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Implementation of On-Call Clinical Pharmacy Service in Emergency Department during COVID 19: New Initiative in Hamad General Hospital, Qatar
JACCP Journal of the American College of Clinical Pharmacy ; 4(12):1729, 2021.
Article in English | EMBASE | ID: covidwho-1615993
ABSTRACT
Service or Program Throughout COVID-19, complex therapeutics and medication protocols left clinicians overwhelmed by contradicting information leading to drug-related problems (DRPs) potentially leading to ineffective pharmacotherapy and drug-related morbidity and mortality. DRPs queries are time consuming, utilize different resources, and require skills and experience to provide accurate answers3. Quick answers are paramount in the Emergency Department (ED) especially during pandemic period. Clinical pharmacists (CP) can identify and resolve DRPs but are only available from 7AM-3PM in ED. We set up on-call CP service for ED DRPs calls during out-of-office hours.This study aimed to assess the capacity of the service to capture 100% of calls received and to measure the time taken to resolve DRP queries compared to international standard. Justification/Documentation A dedicated ED CP on-call phone line until 10pm daily was arranged by Hamad General Hospital Pharmacy (Qatar).Data was documented on a logbook/Electronic Medical Records (EMR) and analysed using predefined parameters. Adaptability Between March-September 2020, 133 DRPs calls were received and resolved by CP. 38% of these were related to drug interaction/safety, adverse drug reactions, dose-adjustments, drug-allergies, and drug in pregnancy.30% were related to medication administration, such as infusion rates, titration, and IV compatibility. Those questions were mostly received from nurses(Figure 1).Appropriate dose selection and appropriate indication represented 21% and 11% respectively (Figure 2). Caller's acceptance rate to responses provided by CP were 100%. Responses were documented in patients' EMR. The call duration extracted from phone-log showed an average time of 4.66 minutes/call which is below average standard of 15-30 minutes.

Significance:

Availability of clinical pharmacists to provide quick, acceptable responses to DRPs queries, is crucial given the complexity and diversity of ED patients. During COVID-19, on-call clinical pharmacy service has proven its capability to resolve DRPs and support clinical decision-making process in a relatively shorter time.
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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Prognostic study Language: English Journal: JACCP Journal of the American College of Clinical Pharmacy Year: 2021 Document Type: Article

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Full text: Available Collection: Databases of international organizations Database: EMBASE Type of study: Prognostic study Language: English Journal: JACCP Journal of the American College of Clinical Pharmacy Year: 2021 Document Type: Article