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

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    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
    Issue Date
    2012-02-01T10:48:16Z
    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
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    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
    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
    ISSN
    0961-7671 (Print)
    0961-7671 (Linking)
    ae974a485f413a2113503eed53cd6c53
    10.1111/j.2042-7174.2010.00064.x
    Scopus Count
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    Tallaght University Hospital

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