Customize Consent Preferences

We use cookies to help you navigate efficiently and perform certain functions. You will find detailed information about all cookies under each consent category below.

The cookies that are categorized as "Necessary" are stored on your browser as they are essential for enabling the basic functionalities of the site. ... 

Always Active

Necessary cookies are required to enable the basic features of this site, such as providing secure log-in or adjusting your consent preferences. These cookies do not store any personally identifiable data.

No cookies to display.

Functional cookies help perform certain functionalities like sharing the content of the website on social media platforms, collecting feedback, and other third-party features.

No cookies to display.

Analytical cookies are used to understand how visitors interact with the website. These cookies help provide information on metrics such as the number of visitors, bounce rate, traffic source, etc.

No cookies to display.

Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors.

No cookies to display.

Advertisement cookies are used to provide visitors with customized advertisements based on the pages you visited previously and to analyze the effectiveness of the ad campaigns.

No cookies to display.

Skip to content

CPS1 – Combining centralised and bedside clinical pharmacy

Room:

Facilitator:

Gillespie, Ulrika

Speakers:

Abstract:

 

Linked to EAHP Statements
Section 1 – Introductory Statements and Governance: Statements 1.3, 1.7
Section 4 – Clinical Pharmacy Services: Statements 4.1, 4.2, 4.3, 4.4, 4.8
Section 5 – Patient Safety and Quality Assurance: Statements 5.1, 5.5, 5.6, 5.8

ACPE UAN: 0475-0000-21-018-L05-P. A knowledge-based activity. 

Abstract
Centralised or “back office” clinical pharmacy is often described as a pharmaceutical analysis of patient specific medication orders, by pharmacists based in the hospital pharmacy. Electronic clinical decision support systems (CDSS), basic and more advanced, can play a role; screening all orders and extracting the ones needing extra attention. Identified medication errors and risk situations can then be communicated to the prescribers via the prescription software, by e-mail or by phone.

In ward-based or “bedside” clinical pharmacy, the pharmacist, who is integrated in the decision-making team, typically performs standardised services for all patients, such as medication reviews and medication counselling at discharge.

This seminar will provide an overview of the recent developments in back-office clinical medication surveillance. Integrating advanced clinical rules, in the form of algorithms, into computerised physician order entry (CPOE) systems, is one way of identifying orders that are erroneous or propose risks. The new advanced systems combine information from several sources such as laboratory values, diagnoses and body weight (from individual patients’ electronic health records) with the information in the CPOE. This enables the generation of alerts that are more clinically relevant and patient specific compared to basic CDSS alerts (typically drug-drug interaction warnings).

The seminar will present strategies on how to integrate these digital alerts into the daily practice of ward based clinical pharmacists – to achieve synergetic effects and develop pharmacy practice. One hypothesis is that alerts, generated digitally, maybe more effectively addressed by ward based clinical pharmacists, working daily with the physicians on the ward, than by pharmacy-based pharmacists – and thus have a greater impact on patient safety. The seminar is directed both to pharmacists practising (or considering the introduction of) clinical pharmacy – centralised from the hospital pharmacy, bedside on the wards or in a combination of both methods.

Learning objectives
After the session, participants should be able to:
• describe existing back-office clinical services, used in pharmaceutical analyses of medication orders, including both basic and advanced examples;
• list different types of alerts generated through clinical rules. Elaborate on the need for up-dating, fine tuning and monitoring the clinical effects of the rules;
• describe different ways that identified problems and errors can be communicated and solved;
• explain how combining the two models of clinical pharmacy may impact the effectiveness of clinical pharmacy and hence patient safety.

Educational need addressed
Clinical pharmacy services in Europe vary greatly. Some pharmacists are solely based in the hospital pharmacy and some also work on hospital wards – all sharing the same goal; to increase medication safety for patients. This seminar will focus on the potential synergetic effects of a mixed model (i.e. a successful combination of back-office and bedside clinical pharmacy).

Keywords: clinical validation of prescriptions, clinical decision support systems (CDSS), medication surveillance, clinical rules, medication surveillance, patient safety, clinical pharmacy, prescribing, safety.

×

EAHP Forum

All the EAHP team is working on providing a Forum that can help connect all the members in Conversations and Groups to talk about important matters for the European Hospital Pharmacist.

The Forum will be accessible for all the EAHP members, you don’t have to create a new account to browse and participate.

Conversations and groups

The Conversations will be moderated by our team to provide documents and relevant topics for the community.

The Groups will connect all members that share a category. Members who work on the same assocation, on the same hospital, that have the same role, etc.

Stay tuned for the realase of the forum. Soon on EAHP.