Clinical and Organizational Impacts of Medical Ordering Settings on Patient Pathway and Community Pharmacy Dispensing Process: The Prospective ORDHOSPIVILLE Study

Pharmacy

Sophie Malblanc¹  Coralie Barbe²  Julien Gravoulet³  François Dupuis³  Justine Clarenne⁴  Amélie Lestrille⁴  Florian Slimano⁴  Céline Mongaret⁴  Léa Aubert⁴  Julia Rouge⁵  Virginie Chopard⁵ 

[1] Agence Régionale de Santé, 3 Boulevard Joffre, 54000 Nancy, France;Comité Universitaire de Ressources pour la Recherche en Santé, Pôle Santé, Université de Reims Champagne-Ardenne, 51 Rue Cognacq-Jay, 51100 Reims, France;Faculty of Pharmacy, Université de Lorraine, 7 Avenue de la Forêt de Haye, 54500 Nancy, France;Faculty of Pharmacy, Université de Reims Champagne-Ardenne, 51 Rue Cognacq-Jay, 51100 Reims, France;OMéDIT Grand Est, 3 Boulevard Joffre, 54000 Nancy, France;

关键词: drug-related problems;    community pharmacist;    hospital discharge;    pharmacist intervention;    clinical impact;    organizational impact;   

DOI  :  10.3390/pharmacy10010002

来源: DOAJ

【 摘 要 】

During the dispensing process of medical orders (MOs), community pharmacists (CPs) can manage drug-related problems (DRPs) by performing pharmacist interventions (PIs). There is little evidence that the PI rate is higher with MOs from hospitals (MOHs) than ambulatory (MOAs) settings, and their impact on the patient and community pharmacy is unknown. The primary objective of this study was to compare the MOH and MOA PI rates. The secondary objective was to describe PIs and their clinical and organizational impacts on patient and community pharmacy workflow. A total of 120 CPs participated in a prospective study. Each CP included 10 MOH and 10 MOA between January and June 2020. DRP and PI description and clinical and organizational impacts between MOH and MOA were assessed and compared. We analyzed 2325 MOs. PIs were significantly more frequent in MOH than in MOA (9.7% versus 4.7%; p < 0.001). The most reported PI was the difficulty of contacting hospital prescribers (n = 45; 52.2%). MOHs were associated with a longer dispensing process time and a greater impact on patient pathway and community pharmacy workflow than MOAs. Lack of communication between hospital and primary care settings partly explains the results. Implementation of clinical pharmacy activities at patient discharge could alleviate these impacts.

【 授权许可】

Unknown