Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population

Abstract

Changes made to integrate patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population not only improved all targeted outcomes but also helped establish Lincoln Community Health Center as the patient's medical home.

Approaches to improving patient safety in integrated care: a scoping review

“…Empirical studies comprised the majority of study types and included randomised control trials, 37 38 40–42 44 49 qualitative studies, 35 36 39 45 mixed methods studies, 27 34 retrospective analysis of medical records, 30 43 a cohort study, 48 a cross-sectional study, 33 an observational study, 36 a systematic review 15 and action research. 46 Service evaluations 28 31 32 and quality improvement (QI) studies 29 47 were also among the list of included studies.…”

“…Of the 24 included studies, 11 involved approaches designed to reduce falls risk, 27 28 32 34 37 38 41 44 46 48 49 and 10 studies were broadly associated with assuring medication safety through reconciliation and review, surveillance and monitoring. 29 33 35 36 39 40 42 43 45 47 Three studies undertook a series of approaches to reduce adverse events more broadly such as identifying medications that increase the risk of a fall in older people and an assessment of an approach designed to reduce the rate of hip fracture. 30 31 The systematic review included studies that involved approaches to reduce adverse events including adverse drug reactions.…”

“…A breakdown of the study characteristics is provided in online supplemental table 1. In terms of geographical distribution, empirical studies were undertaken in North America, [27][28][29][30][31][32] Europe 33-43 44-46 Asia 47 48 and Australia. 49 All studies involved adult participants described as elderly, older adults or adults over the age of 65 in the main, although four studies also included other adults aged Open access over 18 years.…”

“…27 28 The remaining studies described multi-component models such as QI collaborative approaches, or other models comprising multi-disciplinary working, care coordination and strategies to strengthen leadership to promote patient safety and reduce hospital admission or readmission. The QI collaborative aimed to reduce the risk of ADE and involved MDTs with professionals from primary and acute care who adopted a change package involving clinical pharmacy services 29 and a QI approach based on an adaptation of the Institute of Healthcare Improvement Trigger Tool method. 47 Profile of professionals involved in the approaches Of the 23 empirical studies, the majority included a multidisciplinary approach to care provision involving different health professional groups.…”

The effect of pharmacy information management system on safety medication use: A study from private hospitals in İstanbul

“…Medications are essential for the prevention and treatment of disease (2) whereas they can also cause harm due to their adverse effects, medication errors and medication complexity (2) in health services (3). Preventable medication errors are prominent factors in patient safety since improving patient safety and quality of care has become a major focus in healthcare (4)(5)(6).…”