Redesign of the Clinical Pharmacy Practice Model in a Tertiary Academic Hospital in Medellín, Colombia

Aguirre, Juan Pablo Botero; Quintero, Andrés Felipe Valencia; Vega, Elkyn Johan Granados

doi:10.4212/cjhp.v70i3.1662

“…In 2007, a pharmacy management model was defined, and a handbook on essential conditions and procedures was introduced. 37 The creation of the first pharmacy school in Colombia dates back to 1927 when it was established as part of the School of Medicine in the Universidad Nacional (UN) through the enactment of Law 11 in that same year. 38 which enhance their understanding and skills in these domains.…”

Section: Universidade De São Paulo and Universidade Federal De Ouromentioning

confidence: 99%

“…This was followed by the issuance of a decree in 2005, which regulated pharmacy processes and activities. In 2007, a pharmacy management model was defined, and a handbook on essential conditions and procedures was introduced 37 …”

Section: Colombiamentioning

confidence: 99%

Insights into clinical pharmacy practice in Latin America

Zavaleta‐Monestel,

Serrano‐Arias,

Milano‐Gil

et al. 2023

J Am Coll Clin Pharm

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BackgroundIn Latin America, clinical pharmacy has undergone significant changes in recent decades, with more pharmacists seeking advanced training. Clinical pharmacists are now recognized for their crucial role in patient care, particularly in medication management, patient education, and interprofessional collaboration. However, the region's progress in this field has been influenced by diverse economic, social, and cultural factors, leading to different levels of advancement across different countries.AimsTo describe the practice and training of professionals in clinical pharmacy, as a distinct field within the pharmaceutical profession, across eight Latin American countries.Materials & MethodsArgentina, Brazil, Chile, Colombia, Costa Rica, Mexico, Peru, and Uruguay were chosen for this review. Data on clinical pharmacy practices in these countries was collected through a survey comprising five sections with 21 targeted questions. Following the survey's completion, an extensive literature review was conducted across multiple databases.ResultsBrazil has the most responsive education system to meet the demands of the population for the pharmacy career, with a University to Pharmacy (UP) index of 0.31, the lowest among all the countries included. Brazil also offers the highest number of postgraduate programs in the area of clinical pharmacy. Furthermore, diverse basic and advanced clinical pharmacy practices were identified in the included regions. These practices range from pharmacotherapeutic monitoring of patients to interdisciplinary collaboration in managing critically ill hospitalized patients. Each country exhibits a varying degree of acceptance towards clinical pharmacy.ConclusionThe evolution of clinical pharmacy in Latin America offers a promising opportunity to optimize drug therapy and improve patient safety and care quality. However, challenges remain, such as the need for more clinical sub‐specializations and better recognition of pharmacists' roles within healthcare teams. To address these challenges, continued professional development and advocacy are essential to enhance clinical pharmacy practice in the region.

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“…Direct patient care by clinical pharmacists within multidisciplinary teams is recognized as one of the best pharmacy practice models because it minimizes ME, care costs, morbidity and mortality rates, time spent in the hospital, and improved pharmacotherapy results. [8,9] In mid-2016, the Hospital Pablo Tobón Uribe (HPTU), a tertiary university hospital located in Medellín (Colombia), standardized a clinical pharmacy practice model (CPPM) that incorporated the activities of the pharmacist into the multidisciplinary health team to provide clinical pharmacy services [10] and to improve patient safety. Currently, this model is actively applied in the hospital; however, knowledge of the model's full effect on patient safety, as framed in the WHO initiative to reduce ME, is needed.…”

Section: Introductionmentioning

confidence: 99%

Effect and associated factors of a clinical pharmacy model in the incidence of medication errors in the hospital Pablo Tobón Uribe eacpharmodel study: stepped wedge randomized controlled Trial (NCT03338725)

Granados

¹

,

Amariles

²

,

Aguirre

³

et al. 2022

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BackgroundThe World Health Organization considers medication errors to be an issue that requires attention at all levels of care, to reduce the severe and preventable harm related to drug therapy. In the world, clinical pharmacy practice standards have been proposed, where the pharmacist, as part of the multidisciplinary health team, can help improve patient safety; however, more and better evidence needs to demonstrate this effect.

show abstract

“…Direct patient care by clinical pharmacists within multidisciplinary teams is recognized as one of the best pharmacy practice models because it minimizes ME, care costs, morbidity and mortality rates, time spent in the hospital, and improved pharmacotherapy results. [8,9] In mid-2016, the Hospital Pablo Tobón Uribe (HPTU), a tertiary university hospital located in Medellín (Colombia), standardized a clinical pharmacy practice model (CPPM) that incorporated the activities of the pharmacist into the multidisciplinary health team to provide clinical pharmacy services [10] and to improve patient safety. Currently, this model is actively applied in the hospital; however, knowledge of the model's full effect on patient safety, as framed in the WHO initiative to reduce ME, is needed.…”

Section: Introductionmentioning

confidence: 99%

Effect and Associated Factors of a Clinical Pharmacy Model in the Incidence of Medication Errors in the Hospital Pablo Tobón Uribe Eacpharmodel Study: Stepped Wedge Randomized Controlled Trial (NCT03338725).

Granados

¹

,

Amariles

²

,

Aguirre

³

et al. 2021

Preprint

0

View full text Add to dashboard Cite

BackgroundThe World Health Organization considers medication errors to be an issue that requires attention at all levels of care, to reduce the severe and preventable harm related to drug therapy. In the world, clinical pharmacy practice standards have been proposed, where the pharmacist, as part of the multidisciplinary health team, can help improve patient safety; however, more and better evidence needs to demonstrate this effect. ObjectiveTo assess the change in the incidence of medication errors in hospitalized patients and thereby identify drug-related factors and problemsSettingThe study was conducted at Hospital Pablo Tobón Uribe, medellín, Colombia.MethodsA randomized, controlled cluster-wedge staggered trial with a duration of 14 months was conducted to compare the clinical pharmacy practice model's effect with the usual care process in the hospital. Five hospital health care units were included, which were initially assigned to the control group, and after an observation period of 2 months, they were randomly assigned to the intervention group.Main outcome measureIncidence of medication errors in hospitalized patientsResultsThe medication error incidence was 13.3% and 22.8% for the intervention group and control group, respectively. The probability of presenting medication error was 48% lower when the patient was in the intervention group (RR 0.52; 95% CI:0.34-0.79).ConclusionThe Clinical pharmacy practice model of the Hospital Pablo Tobón Uribe Hospital, made up of strategies focused on reducing medication errors, significantly reduces medication errors in patients during hospitalization compared to usual practice.

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Redesign of the Clinical Pharmacy Practice Model in a Tertiary Academic Hospital in Medellín, Colombia

Abstract: -

Cited by 4 publications

References 27 publications

Insights into clinical pharmacy practice in Latin America

Insights into clinical pharmacy practice in Latin America

Effect and associated factors of a clinical pharmacy model in the incidence of medication errors in the hospital Pablo Tobón Uribe eacpharmodel study: stepped wedge randomized controlled Trial (NCT03338725)

Effect and Associated Factors of a Clinical Pharmacy Model in the Incidence of Medication Errors in the Hospital Pablo Tobón Uribe Eacpharmodel Study: Stepped Wedge Randomized Controlled Trial (NCT03338725).

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