Patient and hospital staff perspectives on introducing pharmacist-led medication reviews at an orthopedic ward: a mixed methods pilot study
摘要
Multi-morbidity is associated with multiple medication use, which potentially increases the risk of adverse drug events. Pharmacist-led medication reviews have been introduced to meet these challenges.
AimTo evaluate the implementation of pharmacist-led medication reviews for older patients admitted to an orthopedic ward in terms of quality and safety from the perspectives of patients, hospital-based physicians, nurses, and healthcare assistants.
MethodPatients (n=11) were interviewed, with the interviews having a reflexive thematic analysis using the hermeneutic approach, while healthcare-professionals’ (HCPs) (n=26) perspectives on pharmacist-led medication reviews were assessed using questionnaires.
ResultsThe qualitative patient interviews revealed four themes: (1) Positive perception of pharmacists’ medication communication, (2) Mixed perceptions of a medication review, (3) Satisfaction with the general outcome of the medication review, and (4) Safety perception with medication treatment. Twenty-six HCPs completed the questionnaire (response rate 48%) with a distribution of 10 hospital-based physicians (38%), eight nurses (31%), and eight healthcare assistants (31%). Almost 85% of the HCPs (n = 22) were familiar with the pharmacist conducting medication reviews. More than 70% of the HCPs reported that pharmacist-led medication reviews contributed to increased quality of admitted patients’ medication use.
ConclusionHigh levels of satisfaction with the outcomes of the medication reviews—particularly regarding quality, patient safety, and their overall positive impact on the ward—indicate that both patients and HCPs perceived the service as highly valuable in supporting patient care throughout the medication process.