A multifaceted intervention to reduce guideline non-adherence among prescribing physicians in Dutch hospitals

International Journal of Clinical Pharmacy
Jacqueline M BosCornelis Kramers

Abstract

Background Despite the potential of clinical practice guidelines to improve patient outcomes, adherence to guidelines by prescribers is inconsistent. Objective The aim of the study was to determine whether an approach of introducing an educational programme for prescribers in the hospital combined with audit and feedback by the hospital pharmacist reduces non-adherence of prescribing physicians to key pharmacotherapeutic guidelines. Setting This prospective intervention study with a before-after design evaluated patients at surgical, urological and orthopaedic wards. Method An educational program covering pain management, antithrombotics, fluid and electrolyte management, prescribing in case of renal insufficiency, application of radiographic contrast agents and surgical antibiotic prophylaxis was presented to prescribers on the participating wards. Hospital pharmacists performed medication safety consultations, combining medication review of patients who are at risk for drug related problems with visits to ward physicians. Main outcome measure The outcome measure was the proportion of the admissions of patients in which the physician did not adhere to one or more of the included guidelines. Difference was expressed in odds rat...Continue Reading

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Sep 28, 2016·British Journal of Clinical Pharmacology·Jacqueline M BosCornelis Kramers
Dec 6, 2016·British Journal of Clinical Pharmacology·Jacqueline M BosCornelis Kramers

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Citations

Dec 5, 2019·Journal of Clinical Pharmacy and Therapeutics·Chengxin XieDong Yin
Sep 22, 2020·Journal of Nursing Management·Fatemeh BakhshiMajid Hajimaghsoudi
May 13, 2020·BMC Health Services Research·Ann Mari GransjøenBjørn Morten Hofmann
Apr 26, 2019·International Journal of Clinical Pharmacy·Albert R DreijerPatricia M L A van den Bemt
May 12, 2021·Annals of Surgery·Shalini AhujaUNKNOWN ASPIRES study co-investigators

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