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pharmacy intervention of irrational medical orders on pharmacy intravenous admixture services of outpatient and emergency departments in Fujian Provincial Hospital

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Journal of Chinese Pharmaceutical Sciences 2017年第4期26卷 312-316页

作者：高红瑾王少明庄捷陈宇星米成福建省立医院药学部福建福州350001 福建中医药大学药学院福建福州350108

In the present study, we aimed to analyze the irrational medical orders and evaluate the effect of pharmacy intervention on pharmacy intravenous admixture services of outpatient and emergency departments in our hospital. The irrational medical orders of PIVAS at the outpatient and emergency departments were retrospectively analyzed in Jun. 2015. We strengthened the pharmacy intervention on irrational medical orders since July 2015. All the cases were selected by systematic sampling method. Cased studied in Jun. 2015 served as the control group, whereas those studied in Jan. 2016 served as the intervention group. The irrational rate and the irrational number of daily average were compared between the control group and intervention group. The common type of irrational outpatient and emergency intravenous orders mainly included irrational use of solvents, irrational dosing interval and inappropriate compatibility of drugs. The irrational rate was reduced from 17.4% to 3.3% （P〈0.01）, and the irrational number of daily average was decreased from 5.23 to 1.00 （P〈0.01）. pharmacy intervention can reduce the irrational rate of medical orders in our hospital, which is of great significance to promote rational drug use and improve medical quality.

关键词： Irrational medical orders pharmacy intravenous admixture services pharmacy intervention

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Reducing Readmission Rates in Heart Failure and Acute Myocardial Infarction by pharmacy intervention

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Journal of pharmacy and Pharmacology 2014年第12期2卷 731-738页

作者： Veronica Harris Malar Narayanan Dehuti Pandya Ngan Vo Stevenson Thomas Department of pharmacy Services Memorial Hermann Healthcare System Houston 77024 Texas United States

Background： Hospital readmissions are common, costly and largely preventable. Objectives： To evaluate the impact of a pharmacy-led medication discharge and post discharge counseling program on 30 day readmission rates for HF （heart failure） and AMI （acute myocardial infarction）. Methods： Three month prospective, quality improvement, pilot study with I-IF and AMI patients who received pre-discharge and post-discharge medication counseling from December 2013 to February 2014 whose 30 day readmission rates were compared to readmission rates from the previous fiscal ***： Fifty-one patients were included in the study. Primary endpoint of30-day readmission rates showed a 33.9% decrease for AMI and a 50.1% decrease for HF in readmission rates compared to the previous fiscal year, with a potential annual savings of $458,800. The study also identified 25.5% of patients having at least one medication error that was identified through medication reconciliation. Conclusions： pharmacy provided medication reconciliation and medication discharge counseling reduced readmission rates as well as decreased medication errors. There is also a potential for significant health cost savings.

关键词： Readmission pharmacy intervention discharge counseling medication reconciliation heart failure acute myocardial infarction.

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