Medication safety in a German telemedicine centre: Implementation of a telepharmaceutical expert consultation in addition to existing tele-intensive care unit services

Amkreutz, Julia; Lenssen, Rebekka; Marx, Gernot; Deisz, Robert; Eisert, Albrecht

doi:10.1177/1357633x18799796

Cited by 26 publications

(15 citation statements)

References 29 publications

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“…A Tele-intensive care unit was implemented to provide telepharmaceutical expert consultation in remote areas to identify drug related problems. The project demonstrated the efficacy of this system in improving patient outcomes and medication safety [26].…”

Section: Resultsmentioning

confidence: 99%

Telepharmacy Services: Present Status and Future Perspectives: A Review

2019

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Background and Objectives: The term “telepharmacy” indicates a form of pharmaceutical care in which pharmacists and patients are not in the same place and can interact using information and communication technology (ICT) facilities. Telepharmacy has been adopted to provide pharmaceutical services to underserved areas and to address the problem of pharmacist shortage. This paper has reviewed the multi-faceted phenomenon of telepharmacy, summarizing different experiences in the area. Advantages and limitations of telepharmacy are discussed as well. Materials and Methods: A literature analysis was carried out on PubMed, using as entry term “telepharmacy” and including articles on the topic published between 2012 and 2018. Results: The studies reviewed were divided into three categories of pharmacy practice, namely (1) support to clinical services, (2) remote education and handling of “special pharmacies”, and (3) prescription and reconciliation of drug therapies. In general, different telepharmacy services were effective and accompanied by a satisfaction of their targets. Conclusions: Nowadays, the shortage of health personnel, and in particular pharmacists, is a challenging issue that the health systems have to face. The use of a new technology such as telepharmacy can represent a possible option to solve these problems. However, there are unsolved limitations (e.g., legal implications) that make greater diffusion of telepharmacy difficult. Stronger data on the effectiveness of this area of pharmacy care, together with a critical evaluation of its limits, can make actors involved aware about the potentialities of it and could contribute to a larger diffusion of telepharmacy services in the interest of communities and citizens.

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Section: Resultsmentioning

confidence: 99%

Telepharmacy Services: Present Status and Future Perspectives: A Review

2019

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“…Virtual rounding is not well described in the literature; however, pharmacist participation in virtual rounding made an impact on medication safety at a German telemedicine center 9 . Results from this study show an average of 2 (range 0‐17) drug‐related problems identified per patient.…”

Section: Introductionmentioning

confidence: 81%

Impact of first and second shift tele‐critical care pharmacy services and virtual rounds on interventions at Atrium Health Lincoln

Griffiths

Kosmisky²,

Everhart³

et al. 2021

J Am Coll Clin Pharm

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BackgroundIn 2015, Atrium Health (AH) established second shift pharmacy services in the tele‐critical care (TCC) setting to optimize medication therapy and serve as a drug information resource to facilities across the health care system. TCC pharmacy services expanded to the first shift in July 2017. In September 2017, the first shift pharmacist began participating in virtual multidisciplinary rounds 1 day per week, which increased to 3 days per week in October 2019 at AH Lincoln, a community hospital with a 10‐bed intensive care unit (ICU).MethodsThis was a nonrandomized retrospective cohort study of adult ICU patients at AH Lincoln across two different time periods. The primary outcome was the number and type of pharmacy interventions made on rounding day(s) vs nonrounding days and first vs second shifts. Data are reported using descriptive statistics.ResultsDuring time period 1, a total of 1174 patients were admitted to the ICU for a total of 2115 patient days, with an average length of stay (LOS) of 1.8 days (SD ± 1.8 days). During time period 2, a total of 812 patients were admitted to the ICU for a total of 1775 patient days with an average LOS of 2.2 days (SD ± 2.7 days). During time period 1, a total of 753 interventions (297 on first shift and 456 on second shift) were performed as compared to time period 2, which had 1276 interventions (816 on first shift and 460 on second shift). For both time periods, the most common intervention on the first shift was medication management (45%) vs glycemic control (36%) on the second shift.ConclusionsThe addition of TCC pharmacy services to AH Lincoln has resulted in a positive impact on medication management, with the largest impact demonstrated through virtual rounding by the first shift TCC pharmacist.

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“…It is necessary to establish a hierarchical diagnosis and treatment system based on family doctors and establish a sound health management service industry and market supervision system for the elderly [18]. In her dissertation, Batsis talked about the government-led multiparty participation in the joint construction of a new elderly care service system suitable for China's social development needs, and the gradual construction of a new model based on the special and diversified demand characteristics of the elderly, with home care as the main focus, community care as a supplement, and institutional care as a guarantee [19] in combination with the actual development of the situation to broaden medical security, elderly care security, and focus on the emotional needs of the elderly, personalized elderly needs, and so forth [20].…”

Section: Introductionmentioning

confidence: 99%

Design of an Interactive Two-Way Telemedicine Service System for Smart Home Care for the Elderly

2021

Journal of Healthcare Engineering

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In this paper, we deeply analyse and study the interactive telemedicine service system for elderly care in smart homes and design a data summarization method for large concurrent scenarios. The method first parses and reconstructs the data received by the system initially and then stores the reconstructed valid data into the local database, which realizes the fast data summarization under the heavy concurrency scenario. Secondly, a multiformat data adaptation method is designed for the problem that the data to be provided and processed are in various formats. The method uses a unified data format and adaptation process constraints to achieve centralized management of heterogeneous data from multiple sources, which provide a unified data support service for the system and upper-layer applications. Again, to deal with the application problem of highly correlated data, the data-sharing system provides data for each functional component of the telemedicine platform according to business requirements based on standardized data structure and unified storage management. This enables the barrier-free flow of multisource highly correlated data. When the consultation is in progress, the doctor can communicate with the patient with video and audio devices and, at the same time, can access the patient’s historical medical records and the medical records uploaded by the patient; after the consultation is completed, the consultation doctor needs to fill in the consultation record. The consultation assistance module can statistically analyse the workload of doctors and other information according to the background data, and the telemedicine system will play an increasingly important role in the medical and health care business.

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Medication safety in a German telemedicine centre: Implementation of a telepharmaceutical expert consultation in addition to existing tele-intensive care unit services

Cited by 26 publications

References 29 publications

Telepharmacy Services: Present Status and Future Perspectives: A Review

Telepharmacy Services: Present Status and Future Perspectives: A Review

Impact of first and second shift tele‐critical care pharmacy services and virtual rounds on interventions at Atrium Health Lincoln

Design of an Interactive Two-Way Telemedicine Service System for Smart Home Care for the Elderly

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