Value of pharmacy services in an outpatient, preoperative, anesthesia clinic

Haddad, Nisrine; Paranjpe, Rutugandha; Rizk, Elsie; Basit, Saadia A.; McNamara, Christine; Okoro, Esther; Gilmore, Janet; Liebl, Michael; Swan, Joshua T.

doi:10.1016/j.japh.2020.03.014

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…Pharmacists are more likely to prevent medication-associated errors at the POC than in the ward after hospitalization, through earlier and more comprehensive identification of patients' medication requiring appropriate perioperative guidance 18) . It should be noted that along with anti-coagulants, substantial numbers of CAMs taken by a number of patients require precautions for their perioperative uses 19) .…”

Section: Discussionmentioning

confidence: 99%

Introduction of a Multidisciplinary Preoperative Clinic at Juntendo University Hospital - A Retrospective Observational Study Focusing on Effects of Preoperative Interventions on Clinical Outcomes

UMENO,

ISHIKAWA,

KUDOH

et al. 2023

Juntendo Medical Journal

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Objectives To investigate the effects of interventions provided by a multidisciplinary team consisting of anesthesiologists, dentists, pharmacists, and nurses at a Preoperative Clinic (POC) on postoperative outcomes. Methods We retrospectively investigated patients who underwent preoperative evaluation at the POC at Juntendo University Hospital between May and July, 2019. Patients were divided into intervention and non-intervention groups according to whether they received intervention(s) at the POC or not. Postoperative outcomes were compared between the groups, before and after propensity score (PS) matching. Results We investigated 909 patients who completed POC evaluation and underwent surgery. Patients in the intervention group (n = 455 [50.1%]) received at least one intervention delivered, in the order of higher delivery frequencies, by dentists, pharmacists, nurses, and anesthesiologists. Before PS matching, the intervention group was associated with older age, more frequent cardiovascular comorbidities, and higher ASA-PS grades than the non-intervention group, while neither frequencies nor severities of postoperative complications differed between the groups. These outcomes did not differ between 382 PS-matched pairs with comparable risk factors either. Conclusions Before PS matching, postoperative outcomes did not differ between the groups, although the intervention group was associated with higher risks. These suggested that POC interventions could have improved postoperative outcomes in the higher-risk intervention group to the same level as in the non-intervention group. However, such potential beneficial effects of interventions could not be proven after PS matching. Further studies are required to elucidate effects of POC interventions on postoperative outcomes.

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Section: Discussionmentioning

confidence: 99%

Introduction of a Multidisciplinary Preoperative Clinic at Juntendo University Hospital - A Retrospective Observational Study Focusing on Effects of Preoperative Interventions on Clinical Outcomes

UMENO,

ISHIKAWA,

KUDOH

et al. 2023

Juntendo Medical Journal

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“…A gyógyszerészek a betegek 61%-ánál azonosítottak klinikailag jelentős gyógyszerelési problémákat. 39 Egy libanoni vizsgálatban a szerzők felmérték a gyógyszerész által végzett gyógyszeregyeztetés (a gyógyszeranamnézis összevetése az akutan rendelt gyógyszerekkel) hatását az ortopédiai sebészeti osztályra felvett, minimum egy krónikus betegség miatt gyógyszert szedő felnőtt betegek esetében. A gyógyszeregyeztetést végző gyógyszerész a bevont betegek 74%-ánál észlelt nem szándékos gyógyszerelési problémát.…”

Section: A Klinikai Gyógyszerészi Gondozás Az Ortopédiábanunclassified

A gyógyszerészi gondozás lehetőségei az ortopédiai gyakorlatba

Karácsonyi

Erdei

2023

egis

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A klinikai gyógyszerészet a XX. század végén fejlődött ki az Amerikai Egyesült Államokban, melynek nem titkolt célja a gyógyszerész szakma szerepkörének a bővítése, valamint a betegspecifikus gyógyszeres terápia optimalizációja. Ebből a szemléletváltásból alakult ki a gyógyszerészi gondozás definíciója, mely mind a klinikumban, mind a közforgalmú gyógyszerellátásban teret hódított. Míg a gyógyszerészi gondozás egészségügyi rendszerre gyakorolt hatásai jobban vizsgálhatóak a nagyobb betegszámú közforgalmú gyógyszerellátási láncok esetében, kevésbe vizsgált a klinikai gyógyszerészek által végzett gondozás szerepe az ortopédiai szakellátást végző intézményekben, holott a fellelhető tanulmányok pozitív eredményeket hoztak az egészségügyi ellátás minőségére és költséghatékonyságára vonatkozóan.

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“…Guidelines on the roles and responsibilities of perioperative pharmacists have been proposed by organisations in the United Kingdom (UK), United States of America (USA) and Australia [23][24][25][26]. Pharmacy roles are more clearly de ned for certain parts of the perioperative journey, for example surgical pre-assessment clinics [27][28][29][30][31][32][33][34][35][36], Enhanced Recovery After Surgery (ERAS) protocols [37][38][39] and critical care [8,40]. The extent and nature of pharmacy services to the operating theatre is relatively unknown.…”

Section: Introductionmentioning

confidence: 99%

Established and emerging theatre pharmacy services: a scoping review

McGowan,

Deasy,

Coyle

et al. 2024

Preprint

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Background Pharmacy services impact patients throughout the perioperative journey. Pharmacist activities at surgical pre-assessment clinics and on inpatient wards are well-documented, but services to theatre appear comparatively under-developed. High-risk and high-cost medicines are used routinely in theatre; pharmacists are well-placed to optimise their use and improve patient care.Aim To determine the range, extent and nature of theatre pharmacy services and their outcomes.Method This scoping review was conducted and reported as per the Joanna Briggs Institute methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. A search was conducted across electronic and grey literature databases to identify pharmacy theatre services. One reviewer screened titles and abstracts and carried out data extraction, with a 10% sample screened by a second reviewer. Two reviewers evaluated full texts. Quality appraisal was undertaken using the Mixed Methods Appraisal Tool.Results Ninety-two publications were included from 3924 search results. Fifty-seven were primary research articles. Most of the included publications described services in the United States of America; the remainder were from Australia, several European countries, Egypt, Morocco, Japan, China and Taiwan. Theatre pharmacy services included medication management and various clinical activities. Outcomes related to cost savings, patient safety and staff satisfaction. Nine of the 57 articles were suitable for quality appraisal. Adherence to quality criteria ranged from 40–100%.Conclusion Evidence for theatre pharmacy services is extensive and varied. Empirical research of high methodological quality is required to assess the outcomes of these services.

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Value of pharmacy services in an outpatient, preoperative, anesthesia clinic

Cited by 7 publications

References 26 publications

Introduction of a Multidisciplinary Preoperative Clinic at Juntendo University Hospital - A Retrospective Observational Study Focusing on Effects of Preoperative Interventions on Clinical Outcomes

Introduction of a Multidisciplinary Preoperative Clinic at Juntendo University Hospital - A Retrospective Observational Study Focusing on Effects of Preoperative Interventions on Clinical Outcomes

A gyógyszerészi gondozás lehetőségei az ortopédiai gyakorlatba

Established and emerging theatre pharmacy services: a scoping review

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