ISSN: 1859 - 2872
Analysis of the Results of the Improved Medication Review by Pharmacists at the Department of Gastrointestinal Diseases - 108 Military Central Hospital
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Abstract
Objective: To evaluate the initial effectiveness of the inpatient medication review process at the Department of Gastrointestinal Diseases. Subjects and Methods: A prospective cross-sectional descriptive study was conducted on all medication orders at the Department of Gastrointestinal Diseases from March 10 to April 7, 2025. Results: A total of 830 medication orders were reviewed for 181 patients. The improved process included assigning a dedicated pharmacist to the department and reviewing medication orders immediately after prescribing, prior to the issuance of dispensing slips. Review time increased from 10 to 120 minutes per day, averaging 5.78 minutes per order. 93.3% of orders were reviewed before being compiled. Pharmacists proposed adjustments to 54 orders (6.5%), mainly due to incorrect drug selection (74.1%) and dosing errors (25.9%). Interventions included drug discontinuation (40.7%) and adding ICD-10 codes (24.1%), with a 94.4% acceptance rate by physicians. Dosage information was the most commonly provided by pharmacists, accounting for 35.1%. Conclusion: The improved medication review process with dedicated pharmacists enhanced medication safety and rational use, reinforcing the professional role of pharmacists in hospital practice.
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References
2. Kim Y, Schepers G (2003) Pharmacist intervention documentation in US health care systems. Hospital pharmacy 38(12): 1141-1147.
3. Al Rahbi HAM, Al-Sabri RM, Chitme HR (2014) Interventions by pharmacists in out-patient pharmaceutical care. Saudi pharmaceutical journal 22(2): 101-106.
4. Bộ Y tế (2011) Thông tư số 22/2011/TT-BYT ban hành ngày 10 tháng 6 năm 2011 quy định tổ chức và hoạt động của khoa Dược bệnh viện.
5. Bộ Y tế (2011) Thông tư số 23/2011/TT-BYT ban hành ngày 10 tháng 6 năm 2011 về Hướng dẫn sử dụng thuốc trong cơ sở y tế có giường bệnh.
6. Bộ Y tế. Nghị định số 131/2020/NĐ-CP ban hành ngày 02 tháng 11 năm 2020 Quy định về tổ chức, hoạt động dược lâm sàng của cơ sở khám bệnh, chữa bệnh. 2020;
7. Bộ Y tế (2020) Quyết định 5631/QĐ-BYT ban hành ngày 31 tháng 12 năm 2020 về Tài liệu “Hướng dẫn thực hiện quản lý sử dụng kháng sinh trong bệnh viện”.
8. Reis WCT, Scopel CT, Correr CJ, Andrzejevski VMS (2013) Analysis of clinical pharmacist interventions in a tertiary teaching hospital in Brazil. Einstein (Sao Paulo) 11: 190-196.
9. Xie H, Zhang H, Peng J, Li L, Geng Y, Ge W (2022) Prospective Prescription Review System Promotes Safe Use of Analgesics, Improves Clinical Outcomes, and Saves Medical Costs in Surgical Patients: Insights from Nanjing Drum Tower Hospital. Advances in Therapy 39(1):441-454. doi:10.1007/s12325-021-01935-z
10. JoAnn Stubbings BP, MHCA, Rebekah Hanson P, BCPS, Nehrin Khamo P (2012) Nuts and Bolts of Implementing Specialty Pharmacy Services in Health System. American Society of Health-System Pharmacists.
11. Federation IP (2022) Medication review and medicines use review A toolkit for pharmacist.
12. Thong KS, Selvaratanam M, Tan CP et al (2021) Pharmacy preparedness in handling COVID-19 pandemic: a sharing experience from a Malaysian tertiary hospital. J Pharm Policy Pract 14(1): 61. doi:10.1186/s40545-021-00343-6.
13. Alwadie AF, Naeem A, Almazmomi MA, Baswaid MA, Alzahrani YA, Alzahrani AM (2021) A methodological assessment of pharmacist therapeutic intervention documentation (TID) in a single tertiary care hospital in Jeddah, Kingdom of Saudi Arabia. Pharmacy 9(2): 97.
14. Durand A, Gillibert A, Membre S, Mondet L, Lenglet A, Mary A (2022) Acceptance Factors for In-Hospital Pharmacist Interventions in Daily Practice: A Retrospective Study. Front Pharmacol 13:811289. doi:10.3389/fphar.2022.811289
15. Babelghaith SD, Wajid S, Alrabiah Z et al (2022) Drug-Related Problems and Pharmacist Intervention at a General Hospital in the Jazan Region, Saudi Arabia. Risk Manag Healthc Policy 13: 373-378. doi:10.2147/rmhp.S247686
16. Lekpittaya N, Kocharoen S, Angkanavisul J, Siriudompas T, Montakantikul P, Paiboonvong T (2024) Drug-related problems identified by clinical pharmacists in an academic medical centre in Thailand. J Pharm Policy Pract 17(1):2288603. doi:10.1080/20523211.2023.2288603
17. Phạm Thị Vân Anh, Nguyễn Hoàng Anh, Nguyễn Thị Liên Hương, Đỗ Thị Hồng Gấm, Nguyễn Thị Hồng Thủy (2021) Phân loại thông tin và nhu cầu thông tin thuốc tại một số khoa lâm sàng của bệnh viện Bạch Mai. Tạp chí Nghiên cứu Dược và Thông tin thuốc.
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