The importance of pharmacists in modern day surgery – editorial

Awuah, Wireko Andrew; Tenkorang, Pearl Ohenewaa; Adebusoye, Favour Tope; Asieduwaa, Owusu Yaa; Mehta, Aashna; Debrah, Anastasia Fosuah; Oti, Victor Nkemsinachi; Ng, Jyi Cheng; Abdul‐Rahman, Toufik; Sikora, Vladyslav

doi:10.1097/js9.0000000000000146

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…Many recent articles have discussed the critical importance of the pharmacist in surgical procedures, with a focus on the role in the perioperative multidisciplinary team and the impact of their collaboration on the outcome of surgical procedures. [10] As reported in the literature, an accurate medication collection process leads to more accurate reconciliation, reducing medication errors and adverse reactions due to incorrect medication prescription. [11,12].…”

Section: Discussionmentioning

confidence: 96%

Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study

Mengato,

Pivato,

Codato

et al. 2023

Preprint

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Background: Best Possible Medication History (BPMH) collected by clinical pharmacists is crucial for effective medication review but, in Italy, it is often left to the nursing staff. This study aims to compare the quality and accuracy of a clinical pharmacist-documented BPMH with the current standard practice of ward staff-collected BPMH at an Italian perioperative surgical setting. Methods: A 20-week prospective observational non-profit study was conducted in a major University hospital. The study comprised a feasibility, an observational, and an interventional phase. During the feasibility phase, 10 items for obtaining a correct BPMH were identified. The control group consisted of retrospectively analyzed BPMHs collected by the ward staff during the observational phase, while interventions included BPMHs collected by the clinical pharmacist during the third phase. Omissions between the two groups were compared. Results: 14 (2%) omissions were found in the intervention group, compared with 400 (57.4%) found in the controls (p<0.05); data collection was more complete when collected by pharmacists compared to the current modalities (98.0% versus 42.6%; p<0.05). Conclusions: The involvement of a pharmacist significantly reduced the number of omissions in perioperative surgical-collected BPMHs. This intervention holds the potential to decrease the risk of medication errors associated with inaccurate or incomplete BPMHs prior to surgical hospitalization.

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Section: Discussionmentioning

confidence: 96%

Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study

Mengato,

Pivato,

Codato

et al. 2023

Preprint

View full text Add to dashboard Cite

show abstract

“…Many recent articles have discussed the critical importance of the pharmacist in surgical procedures, with a focus on the role in the perioperative multidisciplinary team and the impact of their collaboration on the outcome of surgical procedures [13]. As reported in the literature, an accurate medication collection process leads to more accurate reconciliation, reducing medication errors and adverse reactions due to incorrect medication prescription [14,15].…”

Section: Discussionmentioning

confidence: 99%

Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study

Mengato,

Pivato,

Codato

et al. 2023

Pharmacy

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Background: A Best Possible Medication History (BPMH) collected by clinical pharmacists is crucial for effective medication review, but, in Italy, it is often left to the nursing staff. This study aims to compare the quality and accuracy of a clinical pharmacist-documented BPMH with the current standard practice of ward staff-collected BPMH in an Italian preoperative surgical setting. Methods: A 20-week prospective observational non-profit study was conducted in a major university hospital. The study comprised three phases: a feasibility, an observational, and an interventional phase. During the feasibility phase, 10 items for obtaining a correct BPMH were identified. The control group consisted of retrospectively analyzed BPMHs collected by the ward staff during the observational phase, while interventions included BPMHs collected by the clinical pharmacist during the third phase. Omissions between the two groups were compared. Results: 14 (2.0%) omissions were found in the intervention group, compared with 400 (57.4%) found in the controls (p < 0.05); data collection was more complete when collected by pharmacists compared to the current modality (98.0% of completed information for the intervention versus 42.6%; p < 0.05). Conclusions: The involvement of a pharmacist significantly reduced the number of omissions in preoperative surgical-collected BPMHs. This intervention holds the potential to decrease the risk of medication errors associated with inaccurate or incomplete BPMHs prior to surgical hospitalization.

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“… 3 While the roles and outcomes of most healthcare providers in these settings are well established in the literature, the roles and impact of pharmacist integration into perioperative settings is seldom examined. 8 – 10 Over the past few decades, the scope of practice for pharmacists has been evolving, which enabled them to embrace new roles in a variety of settings. Pharmacists’ expanded professional role includes variety of activities such as medication reviews, medication therapy management, patient counseling, independent prescribing, telepharmacy services, vaccine dissemination, community education, and emergency preparedness and response.…”

Section: Introductionmentioning

confidence: 99%

Interventions and impact of pharmacist-delivered services in perioperative setting on clinically important outcomes: a systematic review and meta-analysis

Naseralallah,

Koraysh,

Aboujabal

et al. 2024

Therapeutic Advances in Drug Safety

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Background: The perioperative arena is a unique and challenging environment that requires coordination of the complex processes and involvement of the entire care team. Pharmacists’ scope of practice has been evolving to be patient-centered and to expand to variety of settings including perioperative settings. Objectives: To critically appraise, synthesize, and present the available evidence of the characteristics and impact of pharmacist-led interventions on clinically important outcomes in the perioperative settings. Design: A systematic review and meta-analysis. Methods: We searched PubMed, Embase, and CINAHL from index inception to September 2023. Included studies compared the effectiveness of pharmacist-led interventions on clinically important outcomes (e.g. length of stay, readmission) compared to usual care in perioperative settings. Two independent reviewers extracted the data using the DEPICT-2 (Descriptive Elements of Pharmacist Intervention Characterization Tool) and undertook quality assessment using the Crowe Critical Appraisal (CCAT). A random-effect model was used to estimate the overall effect [odds ratio (OR) for dichotomous and standard mean difference (SMD) for continuous data] with 95% confidence intervals (CIs). Results: Twenty-five studies were eligible, 20 (80%) had uncontrolled study design. Most interventions were multicomponent and continuous over the perioperative period. The intervention components included clinical pharmacy services (e.g. medication management/optimization, medication reconciliation, discharge counseling) and education of healthcare professionals. While some studies provided a minor description in regards to the intervention development and processes, only one study reported a theoretical underpinning to intervention development. Pooled analyses showed a significant impact of pharmacist care compared to usual care on length of stay (11 studies; SMD −0.09; 95% CI −0.49 to −0.15) and all-cause readmissions (8 studies; OR 0.60; 95% CI 0.39–0.91). The majority of included studies ( n = 21; 84%) were of moderate quality. Conclusion: Pharmacist-led interventions are effective at improving clinically important outcomes in the perioperative setting; however, most studies were of moderate quality. Studies lacked the utilization of theory to develop interventions; therefore, it is not clear whether theory-derived interventions are more effective than those without a theoretical element. Future research should prioritize the development and evaluation of multifaceted theory-informed pharmacist interventions that target the whole surgical care pathway.

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The importance of pharmacists in modern day surgery – editorial

Cited by 7 publications

References 19 publications

Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study

Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study

Best Possible Medication History Collection by Clinical Pharmacist in a Preoperative Setting: An Observational Prospective Study

Interventions and impact of pharmacist-delivered services in perioperative setting on clinically important outcomes: a systematic review and meta-analysis

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