Partnered pharmacist medication charting (PPMC) in regional and rural general medical patients

Tong, Erica; Hua, Phuong; Edwards, Gail; Dyk, Eleanor Van; Yip, Gary; Mitra, Biswadev; Dooley, Michael

doi:10.1111/ajr.12895

Cited by 3 publications

(4 citation statements)

References 12 publications

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“…12 To evaluate replicability of the partnered pharmacist charting model at other health services, evaluations were undertaken in general medicine units at 7 metropolitan and 13 regional and rural public health services in Victoria (n=8648 and 1344 patients, respectively). 13,14 In both studies, partnered pharmacist charting was associated with significant reductions in the proportion of patients with at least one medication error on admission (from 65.9% and 66.7%, respectively with standard medical charting, to 3.6% and 9.5%, respectively with partnered charting). Median length of stay in hospital was shorter in the partnered charting group compared to standard charting in both studies (4.2 versus 4.7 days at metropolitan hospitals, and 3.7 versus 4.8 days in regional and rural hospitals; p<0.001).…”

Section: Effectiveness and Safety Of Partnered Charting And Prescribingmentioning

confidence: 97%

Section: Effectiveness and Safety Of Partnered Charting And Prescribingmentioning

confidence: 99%

“…Median length of stay in hospital was shorter in the partnered charting group compared to standard charting in both studies (4.2 versus 4.7 days at metropolitan hospitals, and 3.7 versus 4.8 days in regional and rural hospitals; p<0.001). 13,14 An independent economic evaluation, using data from the partnered pharmacist charting study at 7 metropolitan hospitals in Victoria, estimated an average saving of $726 per patient and a cost-benefit ratio of approximately 1:15. 15…”

Section: Effectiveness and Safety Of Partnered Charting And Prescribingmentioning

confidence: 99%

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Partnered pharmacist medication charting and prescribing in Australian hospitals

Tong,

Yip

2024

Aust Prescr

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SUMMARY Medication charting and prescribing errors commonly occur at hospital admission and discharge. Pharmacist medication reconciliation, after medicines are ordered by a medical officer, can identify and resolve errors, but this often occurs after the errors have reached the patient. Partnered pharmacist medication charting and prescribing are interprofessional, collaborative models that are designed to prevent medication errors before they occur, by involving pharmacists directly in charting and prescribing processes. In the partnered charting model, a pharmacist and medical officer discuss the patient’s current medical and medication-related problems and agree on a medication management plan. Agreed medicines are then charted by the pharmacist on the inpatient medication chart. A similar collaborative model can be used at other points in the patient journey, including at discharge. Studies conducted at multiple Australian health services, including rural and regional hospitals, have shown that partnered charting on admission, and partnered prescribing at discharge, significantly reduces the number of medication errors and shortens patients’ length of stay in hospital. Junior medical officers report benefiting from enhanced interprofessional learning and reduced workload. Partnered pharmacist medication charting and prescribing models have the best prospect of success in environments with a strong culture of interprofessional collaboration and clinical governance, and a sufficiently resourced clinical pharmacist workforce.

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Section: Effectiveness and Safety Of Partnered Charting And Prescribingmentioning

confidence: 97%

Section: Effectiveness and Safety Of Partnered Charting And Prescribingmentioning

confidence: 99%

Section: Effectiveness and Safety Of Partnered Charting And Prescribingmentioning

confidence: 99%

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Partnered pharmacist medication charting and prescribing in Australian hospitals

Tong,

Yip

2024

Aust Prescr

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“…Consequently, rural primary care has unique challenges, often involving complex medical cases and limited resources [6,[11][12][13][14][15][16][17]. To tackle these problems, previous studies have suggested various approaches, such as strengthening multiprofessional collaboration [18][19][20][21][22][23], establishing remote pharmacy services [18,19], and developing public health programs aiming at medication process evaluation and enhanced safety of care providers [24,25]. To systematically control the risks associated with the medication process, rural primary care units could bene t from introducing proactive approaches, such as medication safety self-assessment (MSSA), to uncover the central risk points of care [16].…”

mentioning

confidence: 99%

Developing a medication-safety self-assessment tool for rural primary care units - A case from Finnish Lapland

Sova,

Celikkayalar,

Sneck

et al. 2024

Preprint

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Background In rural areas, primary care faces several challenges, and medication therapy is one of the most complex processes in primary care. With a specific, proactive, medication-safety self-assessment tool designed for rural primary care units, healthcare professionals could identify development needs in their medication processes. Methods The Delphi consensus method with two Delphi rounds was used to create a medication-safety self-assessment tool for rural primary care units in Finnish Lapland. A preliminary tool was designed based on three national and international risk management tools. Statements of the preliminary tool were evaluated with a two-round Delphi panel by 12 experts in primary care and patient safety. Evaluated aspects were suitability for primary care settings, patient safety relevance, and necessity of the statements to be included in the developed rural, primary care, medication-safety self-assessment tool. Results In the first Delphi round, a consensus was reached on 39% of the statements (n = 118/304), of which 86% (n = 101/118) were included, and 14% (n = 17/118) were excluded from the final primary care medication- safety self-assessment tool. In the second round, 84% of the statements (n = 141/167) reached a consensus, of which 70% (n = 98/141) were excluded and 30% (n = 43/141) included in the final tool. The included 144 statements were divided into 12 thematic sub-groups: 1. Patient information, 2. Drug information, 3. Communication of drug orders and other drug information; 4. Drug labeling, packaging and nomenclature; 5. Drug storage and distribution, 6. Medication device acquisition and use, 7. Environmental factors, workflow and staffing patterns; 8. Staff competency and education, 9. Patient education, 10. Preventive risk management, 11. Learning from medication safety incidents, and 12. Electronic health record. Conclusions The developed medication-safety self-assessment tool is targeted for proactive medication risk management in rural primary care settings. While experts reached a consensus for the PMSSA tool contents, adoption of the tool to suit the rural primary care environments in different countries should be further investigated.

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Advanced Pharmacy Australia Clinical Pharmacy Standards

Dooley,

Bennett,

Clayson‐Fisher

et al. 2024

Pharmacy Practice and Res

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Quality element 4.1: The pharmacy workforce advocates for patients' medication decisions and provides unbiased, evidence-informed, patient-focused information to facilitate shared decision-making.• Quality element 4.2: The pharmacy workforce provides patients with the information they need and in the form that they require, to make decisions about their care. • Quality element 4.3: Shared decision-making is a two-way communication process tailored to the individual patient. • Quality element 4.4: Clinical pharmacy services are delivered in consultation with the patient and, where appropriate, their family, carers and social networks; patients, and carers where appropriate, are empowered to make decisions about the patient's health and wellbeing.

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Partnered pharmacist medication charting (PPMC) in regional and rural general medical patients

Cited by 3 publications

References 12 publications

Partnered pharmacist medication charting and prescribing in Australian hospitals

Partnered pharmacist medication charting and prescribing in Australian hospitals

Developing a medication-safety self-assessment tool for rural primary care units - A case from Finnish Lapland

Advanced Pharmacy Australia Clinical Pharmacy Standards

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