The IMPACT OF CLINICAL PHARMACY SERVICES IN GENERAL SURGERY
DOI:
https://doi.org/10.22159/ijpps.2020v12i4.36283Keywords:
Clinical pharmacist, Drug-related problems, Medication errors, Antibiotic rationality, Pharmaceutical careAbstract
Objective: The objectives of this study include performing pharmaceutical care-related research and documenting regarding drug-related problems in the surgery department. Further, these types of studies may bring consciousness to both physicians and patients regarding drug use in surgery.
Methods: A Prospective interventional study was conducted in a general surgery hospital. The prescriptions were analyzed for the use of inappropriateness of drugs using the classification for drug-related problems.
Results: Out of 100 cases, 62 patients were observed with drug-related problems. The number of antibiotics prescribed was 0, 1, 2, 3, 4, 5, 6 in 8, 11, 12, 32, 18, 18, 1 cases respectively. A significant increase in the outcome of antibiotic rationality and cases adhered to guidelines was seen in November compared to October and somewhat decreased in December due to some limitations. The overall study states that prescribing has a more important cause of Drug-related problems compared to dispensing and the use of the drug.
Conclusion: Drug-related problems have to be acknowledged as a very important contributing treatment factor for the best health care outcome. Our study shows the importance of clinical pharmacists in every hospital for identifying and resolving drug-related problems and medication errors.
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Mekonnen GB, Birarra MK, Tekle MT, Bhagavathula AS. Assessment of drug-related problems and its associated factors among medical ward patients in University of Gondar teaching hospital, northwest Ethiopia: a prospective cross-sectional study. J Basic Clin Pharm 2017;8:16 21.
Chandrakanth. Impact of a clinical pharmacist on drug-related problems. Indo Am J Pharm Res 2015;5:3816-21.
Pandaa, Pradhans, Mohapatra G, Mohapatra J. Drug-related problems associated with self-medication and medication guided by prescription: a pharmacy-based survey. Indian J Pharmacol 2016;48:515-21.
Movvar, Jampania, Nathani J, Pinnamaneni SH, Challa SR. A prospective study of the incidence of medication-related problems in the general medicine ward of a tertiary care hospital. J Adv Pharm Technol Res 2015;6:190-4.
Iyer K, Dilipkumar N, Vasaya S, Pawar S, Diwan A. Comparison of drug-related problems associated with the use of narrow therapeutic index drugs and other drugs in hospitalized patients. J Young Pharm 2018;10:318-21.
Kirsten K Viktil, Hege Salvesen Blix. The impact of clinical pharmacists on drug-related problems and clinical outcomes. Basic Clin Pharmacol Toxicol 2008;102:275–80.
Sepehri. Potential drug interactions in an Iranian general hospital. Indian J Pharm Sci 2012;74:75-9.
De Boer M, Ramrattan MA, Boeker EB, Kuks PFM, Boermeester MA, Lie-A-Huen L. Quality of pharmaceutical care in surgical patients. Plos One 2014;9:e101573.
S balasubramanian, N Narayanan. Hospital and clinical pharmacy. 2nd edition. Pharmamed Press: Hyderabad; 2013. p. 190-4.
Chris J Bonner, Bruce Carr. Medication compliance problems in general practice: detection and intervention by pharmacists and doctors. Australian J Rural Health 2002;10:33-8.
Ingeborg K, Bjo Rkman, Margareta A Sanner, Cecilia B Bernsten. Comparing 4 classification systems for drug-related problems: processes and functions. Res Soc Administrative Pharm 2008;4:320-31.
Roshanzamiri S, Eslami K, Najmeddin F, Izadpanah M, Hadidi E, Ganji R. Validating a drug-related problem classification system in an outpatient setting in Iran. J Res Pharm Practice 2018;7:117-22.
http://www.thecabinchianmai.com/blog/countries-with-worst-drug-related-problems/ [Last accessed on 02 Oct 2018]
Gillian Porter, Nathan Grills. Medication misuse in India: a major public health issue in India. J Public Health 2016;3:150-7.
Varghese Sneha Suja, Sneha Dutta, Ann Mary Swaroop. Knowledge and perceptions of self-medication practices in an urban community. Asian J Pharm Clin Res 2019;12:42-5.
Fauna Herawati, Muhamad Satria Mandala Pua Upa, Rika Yulia, Retnosari Andrajati. Antibiotic consumption at a pediatric ward at a public hospital in Indonesia. Asian J Pharm Clin Res 2019;12:64-7.
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