Including pharmacists on consultant-led ward rounds: a prospective non-randomised controlled trial

被引:29
|
作者
Miller, Gavin [1 ]
Franklin, Bryony Dean [2 ,3 ]
Jacklin, Ann [2 ]
机构
[1] Imperial Coll Healthcare NHS Trust, Dept Pharm, Charing Cross Hosp, London W6 8RF, England
[2] Imperial Coll Healthcare NHS Trust, Ctr Medicat Safety & Serv Qual, London W6 8RF, England
[3] Univ London, Sch Pharm, London WC1E 7HU, England
关键词
consultant ward rounds; pharmacists; prescribing errors; ADVERSE DRUG EVENTS; MEDICATION;
D O I
10.7861/clinmedicine.11-4-312
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This study aimed to compare interventions made by pharmacists attending consultant-led ward rounds in addition to providing a ward pharmacy service, with those made by pharmacists providing a ward pharmacy service alone. A prospective non-randomised controlled study on five inpatient medical wards was carried out at two teaching hospitals. A mean of 1.73 physician-accepted interventions were made per patient for the study group, compared to 0.89 for the control (Mann Whitney U, p<0.001) with no difference between groups in the nature or clinical importance of the interventions. One physician-accepted intervention was made every eight minutes during the consultant-led ward rounds, compared to one every 63 minutes during a ward pharmacist visit. Pharmacists attending consultant-led ward rounds in addition to undertaking a ward pharmacist visit make significantly more interventions per patient than those made by pharmacists undertaking a ward pharmacist visit alone, rectifying prescribing errors and optimising treatment.
引用
收藏
页码:312 / 316
页数:5
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