INTERVENTIONS IN INTERNAL MEDICINE WARDS WITH SCOPE OF CLINICAL PHARMACY RESIDENCY PROGRAM: A RETROSPECTIVE STUDY

Yunus Emre Ayhan; Mesut Sancar

Makale detayları

INTERVENTIONS IN INTERNAL MEDICINE WARDS WITH SCOPE OF CLINICAL PHARMACY RESIDENCY PROGRAM: A RETROSPECTIVE STUDY

Yazarlar:

Yunus Emre Ayhan | Mesut Sancar

Yayıncı:

Ankara University

Ana Başlıklar:

Eczacılık ve İlaç Bilimleri

Dergi:

Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.47 Issue 2, pp.557-566

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282829

pISSN:

1015-3918

Anahtar kelimeler:

Özet:

 Objective: Drug-related problems are a common health problem in hospitalized patients, affecting optimal patient outcomes. The aim of the study is to classify the drug-related problems detected by clinical pharmacy resident in hospitalized patients during their rotations and evaluate their interventions to the healthcare team. Material and Method: This is a retrospective study in which the drug-related problems of the patients hospitalized in the internal medicine wards between April and November 2018 were examined during the rotations of the clinical pharmacy resident. Patients demographics, prescribed medicine, laboratory findings were recorded. Drug-related problems are classified with the Pharmaceutical Care Network Europe Version 9.1 system. Result and Discussion: Ninety-two patients were included in the study. The median age of patients was 60.5 years and 59.8 of them were female. Most of the patients 63 had three or more comorbidities. The most frequent comorbidities were hypertension 21.70 and diabetes mellitus 10.64. One hundred forty-seven drug-related problems were detected in 57 patients 62. Potential drug-drug interactions 55.78, errors in dosing timing instructions 9.52, and inappropriate drug use according to guidelines 8.16 were the most common causes of drug-related problems. The acceptance rate of interventions for resolving drug-related problems was 65. The most common drug-related problems in this study were due to drug selection. The acceptance rate of recommendations for drug-related problems was lower than in the literature. However, this initial acceptance rate can be considered successful in a center where clinical pharmacy services have not been established.

 Objective: Drug-related problems are a common health problem in hospitalized patients, affecting optimal patient outcomes. The aim of the study is to classify the drug-related problems detected by clinical pharmacy resident in hospitalized patients during their rotations and evaluate their interventions to the healthcare team. Material and Method: This is a retrospective study in which the drug-related problems of the patients hospitalized in the internal medicine wards between April and November 2018 were examined during the rotations of the clinical pharmacy resident. Patients demographics, prescribed medicine, laboratory findings were recorded. Drug-related problems are classified with the Pharmaceutical Care Network Europe Version 9.1 system. Result and Discussion: Ninety-two patients were included in the study. The median age of patients was 60.5 years and 59.8 of them were female. Most of the patients 63 had three or more comorbidities. The most frequent comorbidities were hypertension 21.70 and diabetes mellitus 10.64. One hundred forty-seven drug-related problems were detected in 57 patients 62. Potential drug-drug interactions 55.78, errors in dosing timing instructions 9.52, and inappropriate drug use according to guidelines 8.16 were the most common causes of drug-related problems. The acceptance rate of interventions for resolving drug-related problems was 65. The most common drug-related problems in this study were due to drug selection. The acceptance rate of recommendations for drug-related problems was lower than in the literature. However, this initial acceptance rate can be considered successful in a center where clinical pharmacy services have not been established.

 Objective: Drug-related problems are a common health problem in hospitalized patients, affecting optimal patient outcomes. The aim of the study is to classify the drug-related problems detected by clinical pharmacy resident in hospitalized patients during their rotations and evaluate their interventions to the healthcare team. Material and Method: This is a retrospective study in which the drug-related problems of the patients hospitalized in the internal medicine wards between April and November 2018 were examined during the rotations of the clinical pharmacy resident. Patients demographics, prescribed medicine, laboratory findings were recorded. Drug-related problems are classified with the Pharmaceutical Care Network Europe Version 9.1 system. Result and Discussion: Ninety-two patients were included in the study. The median age of patients was 60.5 years and 59.8 of them were female. Most of the patients 63 had three or more comorbidities. The most frequent comorbidities were hypertension 21.70 and diabetes mellitus 10.64. One hundred forty-seven drug-related problems were detected in 57 patients 62. Potential drug-drug interactions 55.78, errors in dosing timing instructions 9.52, and inappropriate drug use according to guidelines 8.16 were the most common causes of drug-related problems. The acceptance rate of interventions for resolving drug-related problems was 65. The most common drug-related problems in this study were due to drug selection. The acceptance rate of recommendations for drug-related problems was lower than in the literature. However, this initial acceptance rate can be considered successful in a center where clinical pharmacy services have not been established.

 Amaç: İlaçla ilgili sorunlar, hastanede yatan hastalarda optimal hasta sonuçlarını etkileyen yaygın bir sağlık sorunudur. Çalışmanın amacı, klinik eczacılık asistanının rotasyonları sırasında hastanede yatan hastalarda tespit ettiği ilaçla ilgili sorunları sınıflandırmak ve sağlık ekibine yapılan girişimleri değerlendirmektir. Gereç ve Yöntem: Bu çalışma, Nisan-Kasım 2018 tarihleri arasında iç hastalıkları servislerinde yatan hastaların klinik eczacılık asistanının rotasyonları sürecinde ilaçla ilgili sorunlarının incelendiği retrospektif bir çalışmadır. Hastaların demografik bilgileri, reçete edilen ilaçlar, laboratuvar bulguları kaydedildi. İlaçla ilgili sorunlar, Avrupa Farmasötik Bakım Ağı Versiyon 9.1 sistemi ile sınıflandırıldı. Sonuç ve Tartışma: Çalışmaya 92 hasta dahil edilmiştir. Hastaların ortanca yaşı 60.5tir ve 59.8i kadındı. Hastaların çoğunda 63 üç veya daha fazla ek eşlik eden hastalık vardır. En sık eşlik eden hastalıklar hipertansiyon 21.70 ve diabetes mellitustur 10.64. Hastaların 57sinde 62 147 adet ilaçla ilgili sorun saptandı. Potansiyel ilaç-ilaç etkileşimleri 55.78, doz zamanlama talimatlarındaki hatalar 9.52 ve kılavuzlara göre uygunsuz ilaç kullanımı 8.16 ilaçla ilgili sorunların en yaygın nedenleri olarak belirlenmiştir. İlaçla ilgili sorunların çözümüne yönelik önerilerin kabul oranı 65tir. Bu çalışmada en yaygın karşılaşılan ilaçla ilgili sorunlar ilaç seçiminden kaynaklanmaktadır. İlaçla ilgili sorunlar için önerilerin kabul oranı literatüre kıyasla daha düşüktür. Ancak klinik eczacılık hizmetinin henüz kurulmadığı bir merkezde bu ilk kabul oranları başarılı olarak kabul edilebilir.

Makale detayları

INTERVENTIONS IN INTERNAL MEDICINE WARDS WITH SCOPE OF CLINICAL PHARMACY RESIDENCY PROGRAM: A RETROSPECTIVE STUDY

Yazarlar:

Yunus Emre Ayhan | Mesut Sancar

Yayıncı:

Ankara University

Ana Başlıklar:

Eczacılık ve İlaç Bilimleri

Dergi:

Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.47 Issue 2, pp.557-566

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282829

pISSN:

1015-3918

Clinical pharmacy

drug-related

internal medicine

İç hastalıkları

ilaçla ilgili

klinik eczacılık

Sayı

Makale detayları

INTERVENTIONS IN INTERNAL MEDICINE WARDS WITH SCOPE OF CLINICAL PHARMACY RESIDENCY PROGRAM: A RETROSPECTIVE STUDY

Yazarlar: Yunus Emre Ayhan | Mesut Sancar

Yayıncı: Ankara University

Ana Başlıklar: Eczacılık ve İlaç Bilimleri

Dergi: Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.47 Issue 2, pp.557-566

Belge Tipi: Makale

Yayın Tarihi: 5/2023

Belge Dili: İngilizce

Document ID (Org No.): 2001282829

pISSN: 1015-3918

Clinical pharmacy

drug-related

internal medicine

İç hastalıkları

ilaçla ilgili

klinik eczacılık

Sayı

Yazarlar:

Yunus Emre Ayhan | Mesut Sancar

Yayıncı:

Ankara University

Ana Başlıklar:

Eczacılık ve İlaç Bilimleri

Dergi:

Ankara Üniversitesi Eczacılık Fakültesi Dergisi Vol.47 Issue 2, pp.557-566

Belge Tipi:

Makale

Yayın Tarihi:

5/2023

Belge Dili:

İngilizce

Document ID (Org No.):

2001282829

pISSN:

1015-3918