[email protected] | |
3275638434 | |
Paper Publishing WeChat |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
Waad H. Al-Kathiri, Hossam A. H. Abdelrazek and Hisham S. Al-Jadhey
Full-Text PDF XML 788 Views
DOI:10.17265/2328-2150/2018.08.005
Introduction: The
department of emergency medicine (DEM) has a high-risk environment due to its
unique and complex workflow. Many high-risk medications are ordered and
administered at patients’ bedsides without being checked by a pharmacist first,
which may lead to an increase in the incidence of patient medication errors (MEs). Objective: The current study evaluated the needs of the clinical pharmacy service in the DEM at King Saud
University Medical City (KSUMC), Riyadh, Saudi Arabia. Methods: A cross-sectional retrospective study was
conducted between Jan 2016 to Dec 2017 and the documentation of clinical
pharmacist interventions was extracted from Esihi database. Results: A
total of 2,255 interventions for 862 patients were documented. The recommended
interventions were as follows: 645 (dose adjustments), 108 (therapeutic
substitutions), and 354 interventions (initiating drug therapy). Adverse drug
reactions (ADRs) were reported in 16 patients, and drug
interactions were managed in 26 patients. The DEM responded to 713 information
inquires and 290 pharmacokinetic consultations. Drug discontinuations included
39 incidents (where unjustified drug prescription occurred),
37 (where contraindications were involved), and 19 (where duplicate therapy was
involved). The most common interventions were related to the
following drugs: antibiotics (34%), anticoagulants (15%), and anticonvulsants
(10%). The acceptance rates for the EM clinical pharmacist recommendations
increased from 93.9% in 2016 to 99% in 2017. The most common outcome for
interventions was to optimize the therapeutic effects of the drugs that were
administered (73%). Reconciliation was done in 796 patients. Conclusions: The clinical pharmacy service plays a critical
role in the management of patients in the emergency department (ED).
ED, clinical pharmacist, interventions, pharmacy services.
Waad H. Al-Kathiri., et al. 2018. “The Impact of a Clinical Pharmacist in the Emergency Department of an Academic Hospital in the Kingdom of Saudi Arabia.” Journal of Pharmacy and Pharmacology 6 (8): 752-759.