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Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study

Background Despite several international studies demonstrating that ward-based pharmacists improve medication quality, ward pharmacists are not generally established in German hospitals. Aim We assessed the effect of a ward-based clinical pharmacist on the medication quality of geriatric inpatients...

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Autores principales: Kiesel, Esther Katharina, Drey, Michael, Pudritz, Yvonne Marina
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007813/
https://www.ncbi.nlm.nih.gov/pubmed/35076810
http://dx.doi.org/10.1007/s11096-021-01369-1
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author Kiesel, Esther Katharina
Drey, Michael
Pudritz, Yvonne Marina
author_facet Kiesel, Esther Katharina
Drey, Michael
Pudritz, Yvonne Marina
author_sort Kiesel, Esther Katharina
collection PubMed
description Background Despite several international studies demonstrating that ward-based pharmacists improve medication quality, ward pharmacists are not generally established in German hospitals. Aim We assessed the effect of a ward-based clinical pharmacist on the medication quality of geriatric inpatients in a German university hospital. Method The before-after study with a historic control group was conducted on the geriatric ward. During the control phase, patients received standard care without the involvement of a pharmacist. The intervention consisted of a clinical pharmacist providing pharmaceutical care from admission to discharge. Medication quality was measured on admission and discharge using the Medication Appropriateness Index (MAI). A linear regression analysis was conducted to calculate the influence of the intervention on the MAI. Results Patients in the intervention group (n = 152, mean 83 years) were older and took more drugs at admission compared to the control group (n = 159, 81 years). For both groups, the MAI per patient improved significantly from admission to discharge. Although the intervention did not influence the summated MAI score per patient, the intervention significantly reduced the MAI criteria Dosage (p = 0.006), Correct Directions (p = 0.016) and Practical Directions (p = 0.004) as well as the proportion of overall inappropriate MAI ratings (at least 1 of 9 criteria inappropriate) (p = 0.015). Conclusion Although medication quality was already high in the control group, a ward-based clinical pharmacist could contribute meaningfully to the medication quality on an acute geriatric ward.
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spelling pubmed-90078132022-04-19 Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study Kiesel, Esther Katharina Drey, Michael Pudritz, Yvonne Marina Int J Clin Pharm Research Article Background Despite several international studies demonstrating that ward-based pharmacists improve medication quality, ward pharmacists are not generally established in German hospitals. Aim We assessed the effect of a ward-based clinical pharmacist on the medication quality of geriatric inpatients in a German university hospital. Method The before-after study with a historic control group was conducted on the geriatric ward. During the control phase, patients received standard care without the involvement of a pharmacist. The intervention consisted of a clinical pharmacist providing pharmaceutical care from admission to discharge. Medication quality was measured on admission and discharge using the Medication Appropriateness Index (MAI). A linear regression analysis was conducted to calculate the influence of the intervention on the MAI. Results Patients in the intervention group (n = 152, mean 83 years) were older and took more drugs at admission compared to the control group (n = 159, 81 years). For both groups, the MAI per patient improved significantly from admission to discharge. Although the intervention did not influence the summated MAI score per patient, the intervention significantly reduced the MAI criteria Dosage (p = 0.006), Correct Directions (p = 0.016) and Practical Directions (p = 0.004) as well as the proportion of overall inappropriate MAI ratings (at least 1 of 9 criteria inappropriate) (p = 0.015). Conclusion Although medication quality was already high in the control group, a ward-based clinical pharmacist could contribute meaningfully to the medication quality on an acute geriatric ward. Springer International Publishing 2022-01-25 2022 /pmc/articles/PMC9007813/ /pubmed/35076810 http://dx.doi.org/10.1007/s11096-021-01369-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Research Article
Kiesel, Esther Katharina
Drey, Michael
Pudritz, Yvonne Marina
Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
title Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
title_full Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
title_fullStr Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
title_full_unstemmed Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
title_short Influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
title_sort influence of a ward-based pharmacist on the medication quality of geriatric inpatients: a before–after study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9007813/
https://www.ncbi.nlm.nih.gov/pubmed/35076810
http://dx.doi.org/10.1007/s11096-021-01369-1
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