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The process of identifying, solving and preventing drug related problems in the LIMM-study

Bergkvist, Anna LU ; Holmbjer, Linda; Midlöv, Patrik LU ; Höglund, Peter LU ; Larsson, Lisa; Bondesson, Åsa ÅB LU and Eriksson, Tommy LU (2011) In International Journal of Clinical Pharmacy 33(6). p.1010-1018
Abstract
Objective To avoid negative effects of drug treatment and need for additional medical care, drug treatment must be individualised. Our research group has developed a model for clinical pharmacy which improves several aspects of the patient's drug treatment. This study describes the process behind these improvements, i.e. drug related problems identified by pharmacists within a clinical pharmacy service. Setting Three wards at a department of internal medicine. Method Pharmacists performed systematic interventions during the patient's hospital stay, aiming to identify, solve and prevent drug related problems in the elderly. Identified drug related problems were put forward to the health care team and discussed. Information on identified... (More)
Objective To avoid negative effects of drug treatment and need for additional medical care, drug treatment must be individualised. Our research group has developed a model for clinical pharmacy which improves several aspects of the patient's drug treatment. This study describes the process behind these improvements, i.e. drug related problems identified by pharmacists within a clinical pharmacy service. Setting Three wards at a department of internal medicine. Method Pharmacists performed systematic interventions during the patient's hospital stay, aiming to identify, solve and prevent drug related problems in the elderly. Identified drug related problems were put forward to the health care team and discussed. Information on identified problems, and their outcomes was collected and analysed. A questionnaire was used to evaluate the health care personnel's attitudes towards the process. Main outcome measure The number of drug related problems identified by the clinical pharmacists, the proportion of problems discussed with the physicians, the proportion of problems adjusted by the physicians and whether pharmacists and physicians prioritised any subgroup of drug related problems when choosing which problems to address. Finally, we wanted to evaluate the health care personnel's attitudes towards the model. Results In total, 1,227 problem were identified in 190 patients. The pharmacists discussed 685 (55.8%) of the identified problems with the physicians who accepted 438 (63.9%) of the suggestions. There was no significant difference in which subgroup to put forward and which to adjust. There was a high response rate (84%) to the questionnaire, and the health care personnel estimated the benefits to be very high, both for the patients and for themselves. Conclusion The process for identifying, solving and preventing drug related problems was good and the different types of problems were considered equally important. The addition of a clinical pharmacy service was considered very useful. This suggests that the addition of our clinical pharmacy service to the hospital setting add skills of great importance. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Clinical pharmacy service, Drug related problem (DRP), Elderly, Inpatients, LIMM-study, Medication review, Pharmaceutical care, Sweden
in
International Journal of Clinical Pharmacy
volume
33
issue
6
pages
1010 - 1018
publisher
Springer
external identifiers
  • wos:000297648400022
  • pmid:22081243
  • scopus:83255193922
ISSN
2210-7703
DOI
10.1007/s11096-011-9575-1
language
English
LU publication?
yes
id
edef384a-48b0-43b5-8a9b-32a194ba9a74 (old id 2345089)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22081243?dopt=Abstract
date added to LUP
2012-03-01 12:14:25
date last changed
2017-08-20 03:22:48
@article{edef384a-48b0-43b5-8a9b-32a194ba9a74,
  abstract     = {Objective To avoid negative effects of drug treatment and need for additional medical care, drug treatment must be individualised. Our research group has developed a model for clinical pharmacy which improves several aspects of the patient's drug treatment. This study describes the process behind these improvements, i.e. drug related problems identified by pharmacists within a clinical pharmacy service. Setting Three wards at a department of internal medicine. Method Pharmacists performed systematic interventions during the patient's hospital stay, aiming to identify, solve and prevent drug related problems in the elderly. Identified drug related problems were put forward to the health care team and discussed. Information on identified problems, and their outcomes was collected and analysed. A questionnaire was used to evaluate the health care personnel's attitudes towards the process. Main outcome measure The number of drug related problems identified by the clinical pharmacists, the proportion of problems discussed with the physicians, the proportion of problems adjusted by the physicians and whether pharmacists and physicians prioritised any subgroup of drug related problems when choosing which problems to address. Finally, we wanted to evaluate the health care personnel's attitudes towards the model. Results In total, 1,227 problem were identified in 190 patients. The pharmacists discussed 685 (55.8%) of the identified problems with the physicians who accepted 438 (63.9%) of the suggestions. There was no significant difference in which subgroup to put forward and which to adjust. There was a high response rate (84%) to the questionnaire, and the health care personnel estimated the benefits to be very high, both for the patients and for themselves. Conclusion The process for identifying, solving and preventing drug related problems was good and the different types of problems were considered equally important. The addition of a clinical pharmacy service was considered very useful. This suggests that the addition of our clinical pharmacy service to the hospital setting add skills of great importance.},
  author       = {Bergkvist, Anna and Holmbjer, Linda and Midlöv, Patrik and Höglund, Peter and Larsson, Lisa and Bondesson, Åsa ÅB and Eriksson, Tommy},
  issn         = {2210-7703},
  keyword      = {Clinical pharmacy service,Drug related problem (DRP),Elderly,Inpatients,LIMM-study,Medication review,Pharmaceutical care,Sweden},
  language     = {eng},
  number       = {6},
  pages        = {1010--1018},
  publisher    = {Springer},
  series       = {International Journal of Clinical Pharmacy},
  title        = {The process of identifying, solving and preventing drug related problems in the LIMM-study},
  url          = {http://dx.doi.org/10.1007/s11096-011-9575-1},
  volume       = {33},
  year         = {2011},
}