicating that pharmacist intervention contributed to exacerbation avoidance and improvement. Ourˆndings revealed the eŠects of pharmacist intervention for adverse drug reaction detection and exacerbation avoidance, and for safety improvement of pharmacotherapy. Additionally, we considered it necessary for the future pharmacist intervention to improve skills of assessing an adverse drug reaction objectively.

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Effect of Full-time Allocation of Pharmacists in Every Hospital Ward on Medical Safety

Cited by 5 publications

References 1 publication

Places to Managing Medicines Patients Brought in Hospital: Which is Better Central Pharmacy or Hospital Wards?

Places to Managing Medicines Patients Brought in Hospital: Which is Better Central Pharmacy or Hospital Wards?

Changes in Medical Safety Interventions Conducted by Ward-based Pharmacists since the Introduction of Their Services in Complex Medical Ward

Evaluation of the Effects of Pharmacist Intervention for Adverse Drug Reaction Detection and Exacerbation Avoidance

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