scholarly journals European Society of Clinical Pharmacy international workshop on patient safety and pharmacy

2010 ◽  
Vol 32 (5) ◽  
pp. 670-689
Keyword(s):  
Patient Safety ◽  
Clinical Pharmacy ◽  
European Society ◽  
International Workshop

scholarly journals 51 Evaluation of a Clinical Pharmacy Service on an Inpatient Ward in an Acute Hospital

2019 ◽  
Vol 48 (Supplement_3) ◽  
pp. iii17-iii65
Author(s):  
Ciara McGann ◽  
Bernie Love ◽  
James Carr ◽  
Marie O'Connor ◽  
Eamon Dolan
Keyword(s):  
Patient Safety ◽  
Clinical Pharmacy ◽  
Cost Benefit ◽  
Pharmacy Service ◽  
Clinical Pharmacy Service ◽  
Potential Cost ◽  
Benefit Ratio ◽  
Cost Avoidance ◽  
Medication Incident ◽  
Cost Benefit Ratio

Abstract Background Intensive clinical pharmacy input from admission to discharge has been shown to improve patient outcomes. The clinical pharmacy service in our institution has historically been under-resourced. The aim of this study is to develop a ward-based clinical pharmacy service and to evaluate its impact using a number of clinical, safety and financial metrics. Methods A clinical pharmacist was assigned to provide pharmaceutical care to patients on a Medicine for the Older Person ward. Over an eight week period, the pharmacist prospectively recorded her interventions/activities. To assess impact on patient care, interventions were graded according to the Eadon criteria. The potential cost avoidance associated with interventions was estimated. Medication incident reporting was analysed to assess the impact on patient safety. Results 87% of patients had at least one pharmacist intervention, across a spectrum of activities including medication reconciliation and clinical review. 90% of interventions requiring follow-up with the medical team were accepted and resulted in a change to patient’s care. Eadon grading of interventions deemed 99% to be significant, with 81% improving the standard of patient care. Two different methods were used to estimate potential cost avoidance: one estimated annual savings of €154,103 - €344,926; the other estimated these at €174,373. Given current pharmacist salary costs, this equates to a cost-benefit ratio of 2.8:1 to 6.3:1. (This does not include the 27% reduction in drug spend observed during the study period. However, more longitudinal data are required to confirm and characterise this phenomenon.) A five-fold increase in medication incident reporting from the ward was observed, suggestive of an enhanced culture of patient safety. Conclusion This study assessed and quantified a wide spectrum of pharmacist contributions to medication management and safety. Costing of these contributions estimates the cost-benefit ratio of the clinical pharmacy service, providing compelling support for the extension of this service throughout the hospital.

Clinical pharmacy in onco-hematology and bone marrow transplant: A valuable contribution to improving patient safety

2020 ◽  
pp. 107815522094396
Author(s):  
Marília B Visacri ◽  
Mariane GR Tavares ◽  
Cristina R Barbosa ◽  
Natalia C Duarte ◽  
Patricia Moriel
Keyword(s):  
Bone Marrow ◽  
Patient Safety ◽  
Bone Marrow Transplant ◽  
Clinical Pharmacy ◽  
Marrow Transplant ◽  
Prescribing Errors ◽  
Pharmacist Interventions ◽  
Tertiary Teaching ◽  
Wrong Dose ◽  
Inpatient Units

Introduction It is known that clinical pharmacists intercept prescribing errors and contribute to patient safety in several medical specialties. The aim of this study was to identify, quantify and classify prescribing errors and pharmacist interventions carried out in onco-hematology and bone marrow transplant inpatient units. Methods This was a prospective and quantitative study, conducted from February 2018 to July 2018 in onco-hematology and bone marrow transplant inpatient units of a tertiary teaching hospital in Brazil. A pharmacist detected prescribing errors and performed interventions. The type and incidence of prescribing errors, error severity, type of pharmacist interventions, potential impact of interventions in patient care, and intervention acceptance rates were evaluated. Results A total of 1172 prescriptions were evaluated, 9% of them contained errors (total of 135 errors), and the most common error was related to prescribing the wrong dose (31.8%). Wrong dose and omission of drug were the two most frequent errors in onco-hematology, while wrong dose followed by inappropriate dilution were the most frequent in bone marrow transplantation. The pharmacist performed 135 interventions and the most common intervention was related to the treatment regimen (41.5%). Serious errors and very significant pharmacist interventions were the most frequent in both inpatient units. The acceptance rate of pharmacist interventions was high (90%). Conclusions Clinical pharmacy improves patient safety and quality of care in onco-hematology and bone marrow transplant inpatient units.

Sport and arrhythmias: summary of an international symposium

2007 ◽  
Vol 14 (5) ◽  
pp. 707-714 ◽  
Author(s):  
Franco Giada ◽  
Serge S. Barold ◽  
Alessandro Biffi ◽  
Bruno De Piccoli ◽  
Pietro Delise ◽  
...  
Keyword(s):  
Sudden Death ◽  
Risk Stratification ◽  
International Symposium ◽  
European Society ◽  
Cardiac Arrhythmias ◽  
Exercise Prescription ◽  
International Workshop ◽  
Sport And Exercise ◽  
European Society Of Cardiology

This article is the report of an International Symposium endorsed by the European Society of Cardiology, held within the Venice Arrhythmias 2007: 10th International Workshop on Cardiac Arrhythmias (Venice, October 2007). The topics of the Symposium are the following: how to stratify the risk of sudden death in the athletes; the role of different diagnostic examinations in the risk stratification of sudden death in the athletes; controversies on arrhythmias and sport; and exercise prescription in patients with arrhythmias. Eur J Cardiovasc Prev Rehabil14:707-714 © 2007 The European Society of Cardiology

Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Risk, Ambulatory Population

2013 ◽  
Vol 9 (2) ◽  
pp. 110-117 ◽  
Author(s):  
Carolyn M. Robbins ◽  
Tracy Stillwell ◽  
Deborah Johnson ◽  
Sally Wilson ◽  
Lynn Fitzgerald
Keyword(s):  
Patient Safety ◽  
High Risk ◽  
Clinical Pharmacy ◽  
Pharmacy Services ◽  
Clinical Pharmacy Services

scholarly journals Context-Sensitive Implementation of Clinical Pharmacy Missions Within an Academic Hospital

2021 ◽  
Author(s):  
Romaric Marcilly ◽  
Jeremie Colliaux ◽  
Chloé Rousseliere ◽  
Bertrand Decaudin ◽  
Jean-Baptiste Beuscart ◽  
...  
Keyword(s):  
Patient Safety ◽  
Clinical Pharmacy ◽  
Exploratory Study ◽  
Improve Patient Safety ◽  
Academic Hospital ◽  
Work System ◽  
Context Sensitive ◽  
Improve Patient

Clinical pharmacy activities contribute to improve patient safety. Yet, the work system’s characteristics influence how clinical pharmacy activities are performed and conversely clinical pharmacy causes that work system to evolve. This exploratory study aims to identify the different ways in which clinical pharmacy activities are performed in different units of a large academic hospital. Interviews and observations have been performed to identify in each ward the clinical pharmacy activities implemented and how they are carried out.

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