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Pharmacist-led interdisciplinary medication reconciliation using comprehensive medication review in gynaecological oncology patients: A prospective study
- Title
- Pharmacist-led interdisciplinary medication reconciliation using comprehensive medication review in gynaecological oncology patients: A prospective study
- Authors
- Son H.; Kim J.; Kim C.; Ju J.; Lee Y.; Rhie S.J.
- Ewha Authors
- 이정연
- SCOPUS Author ID
- 이정연
- Issue Date
- 2018
- Journal Title
- European Journal of Hospital Pharmacy
- ISSN
- 2047-9956
- Citation
- European Journal of Hospital Pharmacy vol. 25, no. 1, pp. 21 - 25
- Keywords
- comprehensive medication review; gynecologic oncology; hospitalized patients; medication reconciliation; pharmacists
- Publisher
- BMJ Publishing Group
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- Objectives Medication reconciliation is a key part of transitional care. This study examined the implementation of a pharmacist-led medication reconciliation programme for short-term hospitalised patients and explored the barriers and benefits. Methods A prospective study was conducted in patients admitted to a gynaecological oncology department. Medications were reconciled on admission using a € comprehensive medication review (CMR)' strategy. Patients received a reminder text message and were asked to bring their medications a day before admission for scheduled chemotherapy. Upon admission, a pharmacist reviewed patients' admission prescriptions and home medications, including non-prescription medications, based on clinical status and laboratory test results. Drug-related problems and unused or expired medications were assessed. Satisfaction with the CMR service and reasons for non-compliance were surveyed by an individual interview. The cost of the unused or expired medications was calculated based on the average drug acquisition cost. Results Sixty-four interventions in 95 patients were performed during the study - namely, correction of treatment duration (34 cases, 53.1%), recommendation of medications for untreated indications (18 cases, 28.1%), correct drug selection (5 cases, 7.8%), discontinuation of duplicate medications (4 cases, 6.3%), correction of dose, provision of alternatives for drug-drug interactions, unintended omissions (1 case each, 1.6%). The difference in the cost of unused or expired drugs before and after programme implementation was about US$1700. Conclusions Pharmacist-led medication reconciliation targeting short-term hospitalised patients improved drug use, prevented medication waste and reduced healthcare costs. © 2018 Published by the BMJ Publishing Group Limited.
- DOI
- 10.1136/ejhpharm-2016-000937
- Appears in Collections:
- 약학대학 > 약학과 > Journal papers
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