Pharmacist Clinical Interventions and Discharge Counseling in Medical Rehabilitation Wards in a Local Hospital: A Prospective Trial

Ip, Rosanna Nga Suet; Tenney, Justin W; Chu, Angus Chun Kwok; Chu, Pauline Lai Ming; Young, Grace Wai Man

doi:10.3390/geriatrics3030053

Cited by 8 publications

(3 citation statements)

References 37 publications

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“…Regarding emergency department visits, differences in the decrease of visits were found in the intervention group compared to the control group in the studies of Hohl et al, 43 Ip et al, 38 Oñatibia-Astibia et al, 41 Ravn-Nielsen et al, 22 and Shaver et al, 40 demonstrating the pharmacist's influence in this stage of medication reconciliation. However, in three documents, this difference was not statistically significant despite a notable reduction in the absolute number of results.…”

Section: Discussionmentioning

confidence: 97%

Medication reconciliation in in-patients with chronic pathologies: a narrative review

María Vega,

Mora-Villaseñor,

Córdova-Mariángel

et al. 2024

PPIJ

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Objective: To analyze the effectiveness of the medication reconciliation process by pharmacists at the hospital level in patients with chronic non-communicable diseases, evidenced through the analysis of readmissions and the acceptance of pharmaceutical interventions. Method: A narrative bibliographic review was conducted in databases of the University of Concepción between 2011 and 2021. Keywords used in the search included medication reconciliation, hospital readmission, clinical pharmacy, discrepancy, among others. The search was conducted in both English and Spanish. Clinical studies, trials, descriptive observational studies, and analytical observational studies (case and control reports) were included, involving a population over 18 years old with chronic or non-communicable diseases and reconciliation at admission, during the stay, and at hospital discharge. Results: A total of 36 articles were reviewed, of which only 23 compared the impact on unplanned readmissions within 30 days of hospital discharge, and 4 mentioned visits to the emergency department during the same period. Only 15 articles presented physician acceptance of interventions carried out by pharmacists during the medication reconciliation process, with an acceptance rate of at least 60%. Conclusions: Based on this bibliographic review, it can be concluded that medication reconciliation has an impact on the quality of care. This is reflected in a reduction in both the number of visits to the emergency department and hospital readmissions during the 30 days following discharge.

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Section: Discussionmentioning

confidence: 97%

Medication reconciliation in in-patients with chronic pathologies: a narrative review

María Vega,

Mora-Villaseñor,

Córdova-Mariángel

et al. 2024

PPIJ

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“…They obtain medical and medication history, check medication errors including prescription, dispensing and administration errors, identify drug interactions, monitor ADR, suggest individualization of dosage regimen, provide patient counseling, etc. [29][30][31][32][33][34][35]. They also provide information about the use of drugs and medical devices like inhaler, insulin pen, eye drops, nasal sprays, etc.…”

Section: Imentioning

confidence: 99%

Clinical Pharmacists in Chronic Care

Mohiuddin¹

2019

GJMR

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Pharmacy practice has changed significantly lately. The professionals have the chance to contribute straightforwardly to patient consideration so as to lessen morbimortality identified with medication use, promoting wellbeing and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic complications, and the role of physicians has become limited to controlling and palliating symptoms.The increasing population of patients with longterm conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy took over an aspect of medical care that had been partially abandoned by physicians. Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. Once relegated to counting and pouring, pharmacists headed institutional reviews of drug utilization and served as consultants to all types of health-care facilities. In addition, when clinical pharmacists are active members of the care team, they enhance proficiency by: Providing critical input on medicine use and dosing. Working with patients to solve problems with their medications and improve compliance.

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“…27,28 They obtain medical and medication history, check medication errors including prescription, dispensing and administration errors, identify drug interactions, monitor ADR, suggest individualization of dosage regimen, provide patient counseling, etc. [29][30][31][32][33][34][35] They also provide information about the use of drugs and medical…”

Section: Introductionmentioning

confidence: 99%

Clinical pharmacists in chronic care

Mohiuddin¹

2020

SUJHS

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Pharmacy practice has changed substantially in recent years. The professionals have the opportunity to contribute directly to patient care in order to reduce morbimortality related to medication use, promoting health and preventing diseases. Healthcare organizations worldwide are under substantial pressure from increasing patient demand. Unfortunately, a cure is not always possible particularly in this era of chronic diseases, and the role of physicians has become limited to controlling and palliating symptoms. The increasing population of patients with long-term conditions are associated with high levels of morbidity, healthcare costs and GP workloads. Clinical pharmacy took over an aspect of medical care that had been partially abandoned by physicians. Overburdened by patient loads and the explosion of new drugs, physicians turned to pharmacists more and more for drug information, especially within institutional settings. Once relegated to counting and pouring, pharmacists headed institutional reviews of drug utilization and served as consultants to all types of health-care facilities. In addition, when clinical pharmacists are active members of the care team, they enhance efficiency by: Providing critical input on medication use and dosing. Working with patients to solve problems with their medications and improve adherence.

show abstract

Pharmacist Clinical Interventions and Discharge Counseling in Medical Rehabilitation Wards in a Local Hospital: A Prospective Trial

Cited by 8 publications

References 37 publications

Medication reconciliation in in-patients with chronic pathologies: a narrative review

Medication reconciliation in in-patients with chronic pathologies: a narrative review

Clinical Pharmacists in Chronic Care

Clinical pharmacists in chronic care

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