Strategies for improving medication safety in hospitals: Evolution of clinical pharmacy services

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http://hdl.handle.net/10138/313341

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Lotta , S , Kirsi , A , Kirsi , K , Anna-Riia , H , Lasse , L , Outi , L-R , Raisa , L , Kerstin , C & Marja , A 2019 , ' Strategies for improving medication safety in hospitals: Evolution of clinical pharmacy services ' , Research in Social and Administrative Pharmacy , vol. 15 , no. 7 , pp. 873-882 . https://doi.org/10.1016/j.sapharm.2019.02.004

Title: Strategies for improving medication safety in hospitals: Evolution of clinical pharmacy services
Author: Lotta, Schepel; Kirsi, Aronpuro; Kirsi, Kvarnström; Anna-Riia, Holmström; Lasse, Lehtonen; Outi, Lapatto-Reiniluoto; Raisa, Laaksonen; Kerstin, Carlsson; Marja, Airaksinen
Contributor: University of Helsinki, Clin­ical Phar­macy Group
University of Helsinki, Faculty of Pharmacy
University of Helsinki, Division of Pharmacology and Pharmacotherapy
University of Helsinki, University Management
University of Helsinki, HUSLAB
University of Helsinki, Drug Research Program
University of Helsinki, Clinicum
University of Helsinki, Drug Research Program
Date: 2019-07
Language: eng
Number of pages: 10
Belongs to series: Research in Social and Administrative Pharmacy
ISSN: 1551-7411
URI: http://hdl.handle.net/10138/313341
Abstract: Background Medication safety risks are the most important preventable factors jeopardizing patient safety. To manage these risks, extending pharmacists’ involvement in patient care and patient safety work has been systematically addressed in patient safety initiatives since the early 2000s. Objective To explore the extent and range of clinical pharmacy services in Finnish hospitals to promote medication safety: 1) in 2011, when the first National Patient Safety Strategy, the new Health Care Act and the Medicines Policy 2020 had been recently enacted; and 2) five years later in 2016. Methods The study was conducted in 2011 and 2016 as a national online survey targeted to hospital pharmacies (n = 24) and medical dispensaries (n = 131 in 2011; n = 28 in 2016). The questions were analyzed using descriptive statistics and qualitative content analysis. Results Overall response rate was 60% in 2011 and 52% in 2016. Clinical pharmacy services were provided by 51% of the responding units in 2011, whereas by 85% in 2016. The reported number of clinical pharmacists had increased during the five years. The most notable increase in reported tasks occurred in conducting medication reconciliations (+63% increase in the number of providing units). By 2016 pharmacists had extended their tasks particularly towards system-based medication safety work: e.g. developing instructions for medication-use (91% of the responding units), creating and updating medication safety plans (87%) and using medication error reports in developing the process of medication use safer (78%). Pharmacists’ participation in long-term continuing education became more common in 2016, which was perceived as helpful in extending their responsibilities to improve medication safety. Conclusion Pharmacists’ involvement in patient care and system-based medication safety work was reported to become more common in Finnish hospitals during 2011–2016. This development is in line with patient safety policy initiatives and its impact on patient care outcomes should be followed up.
Subject: CARE
Clinical pharmacy
ERRORS
Health systems
Hospital pharmacy
Medication safety
Medicines policy
Systems approach
317 Pharmacy
3142 Public health care science, environmental and occupational health
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