Clinical Audit of Pharmaceutical Care provided by a Clinical Pharmacist in Cardiology and Infectious Disease in-patients at the Royal Hospital, Muscat/Oman.

Oman Medical Journal
Zaher Al Salmi

Abstract

To characterise the pharmaceutical care provided by a clinical pharmacists working in a tertiary health care institute, where the extent to which the pharmacist contributes to changes in prescribing patterns use of medications, and patient knowledge was described. A retrospective single cohort study design was used. Qualitative and quantitative evaluation of a documented pharmaceutical care plan was undertaken. Electronic pharmaceutical care descriptor (Microsoft Access® database) was used for analysis. 167 patients [mean age of 53 yrs, 70% male] from a Medical Health Centre in a tertiary hospital where a clinical pharmacist had provided a medication review. The study patients were those who had either been admitted to cardiology or infectious disease wards. There were 291 pharmaceutical care issues [PCIs; mean per patient (2)] comprising of 67% (n=194) relating to treatment monitoring and 33% (n=97) relating to treatment changes, representing a total of 291 drug therapy problems [DTPs; mean per patient (2)]. The resolution rate of DTPs was 70%, where 61% of recommended changes and 75% of recommended monitoring were implemented. The clinical pharmacist successfully addressed most PCIs while attending ward rounds, reviewing in-p...Continue Reading

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