دورية أكاديمية
Analysis of clinical pharmacist interventions in a tertiary teaching hospital in Brazil.
العنوان: | Analysis of clinical pharmacist interventions in a tertiary teaching hospital in Brazil. |
---|---|
المؤلفون: | Reis WC, Scopel CT, Correr CJ, Andrzejevski VM |
المصدر: | Einstein (Sao Paulo, Brazil) [Einstein (Sao Paulo)] 2013 Apr-Jun; Vol. 11 (2), pp. 190-6. |
نوع المنشور: | Journal Article |
اللغة: | English; Portuguese |
بيانات الدورية: | Publisher: Instituto de Ensino e Pesquisa Albert Einstein Country of Publication: Brazil NLM ID: 101281800 Publication Model: Print Cited Medium: Internet ISSN: 2317-6385 (Electronic) Linking ISSN: 16794508 NLM ISO Abbreviation: Einstein (Sao Paulo) Subsets: MEDLINE |
أسماء مطبوعة: | Original Publication: São Paulo, SP : Instituto de Ensino e Pesquisa Albert Einstein |
مواضيع طبية MeSH: | Medication Errors*/classification , Medication Errors*/statistics & numerical data , Pharmacy Service, Hospital*, Drug Prescriptions/*statistics & numerical data, Brazil ; Drug Prescriptions/standards ; Hospitals, Teaching ; Humans ; Inappropriate Prescribing/statistics & numerical data ; Middle Aged ; Pharmacists ; Prospective Studies ; Tertiary Care Centers |
مستخلص: | Objective: To analyze the clinical pharmacist interventions performed during the review of prescription orders of the Adult Intensive Care, Cardiologic Intensive Care, and Clinical Cardiology Units of a large tertiary teaching hospital in Brazil. Methods: The analysis took place daily with the following parameters: dose, rate of administration, presentation and/or dosage form, presence of inappropriate/unnecessary drugs, necessity of additional medication, more proper alternative therapies, presence of relevant drug interactions, inconsistencies in prescription orders, physical-chemical incompatibilities/solution stability. From this evaluation, the drug therapy problems were classified, as well as the resulting clinical interventions. Results: During the study, a total of 6,438 drug orders were assessed and 933 interventions were performed. The most prevalent drug therapy problems involved ranitidine (28.44%), enoxaparin (13.76%), and meropenem (8.26%). The acceptability of the interventions was 76.32%. The most common problem found was related to dose, representing 46.73% of the total. Conclusion: Our study showed that up to 14.6% of the prescriptions reviewed had some drug therapy problem and the pharmacist interventions have promoted positive changes in seven to ten of these prescriptions. |
References: | Pharmacotherapy. 1999 Dec;19(12):1354-62. (PMID: 10600083) Am J Health Syst Pharm. 1995 Dec 1;52(23):2711-7. (PMID: 8601270) Br J Haematol. 2002 Feb;116(2):255-65. (PMID: 11841425) Lancet. 2002 Apr 20;359(9315):1373-8. (PMID: 11978334) Arch Intern Med. 2003 Sep 22;163(17):2014-8. (PMID: 14504113) Acta Anaesthesiol Scand. 2012 Sep;56(8):1047-51. (PMID: 22289072) Drug Saf. 2002;25(2):135-43. (PMID: 11888354) Arch Intern Med. 2006 May 8;166(9):955-64. (PMID: 16682568) Drug Saf. 2010 Feb 1;33(2):163-5; author reply 165-6. (PMID: 20095075) Arch Intern Med. 2003 Jun 23;163(12):1461-6. (PMID: 12824096) Drug Saf. 2009;32(5):379-89. (PMID: 19419233) Einstein (Sao Paulo). 2012 Jan-Mar;10(1):74-8. (PMID: 23045830) JAMA. 1997 Jan 22-29;277(4):312-7. (PMID: 9002494) Anaesthesia. 1983 Jul;38(7):628-34. (PMID: 6869736) JAMA. 1999 Jul 21;282(3):267-70. (PMID: 10422996) Pharmacotherapy. 2008 Jun;28(6):816-7. (PMID: 18503408) Pharmacotherapy. 2008 Jun;28(6):806-15. (PMID: 18503407) Health Policy Plan. 1999 Jun;14(2):89-102. (PMID: 10538724) Am J Health Syst Pharm. 2002 Nov 1;59(21):2089-92. (PMID: 12434722) |
تواريخ الأحداث: | Date Created: 20130712 Date Completed: 20140115 Latest Revision: 20211021 |
رمز التحديث: | 20240628 |
مُعرف محوري في PubMed: | PMC4872893 |
DOI: | 10.1590/s1679-45082013000200010 |
PMID: | 23843060 |
قاعدة البيانات: | MEDLINE |
تدمد: | 2317-6385 |
---|---|
DOI: | 10.1590/s1679-45082013000200010 |