From Pilot to Practice: A Trainee-Integrated Pharmacy Practice Model in Cardiology

North Carolina Medical Journal
Bethany A KalichBrent N Reed

Abstract

Problems related to medication use portend poor outcomes, but resources for expanding clinical pharmacy services are limited. We conducted a pilot study in the area of cardiology to determine the impact and feasibility of a trainee-integrated pharmacy practice (TIPP) model comprised of pharmacy residents and a clinical pharmacist. Coverage of 2 acute care and 1 intensive care team was distributed among 1 clinical pharmacist and 3 pharmacy residents. Patient care services included interdisciplinary rounds, order verification, medication reconciliation, counseling, clinical monitoring, and documentation. A pharmacy technician collected medication histories for newly admitted patients. Data related to medication reconciliation, clinical interventions, and time requirements were collected. Clinical services were compared to historical controls where data were available. Over the 18-day pilot study, the mean daily census consisted of 33.4 ± 5.3 patients. Admission medication reconciliation was performed on 8.1 patients per day, resulting in the discovery of 3.5 discrepancies per patient. Of 18 patients receiving anticoagulant therapy, 9 were counseled prior to discharge. Compared to historical controls, the number of patients receiv...Continue Reading

Citations

Aug 9, 2016·International Journal of Cardiology·Damian SwieczkowskiMilosz Jaguszewski
Oct 28, 2019·European Journal of Hospital Pharmacy. Science and Practice·Xiao-Bo ZhaiXiao-Yan Liu

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