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Introducing clinical pharmacy services to cardiovascular clinics at a university hospital in Northern Cyprus

Background Clinical pharmacists are the primary source of scientifically valid information and advice on the safe, rational, and cost-effective use of medications. However, ward-based clinical pharmacy services are not well optimized in Northern Cyprus. Objective Ward based clinical pharmacy service...

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Published in:International journal of clinical pharmacy 2017-12, Vol.39 (6), p.1185-1193
Main Authors: Al-Baghdadi, Haider, Koca Al-Baghdadi, Çiğdem, Abdi, Abdikarim, Gültekin, Onur, Meštrović, Arijana, Demirdamar, Rumeysa, Özcem, Barçın, Başgut, Bilgen
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container_title International journal of clinical pharmacy
container_volume 39
creator Al-Baghdadi, Haider
Koca Al-Baghdadi, Çiğdem
Abdi, Abdikarim
Gültekin, Onur
Meštrović, Arijana
Demirdamar, Rumeysa
Özcem, Barçın
Başgut, Bilgen
description Background Clinical pharmacists are the primary source of scientifically valid information and advice on the safe, rational, and cost-effective use of medications. However, ward-based clinical pharmacy services are not well optimized in Northern Cyprus. Objective Ward based clinical pharmacy services were introduced and evaluated in cardiovascular clinics. Setting Cardiology and cardiovascular surgery departments in a tertiary university hospital. Methods A prospective interventional study introduced and documented clinical pharmacy services for 120 days. Drug-related problems were classified using the Pharmaceutical Care Network Europe PCNE DRP classification tool V6.2. Main outcome measure Interventions proposed and acceptance rate of recommendations. Results A total of 133 patients were reviewed, and, 81 patients had drug-related problems. Only 402 (93.1%) of the 432 suggested interventions were accepted and regarded as clinically relevant. Drug-related problems primarily involved antihypertensive, diuretic, and antithrombotic agents. Treatment effectiveness was the major type of drug-related problems (107; 49.3%) followed by adverse drug reactions (74; 34.1%). Drug dose and selection were the most frequent causes of drug-related problems. Add/change/stop medications were the most common types of intervention at the prescriber level. A total of 171 (78.8%) of the identified 217 drug-related problems were solved, 4 (1.8%) of the problems were partially solved, 32 (14.7%) problems were unsolved, and 10 (4.6%) problems had unknown outcomes. Conclusion Clinical pharmacy services may have optimized therapy effectiveness and prevent adverse effects. The pharmacist interventions were highly accepted by cardiologists; this may indicate the presence of a great opportunity and need to optimize and implement CPS in other hospitals in Northern Cyprus.
doi_str_mv 10.1007/s11096-017-0534-3
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However, ward-based clinical pharmacy services are not well optimized in Northern Cyprus. Objective Ward based clinical pharmacy services were introduced and evaluated in cardiovascular clinics. Setting Cardiology and cardiovascular surgery departments in a tertiary university hospital. Methods A prospective interventional study introduced and documented clinical pharmacy services for 120 days. Drug-related problems were classified using the Pharmaceutical Care Network Europe PCNE DRP classification tool V6.2. Main outcome measure Interventions proposed and acceptance rate of recommendations. Results A total of 133 patients were reviewed, and, 81 patients had drug-related problems. Only 402 (93.1%) of the 432 suggested interventions were accepted and regarded as clinically relevant. Drug-related problems primarily involved antihypertensive, diuretic, and antithrombotic agents. Treatment effectiveness was the major type of drug-related problems (107; 49.3%) followed by adverse drug reactions (74; 34.1%). Drug dose and selection were the most frequent causes of drug-related problems. Add/change/stop medications were the most common types of intervention at the prescriber level. A total of 171 (78.8%) of the identified 217 drug-related problems were solved, 4 (1.8%) of the problems were partially solved, 32 (14.7%) problems were unsolved, and 10 (4.6%) problems had unknown outcomes. Conclusion Clinical pharmacy services may have optimized therapy effectiveness and prevent adverse effects. The pharmacist interventions were highly accepted by cardiologists; this may indicate the presence of a great opportunity and need to optimize and implement CPS in other hospitals in Northern Cyprus.</description><identifier>ISSN: 2210-7703</identifier><identifier>EISSN: 2210-7711</identifier><identifier>DOI: 10.1007/s11096-017-0534-3</identifier><identifier>PMID: 28975485</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Aged ; Antihypertensives ; Cardiology ; Cardiovascular Diseases - drug therapy ; Cyprus ; Female ; Hospitals, University ; Humans ; Internal Medicine ; Male ; Medicaid ; Medication Errors - prevention &amp; control ; Medication Errors - statistics &amp; numerical data ; Medicine ; Medicine &amp; Public Health ; Pharmacists ; Pharmacy ; Pharmacy benefit management ; Pharmacy Service, Hospital ; Program Development ; Program Evaluation - statistics &amp; numerical data ; Prospective Studies ; Research Article ; Side effects ; States ; Surgery</subject><ispartof>International journal of clinical pharmacy, 2017-12, Vol.39 (6), p.1185-1193</ispartof><rights>Springer International Publishing AG 2017</rights><rights>International Journal of Clinical Pharmacy is a copyright of Springer, (2017). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-9510a8c548a867c67ce905c312f7ac942238b1745f72dd1c3c7d2f14b966cd103</citedby><cites>FETCH-LOGICAL-c372t-9510a8c548a867c67ce905c312f7ac942238b1745f72dd1c3c7d2f14b966cd103</cites><orcidid>0000-0002-4903-1356</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28975485$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Al-Baghdadi, Haider</creatorcontrib><creatorcontrib>Koca Al-Baghdadi, Çiğdem</creatorcontrib><creatorcontrib>Abdi, Abdikarim</creatorcontrib><creatorcontrib>Gültekin, Onur</creatorcontrib><creatorcontrib>Meštrović, Arijana</creatorcontrib><creatorcontrib>Demirdamar, Rumeysa</creatorcontrib><creatorcontrib>Özcem, Barçın</creatorcontrib><creatorcontrib>Başgut, Bilgen</creatorcontrib><title>Introducing clinical pharmacy services to cardiovascular clinics at a university hospital in Northern Cyprus</title><title>International journal of clinical pharmacy</title><addtitle>Int J Clin Pharm</addtitle><addtitle>Int J Clin Pharm</addtitle><description>Background Clinical pharmacists are the primary source of scientifically valid information and advice on the safe, rational, and cost-effective use of medications. However, ward-based clinical pharmacy services are not well optimized in Northern Cyprus. Objective Ward based clinical pharmacy services were introduced and evaluated in cardiovascular clinics. Setting Cardiology and cardiovascular surgery departments in a tertiary university hospital. Methods A prospective interventional study introduced and documented clinical pharmacy services for 120 days. Drug-related problems were classified using the Pharmaceutical Care Network Europe PCNE DRP classification tool V6.2. Main outcome measure Interventions proposed and acceptance rate of recommendations. Results A total of 133 patients were reviewed, and, 81 patients had drug-related problems. Only 402 (93.1%) of the 432 suggested interventions were accepted and regarded as clinically relevant. Drug-related problems primarily involved antihypertensive, diuretic, and antithrombotic agents. Treatment effectiveness was the major type of drug-related problems (107; 49.3%) followed by adverse drug reactions (74; 34.1%). Drug dose and selection were the most frequent causes of drug-related problems. Add/change/stop medications were the most common types of intervention at the prescriber level. A total of 171 (78.8%) of the identified 217 drug-related problems were solved, 4 (1.8%) of the problems were partially solved, 32 (14.7%) problems were unsolved, and 10 (4.6%) problems had unknown outcomes. Conclusion Clinical pharmacy services may have optimized therapy effectiveness and prevent adverse effects. 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However, ward-based clinical pharmacy services are not well optimized in Northern Cyprus. Objective Ward based clinical pharmacy services were introduced and evaluated in cardiovascular clinics. Setting Cardiology and cardiovascular surgery departments in a tertiary university hospital. Methods A prospective interventional study introduced and documented clinical pharmacy services for 120 days. Drug-related problems were classified using the Pharmaceutical Care Network Europe PCNE DRP classification tool V6.2. Main outcome measure Interventions proposed and acceptance rate of recommendations. Results A total of 133 patients were reviewed, and, 81 patients had drug-related problems. Only 402 (93.1%) of the 432 suggested interventions were accepted and regarded as clinically relevant. Drug-related problems primarily involved antihypertensive, diuretic, and antithrombotic agents. Treatment effectiveness was the major type of drug-related problems (107; 49.3%) followed by adverse drug reactions (74; 34.1%). Drug dose and selection were the most frequent causes of drug-related problems. Add/change/stop medications were the most common types of intervention at the prescriber level. A total of 171 (78.8%) of the identified 217 drug-related problems were solved, 4 (1.8%) of the problems were partially solved, 32 (14.7%) problems were unsolved, and 10 (4.6%) problems had unknown outcomes. Conclusion Clinical pharmacy services may have optimized therapy effectiveness and prevent adverse effects. The pharmacist interventions were highly accepted by cardiologists; this may indicate the presence of a great opportunity and need to optimize and implement CPS in other hospitals in Northern Cyprus.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>28975485</pmid><doi>10.1007/s11096-017-0534-3</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-4903-1356</orcidid></addata></record>
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ispartof International journal of clinical pharmacy, 2017-12, Vol.39 (6), p.1185-1193
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subjects Aged
Antihypertensives
Cardiology
Cardiovascular Diseases - drug therapy
Cyprus
Female
Hospitals, University
Humans
Internal Medicine
Male
Medicaid
Medication Errors - prevention & control
Medication Errors - statistics & numerical data
Medicine
Medicine & Public Health
Pharmacists
Pharmacy
Pharmacy benefit management
Pharmacy Service, Hospital
Program Development
Program Evaluation - statistics & numerical data
Prospective Studies
Research Article
Side effects
States
Surgery
title Introducing clinical pharmacy services to cardiovascular clinics at a university hospital in Northern Cyprus
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