Impact of clinical pharmacists in the emergency department of an Australian public hospital: a before and after study

Proper, John S., Wong, Annie, Plath, Alice E., Grant, Kirsty A., Just, Derek W. and Dulhunty, Joel M. (2015) Impact of clinical pharmacists in the emergency department of an Australian public hospital: a before and after study. EMA - Emergency Medicine Australasia, 27 3: 232-238. doi:10.1111/1742-6723.12384


Author Proper, John S.
Wong, Annie
Plath, Alice E.
Grant, Kirsty A.
Just, Derek W.
Dulhunty, Joel M.
Title Impact of clinical pharmacists in the emergency department of an Australian public hospital: a before and after study
Journal name EMA - Emergency Medicine Australasia   Check publisher's open access policy
ISSN 1742-6723
1742-6731
Publication date 2015-06-01
Sub-type Article (original research)
DOI 10.1111/1742-6723.12384
Open Access Status Not yet assessed
Volume 27
Issue 3
Start page 232
End page 238
Total pages 7
Place of publication Richmond, VIC, Australia
Publisher Wiley-Blackwell Publishing Asia
Collection year 2016
Language eng
Formatted abstract
Objective: To evaluate the impact of an ED pharmacy service on ED clinical staff and hospital pharmacist activity.

Methods: A prospective study measuring pharmacist activities and surveying ED staff attitudes and experience before and after commencement of an ED pharmacy service.

Results: There were 2275 and 2072 hospital-wide pharmacist occasions of service recorded over a 1 month period before and after implementation of the ED pharmacy service, respectively; 339 (16.4%) of these occurred in the ED post-implementation. ED pharmacists most commonly were involved in obtaining medication histories (74% of ED occasions of service); 43% of all pharmacist-performed medication histories occurred in the ED. Post-implementation of the service, 26% of medication interventions occurred in the ED with the number of medication errors identified by ward pharmacists decreasing by 11%; 59% of ED pharmacist medication interventions were clinically significant. ED clinicians perceived the greatest impact of the service to be on patient education and medication safety. Qualitative feedback was overwhelmingly positive.

Conclusions: Pharmacy staff can rapidly become a vital component of clinical service provision in the ED, contributing to medication safety from the point of patient entry into the hospital and impacting ED clinicians and whole of hospital activity for pharmacists.
Keyword Medication safety
Pharmacist
Survey
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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