Pharmaceutical review using telemedicine: A before and after feasibility study

Poulson, LK, Nissen, L and Coombes, I (2010) Pharmaceutical review using telemedicine: A before and after feasibility study. Journal of Telemedicine and Telecare, 16 2: 95-99. doi:10.1258/jtt.2009.090716

Author Poulson, LK
Nissen, L
Coombes, I
Title Pharmaceutical review using telemedicine: A before and after feasibility study
Journal name Journal of Telemedicine and Telecare   Check publisher's open access policy
ISSN 1357-633X
Publication date 2010-03
Sub-type Article (original research)
DOI 10.1258/jtt.2009.090716
Volume 16
Issue 2
Start page 95
End page 99
Total pages 5
Place of publication London, U.K.
Publisher Royal Society of Medicine Press
Collection year 2011
Language eng
Subject C1
111503 Clinical Pharmacy and Pharmacy Practice
920506 Rural Health
0903 Biomedical Engineering
1117 Public Health and Health Services
Abstract Only 42 of the 116 public hospitals in Queensland employ qualified pharmacists to staff their pharmacies. We undertook a feasibility study to determine if pharmaceutical reviews, undertaken face-to-face by a visiting pharmacist, could be replicated using telemedicine. The study was conducted in two phases, with the same pharmacist coordinating the project from the main hospital to two rural hospitals, which relied on supply nurses for all their pharmaceutical services. All inpatients admitted between October 2006 and May 2007 were included in the study. In Phase I the pharmacist made weekly visits to both facilities, to perform face-to-face pharmaceutical reviews of the current inpatients. In Phase 2, all pharmaceutical reviews were performed remotely by the pharmacist by telephone or videoconference. In Phase 1, 186 pharmaceutical activities were performed (mean 3.9 per patient). Of these, 78 pharmacist-initiated changes were recommended and 47 (60%) were implemented. In Phase 2, a total of 296 activities were performed (mean 3.1 per patient) and of the 140 recommendations made by the remote pharmacist, 74 (53%) were accepted. Of the accepted recommendations, there were 11 major interventions (those with a potential to prevent harm to the patient) in Phase 1 and 32 in Phase 2. There were no significant differences in the pharmaceutical activity rates in the two phases. Telepharmacy therefore may be an effective method of providing pharmaceutical reviews for patients in rural inpatient facilities, without an on-site pharmacist.
Keyword Randomized controlled-trial
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published under "Research: Original article".

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
Official 2011 Collection
School of Pharmacy Publications
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Citation counts: TR Web of Science Citation Count  Cited 6 times in Thomson Reuters Web of Science Article | Citations
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Created: Tue, 30 Mar 2010, 12:28:05 EST by Myrtle Sahabandu on behalf of School of Pharmacy