Physicians' Opinions of Expanded Clinical Pharmacy Services

Ritchey, Ferris J.; Raney, M; Keith, Thomas D.

doi:10.2105/ajph.73.1.96

Cited by 15 publications

(6 citation statements)

References 16 publications

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“…Extensive discussion about the multiple barriers to implementing a clinical pharmacy service in Sri Lanka is beyond the scope of this paper. However, current barriers include a lack of funded positions, minimal acceptance of an expanded role by some members of the medical, nursing and pharmacy profession, a previous lack of local role models and minimal awareness of the impact of such services in a hospital ward setting . These hospital‐specific factors would be the main limitations to the generalisability of the results from this research across other hospitals in Sri Lanka.…”

Section: Discussionmentioning

confidence: 98%

Opportunities for pharmacists to optimise quality use of medicines in a Sri Lankan hospital: an observational, prospective, cohort study

Perera

Coombes

Shanika

et al. 2017

Pharmacy Practice and Res

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Background Quality use of medicines (QUM) has been identified as a priority in Sri Lanka. Aim To identify opportunities to optimise QUM, and evaluate medication appropriateness and medication information exchanged with patients and carers on discharge in a Sri Lankan tertiary care hospital. Methods An observational, prospective, cohort study of patients systematically sampled from two medical wards. A research pharmacist determined their pre‐admission medication regimen via interview at time of discharge. Issues of poor adherence and discrepancies between the pre‐ and post‐admission medication regimens were recorded. Drug‐related problems were categorised into opportunities to optimise drug therapy. The appropriateness of discharge medications was evaluated using a validated tool. The patient or carer was interviewed after discharge regarding the quality of medicine information exchanged in hospital. Results The 578 recruited patients were taking 1756 medications prior to admission, and 657 (37.4%) of these medications were not continued during admission. Opportunities to optimise drug therapy were identified on 1496 occasions during admission (median, 2.0 opportunities/patient), 215 opportunities, (14.4%) were resolved spontaneously by the medical team prior to discharge. The median score for appropriateness of medications on discharge was 1.5 per patient (interquartile range, 0.0–3.5). Of 427 patients surveyed after discharge, 52% recalled being asked about their medications on admission to hospital, 75% about previous adverse medication reactions and 39% recalled being informed about changes to their medications on discharge. Conclusion Significant opportunities exist for pharmacists to enhance quality use of medicines for patients in the current hospital‐based healthcare system in Sri Lanka.

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Section: Discussionmentioning

confidence: 98%

Opportunities for pharmacists to optimise quality use of medicines in a Sri Lankan hospital: an observational, prospective, cohort study

Perera

Coombes

Shanika

et al. 2017

Pharmacy Practice and Res

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“…A plethora of research work has been done in order to evaluate the clinical pharmacy services after their introduction (2,3,5,6,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17). In contrast, studies exploring the stakeholders' needs, expectations, and perceptions of clinical pharmacy services before their introduction are very rare.…”

Section: Abstract: Clinical Pharmacist Activities Physicians Nursesmentioning

confidence: 99%

Attitudes of physicians, nurses and pharmacists concerning the development of clinical pharmacy activities in a university hospital

2014

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“…Introduction of clinical pharmacy services was evaluated in [1,14,[23][24][25][26][27][28][29][30][31][32][33][34], but studies exploring the stakeholders' needs, expectations, and perceptions of clinical pharmacy services before their introduction are rare [35]. Only a few studies investigated the perception of clinical pharmacy services by all three professional groups involved-pharmacists, physicians and nurses [1,32,33].…”

Section: Related Workmentioning

confidence: 99%