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The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study

Medication review (MR) is a vital part of the pharmacist’s role in hospital. However, in the South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland, this has not been fully implemented due to resource issues. In addition, the cost of providing this service has not been evaluated. Moreov...

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Autores principales: Ronan, Sarah, Shannon, Nicola, Cooke, Katie, McKeon, Trish, Walsh, Elaine K., Kearney, Alan, Sahm, Laura J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151682/
https://www.ncbi.nlm.nih.gov/pubmed/32019094
http://dx.doi.org/10.3390/pharmacy8010014
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author Ronan, Sarah
Shannon, Nicola
Cooke, Katie
McKeon, Trish
Walsh, Elaine K.
Kearney, Alan
Sahm, Laura J.
author_facet Ronan, Sarah
Shannon, Nicola
Cooke, Katie
McKeon, Trish
Walsh, Elaine K.
Kearney, Alan
Sahm, Laura J.
author_sort Ronan, Sarah
collection PubMed
description Medication review (MR) is a vital part of the pharmacist’s role in hospital. However, in the South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland, this has not been fully implemented due to resource issues. In addition, the cost of providing this service has not been evaluated. Moreover, it is not clear how other members of the multidisciplinary team e.g., Nurses, value any interventions made as a result of the MR. This mixed methods study assessed the impact of MR in terms of (i) potential clinical harm, (ii) cost avoidance and (iii) the views of nursing staff on the role of the pharmacist. The setting is a 192-bed, voluntary, acute hospital, in the Munster region of Ireland. Study I: The pharmacist provided MR to patients conventionally once a week. Any interventions were then assessed for potential clinical harm and to calculate cost avoidance. Study II: Semi-structured interviews, guided by a topic guide were completed with 12 nurses (11 female). Thematic analysis was used to code the main themes. Main outcome measure: To estimate the cost, cost avoidance, and the net cost benefit ratio of MR provided by pharmacists. Study I: Of 128 patients who received the MR, 113 interventions were made. The estimated cost of providing the MR was €2559 (senior pharmacist). Using €1084 as the cost of an adverse drug event (ADE), the cost avoidance was calculated at €42,330. This led to a net cost benefit of €39,771 (senior pharmacist) which equated to a net cost benefit ratio of 16.5:1. Study II: The main themes were (i) perceptions of pharmacy services, (ii) the role of the pharmacist—past, present and future, and (iii) teamwork and communication. Nurses expressed a desire to have more pharmacists present on the wards.
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spelling pubmed-71516822020-04-20 The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study Ronan, Sarah Shannon, Nicola Cooke, Katie McKeon, Trish Walsh, Elaine K. Kearney, Alan Sahm, Laura J. Pharmacy (Basel) Article Medication review (MR) is a vital part of the pharmacist’s role in hospital. However, in the South Infirmary Victoria University Hospital (SIVUH), Cork, Ireland, this has not been fully implemented due to resource issues. In addition, the cost of providing this service has not been evaluated. Moreover, it is not clear how other members of the multidisciplinary team e.g., Nurses, value any interventions made as a result of the MR. This mixed methods study assessed the impact of MR in terms of (i) potential clinical harm, (ii) cost avoidance and (iii) the views of nursing staff on the role of the pharmacist. The setting is a 192-bed, voluntary, acute hospital, in the Munster region of Ireland. Study I: The pharmacist provided MR to patients conventionally once a week. Any interventions were then assessed for potential clinical harm and to calculate cost avoidance. Study II: Semi-structured interviews, guided by a topic guide were completed with 12 nurses (11 female). Thematic analysis was used to code the main themes. Main outcome measure: To estimate the cost, cost avoidance, and the net cost benefit ratio of MR provided by pharmacists. Study I: Of 128 patients who received the MR, 113 interventions were made. The estimated cost of providing the MR was €2559 (senior pharmacist). Using €1084 as the cost of an adverse drug event (ADE), the cost avoidance was calculated at €42,330. This led to a net cost benefit of €39,771 (senior pharmacist) which equated to a net cost benefit ratio of 16.5:1. Study II: The main themes were (i) perceptions of pharmacy services, (ii) the role of the pharmacist—past, present and future, and (iii) teamwork and communication. Nurses expressed a desire to have more pharmacists present on the wards. MDPI 2020-01-30 /pmc/articles/PMC7151682/ /pubmed/32019094 http://dx.doi.org/10.3390/pharmacy8010014 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ronan, Sarah
Shannon, Nicola
Cooke, Katie
McKeon, Trish
Walsh, Elaine K.
Kearney, Alan
Sahm, Laura J.
The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
title The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
title_full The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
title_fullStr The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
title_full_unstemmed The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
title_short The Role of the Clinical Pharmacist in an Irish University Teaching Hospital: A Mixed-Methods Study
title_sort role of the clinical pharmacist in an irish university teaching hospital: a mixed-methods study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7151682/
https://www.ncbi.nlm.nih.gov/pubmed/32019094
http://dx.doi.org/10.3390/pharmacy8010014
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