Staff Perceptions of an On-site Clinical Pharmacist Program in an Academic Emergency Department after One Year

Coralic, Zlatan; Kanzaria, Hemal K.; Bero, Lisa; Stein, John

doi:10.5811/westjem.2013.11.18069

Cited by 19 publications

(24 citation statements)

References 10 publications

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“…Process evaluations and other research involving multiprofessional collaboration including ward-based pharmacists often make use of surveys to study the views of the involved healthcare professionals [14][15][16][17][18][19]. These survey studies report that physicians and nurses generally are satisfied with the collaboration with the pharmacists and that an increase in the quality and safety of the patients' medication treatment is perceived.…”

Section: Introductionmentioning

confidence: 99%

Facilitators and barriers for performing comprehensive medication reviews and follow-up by multiprofessional teams in older hospitalised patients

Kempen

Kälvemark

Sawires

et al. 2020

Eur J Clin Pharmacol

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Purpose There is a lack of knowledge about factors that influence the performance of comprehensive medication reviews (CMRs) by multiprofessional teams in hospital practice. This study aimed to explore the facilitators and barriers for performing CMRs and post-discharge follow-up in older hospitalised patients from the healthcare professional perspective. Methods Physicians and ward-based pharmacists were recruited from an ongoing trial at four hospitals in Sweden. Semistructured interviews were conducted with 16 physicians and 7 pharmacists. Interview topics were working processes, resources, competences, medication-related problems, intervention effects and collaboration. The interviews were audio-recorded, transcribed verbatim and thematically analysed using the Consolidated Framework for Implementation Research (CFIR). Identified subthemes were categorised as facilitators or barriers and grouped into overarching main themes. Results In total, 21 facilitators and 25 barriers were identified across all CFIR domains and grouped in 6 main themes: (a) CMRs and follow-up are needed, but not in all patients; (b) there is a general belief in positive effects; (c) lack of resources is an issue, although the performance of CMRs may save time; (d) pharmacists' knowledge and skills are valuable, but they need more clinical competence; (e) compatibility with hospital practice is challenging, and roles and responsibilities are unclear and (f) personal contact at the ward is essential for physician-pharmacist collaboration. Conclusion Multiple facilitators and barriers for performing CMRs and post-discharge follow-up in older hospitalised patients exist. These factors should be addressed in future initiatives with similar interventions by multiprofessional teams to ensure successful implementation and performance in hospital practice.

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Section: Introductionmentioning

confidence: 99%

Facilitators and barriers for performing comprehensive medication reviews and follow-up by multiprofessional teams in older hospitalised patients

Kempen

Kälvemark

Sawires

et al. 2020

Eur J Clin Pharmacol

View full text Add to dashboard Cite

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“…[7][8][9] Fairbanks et al 7 survey showed that ED physicians and nurses are overwhelmingly in favor of the presence of an EPh in the ED, frequently seek their advice, and think that an EPh improves the quality of care. A survey by Coralic et al 8 has also proven that the EPh model of practice provides valuable perceived benefit to ED providers. A more recent survey, by Splawski et al, 9 reported that an EM pharmacist is an invaluable addition to a health-care team.…”

Section: Discussionmentioning

confidence: 99%

“…The survey instrument was developed from three previous studies that assessed staff perceptions of EM pharmacists. [7][8][9] The survey has 24 questions: 5 address demographics; 3 are general perception multiple-choice questions; and 16 are EPh specific, 5-point Likert scale questions (1-strongly agree, 5-strongly disagree). The survey was distributed to the whole ED staff by e-mail through Google forms (Google Inc.) in June 2017, after it was announced during a departmental meeting.…”

Section: Methodsmentioning

confidence: 99%

Staff perceptions toward emergency clinical pharmacists in a Saudi Arabian academic emergency department

Abualenain

Bakhsh

2017

Hong Kong Journal of Emergency Medicine

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Introduction: In Saudi Arabia, the establishment of pharmacy services as a part of the emergency department is relatively new and has been run by non-residency-trained pharmacists and limited to non-emergency services. We sought to explore emergency department staff members' perceptions of clinical emergency pharmacy services in an academic emergency department. Method: In this survey study, 24 questions were sent to all emergency department staff 9 months after establishing an emergency pharmacist program with the goal of improving medication safety and quality of care. Results: Most, 122 out of 145 (84%), emergency department staff members responded to the survey. All 41 emergency department providers completed the survey, compared to 81 (78%) nurses. Half of the respondents had less than 1 year of experience working with emergency pharmacist. Two-thirds (66%) had consulted an emergency pharmacist at least once; however, 68% of providers had no contact with the emergency pharmacist. Almost half (46%) agreed that the emergency pharmacist's contribution to medication safety was maximized through the order review process, and more than three-fourths (77%) agreed that an emergency pharmacist should review all orders. Most respondents agreed that the emergency pharmacist improves the quality of care (89%), is an integral part of the emergency department team (86%), is more useful if located in the emergency department (87%); it is helpful if he or she checks medication orders before they are carried out (88%), enhances the emergency department staff's ability to deliver safe, quality care during medical resuscitations (85%), and is a valuable educator serving both patients (88%) and emergency department staff (77%). All respondents were in positive agreement with the different specific functions for the emergency pharmacist role. Conclusion: The emergency department staff believes that an emergency pharmacist is an important part of the emergency department team, acts to maximize medication safety, contributes to the education of emergency department staff and patients, and improves the quality of care.

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“…Recent international studies substantiate the need of clinical pharmacists to be active members of the DEM medical team. In fact, the presence of clinical pharmacists has been shown to have a positive impact on the efficient functioning of the ED [6][7][8]. Clinical pharmacy consultation services can provide drug-related information to physicians, residents, students, and nurses whenever required [6,7,[9][10][11].…”

Section: David Publishingmentioning

confidence: 99%

“…In fact, the presence of clinical pharmacists has been shown to have a positive impact on the efficient functioning of the ED [6][7][8]. Clinical pharmacy consultation services can provide drug-related information to physicians, residents, students, and nurses whenever required [6,7,[9][10][11]. Consequently, the clinical pharmacist has an important role in reducing potential ADRs and assuring medication safety to the patients through identifying and preventing MEs and ensuring appropriate medication use [9,[11][12][13][14][15][16][17][18][19].…”

Section: David Publishingmentioning

confidence: 99%

The Impact of a Clinical Pharmacist in the Emergency Department of an Academic Hospital in the Kingdom of Saudi Arabia

Al-Kathiri¹,

Abdelrazek²,

Aljadhey³

2018

JPP

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Introduction: The department of emergency medicine (DEM) has a high-risk environment due to its unique and complex workflow. Many high-risk medications are ordered and administered at patients' bedsides without being checked by a pharmacist first, which may lead to an increase in the incidence of patient medication errors (MEs). Objective: The current study evaluated the needs of the clinical pharmacy service in the DEM at King Saud University Medical City (KSUMC), Riyadh, Saudi Arabia. Methods: A cross-sectional retrospective study was conducted between Jan 2016 to Dec 2017 and the documentation of clinical pharmacist interventions was extracted from Esihi database. Results: A total of 2,255 interventions for 862 patients were documented. The recommended interventions were as follows: 645 (dose adjustments), 108 (therapeutic substitutions), and 354 interventions (initiating drug therapy). Adverse drug reactions (ADRs) were reported in 16 patients, and drug interactions were managed in 26 patients. The DEM responded to 713 information inquires and 290 pharmacokinetic consultations. Drug discontinuations included 39 incidents (where unjustified drug prescription occurred), 37 (where contraindications were involved), and 19 (where duplicate therapy was involved). The most common interventions were related to the following drugs: antibiotics (34%), anticoagulants (15%), and anticonvulsants (10%). The acceptance rates for the EM clinical pharmacist recommendations increased from 93.9% in 2016 to 99% in 2017. The most common outcome for interventions was to optimize the therapeutic effects of the drugs that were administered (73%). Reconciliation was done in 796 patients. Conclusions: The clinical pharmacy service plays a critical role in the management of patients in the emergency department (ED).

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Staff Perceptions of an On-site Clinical Pharmacist Program in an Academic Emergency Department after One Year

Cited by 19 publications

References 10 publications

Facilitators and barriers for performing comprehensive medication reviews and follow-up by multiprofessional teams in older hospitalised patients

Facilitators and barriers for performing comprehensive medication reviews and follow-up by multiprofessional teams in older hospitalised patients

Staff perceptions toward emergency clinical pharmacists in a Saudi Arabian academic emergency department

The Impact of a Clinical Pharmacist in the Emergency Department of an Academic Hospital in the Kingdom of Saudi Arabia

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