INTERVENTIONS IN INTERNAL MEDICINE WARDS WITH SCOPE OF CLINICAL PHARMACY RESIDENCY PROGRAM: A RETROSPECTIVE STUDY

Authors : Yunus Emre AYHAN, Mesut SANCAR

Pages : 557-566

Doi:10.33483/jfpau.1235458

View : 22 | Download : 21

Publication Date : 2023-05-20

Article Type : Research Paper

Abstract :Objective: Drug-related problems are a common health problem in hospitalized patients, affecting optimal patient outcomes. The aim of the study is to classify the drug-related problems detected by clinical pharmacy resident in hospitalized patients during their rotations and evaluate their interventions to the healthcare team. Material and Method: This is a retrospective study in which the drug-related problems of the patients hospitalized in the internal medicine wards between April and November 2018 were examined during the rotations of the clinical pharmacy resident. Patients’ demographics, prescribed medicine, laboratory findings were recorded. Drug-related problems are classified with the Pharmaceutical Care Network Europe Version 9.1 system. Result and Discussion: Ninety-two patients were included in the study. The median age of patients was 60.5 years and 59.8% of them were female. Most of the patients insert ignore into journalissuearticles values(63%); had three or more comorbidities. The most frequent comorbidities were hypertension insert ignore into journalissuearticles values(21.70%); and diabetes mellitus insert ignore into journalissuearticles values(10.64%);. One hundred forty-seven drug-related problems were detected in 57 patients insert ignore into journalissuearticles values(62%);. Potential drug-drug interactions insert ignore into journalissuearticles values(55.78%);, errors in dosing timing instructions insert ignore into journalissuearticles values(9.52%);, and inappropriate drug use according to guidelines insert ignore into journalissuearticles values(8.16%); were the most common causes of drug-related problems. The acceptance rate of interventions for resolving drug-related problems was 65%. The most common drug-related problems in this study were due to drug selection. The acceptance rate of recommendations for drug-related problems was lower than in the literature. However, this initial acceptance rate can be considered successful in a center where clinical pharmacy services have not been established.
Keywords : İç hastalıkları, ilaçla ilgili, klinik eczacılık