Abstract
Background The presence of a clinical pharmacist in a hospital’s Emergency Department (ED) is important to decrease the potential for medication errors. To our knowledge, no previous studies have been conducted to evaluate the impact of implementing clinical pharmacy services in the ED in Qatar. Objective To characterize the contributions of clinical pharmacists in a short stay unit of ED in order to implement and scale-up the service to all ED areas in the future. Methods A retrospective study conducted for 7 months in the ED of Hamad General Hospital, Qatar. The intervention recommendations were made by clinical pharmacists to the physician in charge during medical rounds. Results A total of 824 documented pharmacist recommendations were analyzed. The interventions included the following: Providing information to the physician (24.4 %) and recommending medication discontinuation (22.0 %), dose adjustment (19.3 %), medication addition (16.0 %), changes in frequency of medications (7.6 %), medication resumption (5.7 %), and patient education (5.0 %). Conclusion Clinical pharmacists in the ED studied play an important role in patient care.
References
Cobaugh J, Schneider S. Medication use in the emergency department: why are we placing patients at risk? Am J Health Syst Pharm. 2005;62(17):1832–3.
Seigel TA, McGillicuddy DC, Barkin AZ, Rosen CL. Morbidity and mortality conference in emergency medicine. J Emerg Med. 2010;38(4):507–11.
Kripalani S, Roumie CL, Dalal AK, Cawthon C, Businger A, Eden SK, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med. 2012;157(1):1–10.
Elenbaas RM, Waeckerle JF, McNabney WK. The clinical pharmacist in emergency medicine. Am J Hosp Pharm. 1977;34(8):843–6.
Nana B, Lee-Such S, Allen G. Initiation of an emergency department pharmacy program during economically challenging times. Am J Health Syst Pharm. 2012;69(19):1682+. Health Reference Center Academic. Web. 18 May 2015.
Mutnick AH, Sterba KJ, Peroutka JA, Sloan NE, Beltz EA, Sorenson MK. Cost savings and avoidance from clinical interventions. Am J Health Syst Pharm. 1997;54(4):392–6.
McMullin ST, Hennenfent JA, Ritchie DJ, Hueyw Y, Lonergan TP, Schaiff RA, et al. A prospective, randomized trial to assess the cost impact of pharmacist initiated interventions. Arch Intern Med. 1999;159(19):2306–9.
Otoum S. Relationship between availability of emergency department-based clinical pharmacy services and incidence of medication errors in emergency departments: a systematic review. Gulf Med J. 2013;2(1):3–9.
Lada P, Delgado G. Documentation of pharmacists’ interventions in an emergency department and associated cost avoidance. Am J Health Syst Pharm. 2007;64(1):63–8.
Hajjar ER, Hanlon JT, Sloane RJ, Lindblad CI, Pieper CF, Ruby CM, et al. Unnecessary drug use in frail older people at hospital discharge. J Am Geriatr Soc. 2005;53(9):1518–23.
Mekonnen AB, Yesuf EA, Odegard PS, Wega SS. Implementing ward based clinical pharmacy services in an Ethiopian University Hospital. Pharm Pract. 2013;11(1):51–7.
Cesarz JL, Steffenhagen AL, Svenson J, Hamedani AG. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209–14.
Baker SN, Acquisto NM, Ashley ED, Fairbanks RJ, Beamish SE, Haas CE. Pharmacist-managed antimicrobial stewardship program for patients discharged from the emergency department. J Pharm Pract. 2012;25(2):190–4.
Leape LL, Cullen DJ, Clapp MD, Burdick E, Demonaco HJ, Erickson JI, et al. Pharmacist participation on physician rounds and Adverse drug events in the Intensive Care Unit. JAMA. 2000;283(10):267–70.
Acknowledgments
We would like to thank Sara Fouad, PharmD., Ahmed Abdel Moneim, MSc., and Mohamed Ahmed, MSc., for their participation in data collection and analysis. We also especially thank Ramzi Mohammad, PhD., for his support.
Funding
The study was funded by a grant from Hamad Medical Corporation.
Conflicts of interest
The authors declare that they have no competing interests.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Abdelaziz, H., Al Anany, R., Elmalik, A. et al. Impact of clinical pharmacy services in a short stay unit of a hospital emergency department in Qatar. Int J Clin Pharm 38, 776–779 (2016). https://doi.org/10.1007/s11096-016-0290-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11096-016-0290-9