Pharmacy Student Impact on Inappropriate Prescribing of Acid Suppressive Therapy

Abstract

Objective. To examine the impact that having pharmacy students on internal medicine patient care teams had on inappropriate prescribing of acid suppressive therapy (AST). Methods. In this observational cohort study, internal medicine patients who received care from teams with a pharmacy student were compared to patients who received care from teams without a pharmacy student. The primary endpoint was proportion of patients on inappropriate AST. Results. The overall proportion of patients receiving inappropriate AST was 24.4%. There was no significant difference between patients seen by teams with a pharmacy student and those seen by teams without a pharmacy student. The proportion of patients discharged with new inappropriate AST prescriptions was lower after pharmacy student review, though not significantly (6.1% vs. 9.4%, p 5 0.07). Pharmacy student reviews shortened the median duration of inappropriate AST by 1.5 days (6 vs. 8.5 days, p 5 0.025). Conclusions. Patient care teams on which pharmacy students performed medication reviews had a reduced duration of inappropriate use of AST in patients.

Impact of pharmacy-supported interventions on proportion of patients receiving non-indicated acid suppressive therapy upon discharge: A systematic review and meta-analysis

“…The PRISMA flowchart of study inclusion is illustrated in Fig 1 [55]. After screening and determination of eligibility of 14,422 citations, 17 articles published between 2007 and 2019 were ultimately included in the meta-analysis [63][64][65][66][67][68][69][70][71][72][73][74][75][76][77][78][79]. These 17 publications resulted in 16 studies since Buckley et al [65] reported data for both the ICU and non-ICU settings in a single publication and two authors published results of pre-and post-intervention data in separate articles; in the ICU setting: Wohlt et al (pre-implementation) [75] and Hatch et al (post-implementation) [68]; in the non-ICU setting: Khudair et al (pre-implementation) [71] and Khudair et al (post-implementation) [70].…”

“…Sample [70,71]; Carey et al collected three months of data during the no-pharmacy-student period versus pharmacy-student period [66] and Van der Linden et al collected eleven months of data for the control group (RASP list applied retrospectively) versus intervention group (RASP list applied by pharmacist prospectively) [79]. In studies that provided data [64,65,70,71,79], patients' mean age ranged from 51 to 84.5 years and percentage of males ranged from 44% to 81%.…”

“…The proportion of patients discharged from the hospital on inappropriate AST was the primary outcome for two studies:Hughes et al (examined whether pharmacist's presence and recommendations during interdisciplinary team rounds influenced the rate of inappropriately prescribed AST at discharge) and Wu et al (percentage of patients that remain on a PPI without indication upon discharge) [69, 76]. The proportion of patients discharged on inappropriate AST was a secondary outcome in Agee et al, Belfield et al, Carey et al, Khudair et al, Van der Linden et al and Ziegler et al[63,64,66,70,71,78,79].Observation periods varied between studies. In the retrospective studies, Belfield et al and Buckley et al collected one-month each of pre and post data[64,65]; Agee et al and Ziegler et al collected three months of pre-post data[63,78]; Hughes et al collected 10 months of pre-post data[69].…”

“…et al,Carey et al, and Khudair et al [63,64,66,70,71]. Buckley et al stated that SUP use in non-ICU patients was considered inappropriate[65].…”

A student pharmacist-led medication reconciliation service and its impact on the identification of drug-related problems in an ambulatory clinic

“…Previous research has demonstrated the impact of student pharmacists in acute care settings through clinical interventions and recommendations. [13][14][15][16][17][18][19][20][21][22][23][24][25][26][27][28] In these studies, students delivered recommendations through activities including chart review, rounds, and other pharmaceutical care programs; medication reconciliation was not a service students were typically engaged in. Lubowski et al 15 did specifically look at the impact of students delivering medication reconciliation in a community hospital and found that students were able to identify and resolve drug-related problems.…”