Best Possible Medication History for Hemodialysis Patients Obtained by a Pharmacy Technician
| العنوان: | Best Possible Medication History for Hemodialysis Patients Obtained by a Pharmacy Technician |
|---|---|
| المؤلفون: | Beverly Jung, Marianna Leung, Joanne Jung, Mercedeh Kiaii, Wynnie Lau |
| المصدر: | The Canadian Journal of Hospital Pharmacy. 62 |
| بيانات النشر: | Canadian Society of Hospital Pharmacists (CSHP), 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Gynecology, medicine.medical_specialty, Pediatrics, Medication history, business.industry, medicine.medical_treatment, Technician, Pharmacy, Article, Medication Reconciliation, medicine, media_common.cataloged_instance, Pharmacology (medical), Hemodialysis, business, Limited resources, Hemodialysis unit, Pharmacy technician, media_common |
| الوصف: | Background: Outpatients undergoing hemodialysis are at high risk for adverse drug events. Limited resources make it challenging for pharmacists to routinely obtain a best possible medication history (BPMH). Objectives: The primary objective was to determine whether, for patients undergoing hemodialysis, a pharmacy technician has the skills to obtain a BPMH that would allow a pharmacist to identify drug-related problems. The secondary objectives were to determine the number and types of medication discrepancies and drug-related problems identified and the time required by the technician to complete the BPMH. Methods: All patients treated in the hemodialysis unit during the study period were included, except for those who required an interpreter or were unable to participate in an in-person interview. A single technician was taught how to interview patients according to a structured format. For each patient, the technician’s BMPH was verified by a pharmacist. The agreement rate between technician and pharmacists was determined, along with the number and types of discrepancies and drugrelated problems identified. Results: The technician interviewed 99 patients. Of the 1334 medication orders reviewed, the technician and pharmacists agreed on all but 15 (agreement rate 98.9%). A total of 358 medication discrepancies were noted for 93 patients (3.8 discrepancies per patient). Of these, 210 (59%) were undocumented intentional discrepancies, and 148 (41%) were unintentional discrepancies (most commonly errors of commission). Of the 135 drug-related problems identified, the majority involved dosing problems or nonadherence. The technician required an average of 17 min for each interview. Conclusion: An adequately trained technician was capable of interviewing patients to create a BPMH. A variety of medication discrepancies and drug-related problems were identified. Generation of a BPMH by a technician is a useful approach allowing pharmacists to identify drugrelated problems. RESUME Contexte : Les patients externes sous hemodialyse sont a risque eleve d’evenements indesirables lies aux medicaments. Avec les ressources limitees, il est difficile pour les pharmaciens d’obtenir systematiquement le meilleur schema therapeutique possible (MSTP). Objectifs : Le principal objectif etait de determiner si, pour les patients sous hemodialyse, un technicien en pharmacie possede les competences pour obtenir un MSTP qui permettrait au pharmacien d’identifier les problemes relies a la pharmacotherapie. Les objectifs secondaires etaient de determiner le nombre et le type de differences relativement aux medicaments ainsi que les problemes relies a la pharmacotherapie identifies et le temps requis par le technicien pour completer le MSTP. Methodes : Tous les patients de l’unite d’hemodialyse au moment de l’etude ont ete admis a celle-ci, a l’exception de ceux qui avaient besoin d’un interprete ou qui etaient incapables de participer a une entrevue en personne. Un seul technicien a ete forme pour menager une entrevue structuree avec les patients. Pour chaque patient, les MSTP obtenus par le technicien ont ete verifies par un pharmacien. Le taux de correspondance entre les renseignements recueillis par le technicien et ceux valides par les pharmaciens a ete determine et le nombre ainsi que les types de differences et les problemes relies a la pharmacotherapie identifies ont ete repertories. Resultats : Le technicien a interviewe 99 patients. Des 1334 ordonnances de medicament analysees, le technicien et les pharmaciens etaient en desaccord pour 15 d’entre elles, soit un taux de concordance de 98,9 %. On a releve 358 differences relativement aux medicaments chez 93 patients (3,8 differences par patient). De ces dernieres, 210 (59 %) etaient des differences intentionnelles non consignees et 148 (41%), des differences non intentionnelles (le plus souvent des erreurs de commission). Des 135 problemes relies a la pharmacotherapie identifies, la plupart concernaient des problemes de posologie ou de non-observance. Le technicien passait en moyenne 17 minutes par entrevue. Conclusion : Un technicien adequatement forme etait en mesure d’interviewer les patients pour creer un MSTP. Une variete de differences relativement aux medicaments et de problemes relies a la pharmacotherapie ont ete identifies. La creation d’un MSTP par un technicien est une approche utile permettant aux pharmaciens d’identifier les problemes relies a la pharmacotherapie. |
| تدمد: | 1920-2903 0008-4123 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::071bd4733c353459762af216ce694b18Test https://doi.org/10.4212/cjhp.v62i5.826Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....071bd4733c353459762af216ce694b18 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 19202903 00084123 |
|---|