Pharmacy services at admission and discharge in adult, acute, public hospitals in Ireland.

Hdl Handle:
http://hdl.handle.net/10147/207858
Title:
Pharmacy services at admission and discharge in adult, acute, public hospitals in Ireland.
Authors:
Grimes, Tamasine; Duggan, Catherine; Delaney, Tim
Affiliation:
Pharmacy Department, Adelaide and Meath Hospital, incorporating the National, Children's Hospital (AMNCH), Tallaght, Dublin, Ireland. tamasine.grimes@amnch.ie
Citation:
Int J Pharm Pract. 2010 Dec;18(6):346-52. doi: 10.1111/j.2042-7174.2010.00064.x. , Epub 2010 Oct 5.
Journal:
The International journal of pharmacy practice
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/207858
DOI:
10.1111/j.2042-7174.2010.00064.x
PubMed ID:
21054595
Abstract:
OBJECTIVES: to describe hospital pharmacy involvement in medication management in Ireland, both generally and at points of transfer of care, and to gain a broad perspective of the hospital pharmacy workforce. METHODS: a survey of all adult, acute, public hospitals with an accident and emergency (A&E) department (n = 36), using a semi-structured telephone interview. KEY FINDINGS: there was a 97% (n = 35) response rate. The majority (n = 25, 71.4%) of hospitals reported delivery of a clinical pharmacy service. On admission, pharmacists were involved in taking or verifying medication histories in a minority (n = 15, 42.9%) of hospitals, while few (n = 6,17.1%) deployed staff to the A&E/acute medical admissions unit. On discharge, the majority (n = 30,85.7%) did not supply any take-out medication, a minority (n =5,14.3%) checked the discharge prescription, 51.4% (n = 18) counselled patients, 42.9% (n = 15) provided medication compliance charts and one hospital (2.9%) communicated with the patient's community pharmacy. The number of staff employed in the pharmacy department in each hospital was not proportionate to the number of inpatient beds, nor the volume of admissions from A&E. There were differences identified in service delivery between hospitals of different type: urban hospitals with a high volume of admissions from A&E were more likely to deliver clinical pharmacy. CONCLUSIONS: the frequency and consistency of delivering pharmacy services to facilitate medication reconciliation at admission and discharge could be improved. Workforce constraints may inhibit service expansion. Development of national standards of practice may help to eliminate variation between hospitals and support service development.
Language:
eng
MeSH:
Adult; Continuity of Patient Care/organization & administration; Health Care Surveys; Hospitals, Public; Humans; Ireland; Patient Admission/*statistics & numerical data; Patient Discharge/*statistics & numerical data; Pharmacists/*organization & administration; Pharmacy Service, Hospital/manpower/*organization & administration; Professional Role
ISSN:
0961-7671 (Print); 0961-7671 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorGrimes, Tamasineen_GB
dc.contributor.authorDuggan, Catherineen_GB
dc.contributor.authorDelaney, Timen_GB
dc.date.accessioned2012-02-01T10:48:16Z-
dc.date.available2012-02-01T10:48:16Z-
dc.date.issued2012-02-01T10:48:16Z-
dc.identifier.citationInt J Pharm Pract. 2010 Dec;18(6):346-52. doi: 10.1111/j.2042-7174.2010.00064.x. , Epub 2010 Oct 5.en_GB
dc.identifier.issn0961-7671 (Print)en_GB
dc.identifier.issn0961-7671 (Linking)en_GB
dc.identifier.pmid21054595en_GB
dc.identifier.doi10.1111/j.2042-7174.2010.00064.xen_GB
dc.identifier.urihttp://hdl.handle.net/10147/207858-
dc.description.abstractOBJECTIVES: to describe hospital pharmacy involvement in medication management in Ireland, both generally and at points of transfer of care, and to gain a broad perspective of the hospital pharmacy workforce. METHODS: a survey of all adult, acute, public hospitals with an accident and emergency (A&E) department (n = 36), using a semi-structured telephone interview. KEY FINDINGS: there was a 97% (n = 35) response rate. The majority (n = 25, 71.4%) of hospitals reported delivery of a clinical pharmacy service. On admission, pharmacists were involved in taking or verifying medication histories in a minority (n = 15, 42.9%) of hospitals, while few (n = 6,17.1%) deployed staff to the A&E/acute medical admissions unit. On discharge, the majority (n = 30,85.7%) did not supply any take-out medication, a minority (n =5,14.3%) checked the discharge prescription, 51.4% (n = 18) counselled patients, 42.9% (n = 15) provided medication compliance charts and one hospital (2.9%) communicated with the patient's community pharmacy. The number of staff employed in the pharmacy department in each hospital was not proportionate to the number of inpatient beds, nor the volume of admissions from A&E. There were differences identified in service delivery between hospitals of different type: urban hospitals with a high volume of admissions from A&E were more likely to deliver clinical pharmacy. CONCLUSIONS: the frequency and consistency of delivering pharmacy services to facilitate medication reconciliation at admission and discharge could be improved. Workforce constraints may inhibit service expansion. Development of national standards of practice may help to eliminate variation between hospitals and support service development.en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshContinuity of Patient Care/organization & administrationen_GB
dc.subject.meshHealth Care Surveysen_GB
dc.subject.meshHospitals, Publicen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIrelanden_GB
dc.subject.meshPatient Admission/*statistics & numerical dataen_GB
dc.subject.meshPatient Discharge/*statistics & numerical dataen_GB
dc.subject.meshPharmacists/*organization & administrationen_GB
dc.subject.meshPharmacy Service, Hospital/manpower/*organization & administrationen_GB
dc.subject.meshProfessional Roleen_GB
dc.titlePharmacy services at admission and discharge in adult, acute, public hospitals in Ireland.en_GB
dc.contributor.departmentPharmacy Department, Adelaide and Meath Hospital, incorporating the National, Children's Hospital (AMNCH), Tallaght, Dublin, Ireland. tamasine.grimes@amnch.ieen_GB
dc.identifier.journalThe International journal of pharmacy practiceen_GB
dc.description.provinceLeinster-

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