A systematic review of clinical pharmacist interventions in paediatric hospital patients

Drovandi, Aaron, Robertson, Kelvin, Tucker, Matthew, Robinson, Niechole, Perks, Stephen, and Kairuz, Therese (2018) A systematic review of clinical pharmacist interventions in paediatric hospital patients. European Journal of Pediatrics, 177 (8). pp. 1139-1148.

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Abstract

Clinical pharmacist provide beneficial services to adult patients, though their benefits for paediatric hospital patients is less defined. Five databases were searched using the MeSH terms 'clinical pharmacist', paediatric/pediatric', 'hospital', and 'intervention' for studies with paediatric patients conducted in hospital settings, and described pharmacist-initiated interventions, published between January 2000 and October 2017. The search strategy after full-text review identified 12 articles matching the eligibility criteria. Quality appraisal checklists from the Joanna Briggs Institute were used to appraise the eligible articles. Clinical pharmacist services had a positive impact on paediatric patient care. Medication errors intercepted by pharmacists included over- and under-dosing, missed doses, medication history gaps, allergies, and near-misses. Interventions to address these errors were positively received, and implemented by physicians, with an average acceptance rate of over 95%. Clinical pharmacist-initiated education resulted in improved medication understanding and adherence, improved patient satisfaction, and control of chronic medical conditions. Conclusion: This review found that clinical pharmacists in paediatric wards may reduce drug-related problems and improve patient outcomes. The benefits of pharmacist involvement appear greatest when directly involved in ward rounds, due to being able to more rapidly identify medication errors during the prescribing phase, and provide real-time advice and recommendations to prescribers.

Item ID: 54185
Item Type: Article (Research - C1)
ISSN: 1432-1076
Keywords: clinical pharmacist; prescribing errors; medication reconciliation; patient safety; medication dosing
Date Deposited: 22 Jun 2018 05:13
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3213 Paediatrics > 321302 Infant and child health @ 50%
32 BIOMEDICAL AND CLINICAL SCIENCES > 3214 Pharmacology and pharmaceutical sciences > 321403 Clinical pharmacy and pharmacy practice @ 50%
SEO Codes: 92 HEALTH > 9205 Specific Population Health (excl. Indigenous Health) > 920501 Child Health @ 100%
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