Back to Search
Start Over
Implementation of a renal pharmacist consultant service - Information sharing in paper versus digital form
- Source :
- Journal of clinical pharmacy and therapeuticsREFERENCES. 46(3)
- Publication Year :
- 2021
-
Abstract
- What is known and objective Renal impairment (RI) and renal drug-related problems (rDRP) often remain unrecognized in the community setting. A "renal pharmacist consultant service" (RPCS) at hospital admission can support patient safety by detecting rDRP. However, the efficient information sharing from pharmacists to physicians is still discussed. The aim of the study was to test the implementation of a RPCS and its effectiveness on prescription changes and to evaluate two ways of written information sharing with physicians. Methods Urological patients with eGFRnon-indexed of 15-59 ml/min and ≥1 drug were reviewed for manifest and potential rDRP at admission by a pharmacist. Written recommendations for dose or drug adaptation were forwarded to physicians comparing two routes: July-September 2017 paper form in handwritten chart; November 2017-January 2018 digital PDF document in the electronic patient information system and e-mail alert. Prescription changes regarding manifest rDRP were evaluated and compared with a previous retrospective study without RPCS. Results and discussion The RPCS detected rDRP in 63 of 234 (26.9%) patients and prepared written recommendations (median 1 rDRP (1-5) per patient) concerning 110 of 538 (20.5%) drugs at admission. For manifest rDRP, acceptance rates of recommendations were 62.5% (paper) vs 42.9% (digital) (P = 0.16). Compared with the retrospective study without RPCS (prescription changes in 21/76 rDRP; 27.6%), correct prescribing concerning manifest rDRP significantly increased by 27.1%. What is new and conclusion A RPCS identifies patients at risk for rDRP and significantly increases appropriate prescribing by physicians. In our hospital (no electronic order entry, electronic chart or ward pharmacists), consultations in paper form seem to be superior to a digital PDF document.
- Subjects :
- Adult
Male
Consultants
viruses
Interprofessional Relations
Writing
Pharmacist
030226 pharmacology & pharmacy
Risk Assessment
Body Mass Index
Order entry
03 medical and health sciences
Service information
Patient safety
0302 clinical medicine
Medication Reconciliation
Patient Admission
Sex Factors
Medicine
Electronic Health Records
Humans
Medication Errors
Pharmacology (medical)
Drug Interactions
030212 general & internal medicine
Renal Insufficiency
Medical prescription
Aged
Retrospective Studies
Pharmacology
Aged, 80 and over
Dose-Response Relationship, Drug
business.industry
Age Factors
Retrospective cohort study
Middle Aged
medicine.disease
Test (assessment)
Community setting
Female
sense organs
Medical emergency
business
Pharmacy Service, Hospital
Glomerular Filtration Rate
Subjects
Details
- ISSN :
- 13652710
- Volume :
- 46
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Journal of clinical pharmacy and therapeuticsREFERENCES
- Accession number :
- edsair.doi.dedup.....bff57912c065904490c7cea02569f931