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Problems, interventions, and their outcomes during the routine work of hospital pharmacists in Bosnia and Herzegovina

Authorized Users Only
2017
Authors
Ljubojević, Gordana
Miljković, Branislava
Bucma, Tatjana
Ćulafić, Milica
Prostran, Milica
Vezmar-Kovačević, Sandra
Article (Published version)
Metadata
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Abstract
Background In the last 30 years, activities of hospital pharmacists have gone through significant changes. Pharmacists are increasingly involved in patient care. Objectives To explore drug-related and logistic problems, interventions, and their outcomes during routine everyday work of hospital pharmacists. Setting Institute for physical medicine and rehabilitation, Banja Luka, Bosnia and Herzegovina. Methods In the period of January 2013-October 2015 a prospective observational study was performed. Medical doctors, nurses, therapists, and patients addressed pharmacists, face-to-face or by telephone, with drug-related problems (DRPs) and/or logistic issues. Main outcome measure Type of DRP or logistic issue, intervention, outcome, initiator and time spent for solving the problem were documented for each consultation. Results Out of 1515 interventions, 48.8% were aimed at solving DRPs. The most common DRPs were the recommendation of a drug or dose and need for additional information abou...t drugs. Drug price and supply were the most prevalent logistic issues. DRPs were more frequently initiated by medical doctors and required more time to solve the problem compared to logistic issues (Mann-Whitney U test, p lt = 0.001, respectively). The acceptance rate of interventions to solve DRPs (83.7%) was lower compared to logistic issues (95.2%; p lt = 0.001). Conclusions Hospital pharmacists were faced with an approximately equal number of DRPs and logistic issues during their routine everyday work. The overall acceptance rate of pharmacists' interventions was high, and the results of our study indicate that there is a need for more involvement of hospital pharmacists in Bosnia and Herzegovina in clinical activities. Impact on practice.

Keywords:
Bosnia and Herzegovina / Drug-related problems / Hospital pharmacists / Interventions / Logistic issues / Outcomes
Source:
International Journal of Clinical Pharmacy, 2017, 39, 4, 743-749
Publisher:
  • Springer, Dordrecht
Projects:
  • Basic and Clinical Pharmacological research of mechanisms of action and drug interactions in nervous and cardiovascular system (RS-175023)

DOI: 10.1007/s11096-017-0491-x

ISSN: 2210-7703

PubMed: 28597173

WoS: 000407126200015

Scopus: 2-s2.0-85020675626
[ Google Scholar ]
URI
http://farfar.pharmacy.bg.ac.rs/handle/123456789/2801
Collections
  • Radovi istraživača / Researchers’ publications
Institution
Pharmacy
TY  - JOUR
AU  - Ljubojević, Gordana
AU  - Miljković, Branislava
AU  - Bucma, Tatjana
AU  - Ćulafić, Milica
AU  - Prostran, Milica
AU  - Vezmar-Kovačević, Sandra
PY  - 2017
UR  - http://farfar.pharmacy.bg.ac.rs/handle/123456789/2801
AB  - Background In the last 30 years, activities of hospital pharmacists have gone through significant changes. Pharmacists are increasingly involved in patient care. Objectives To explore drug-related and logistic problems, interventions, and their outcomes during routine everyday work of hospital pharmacists. Setting Institute for physical medicine and rehabilitation, Banja Luka, Bosnia and Herzegovina. Methods In the period of January 2013-October 2015 a prospective observational study was performed. Medical doctors, nurses, therapists, and patients addressed pharmacists, face-to-face or by telephone, with drug-related problems (DRPs) and/or logistic issues. Main outcome measure Type of DRP or logistic issue, intervention, outcome, initiator and time spent for solving the problem were documented for each consultation. Results Out of 1515 interventions, 48.8% were aimed at solving DRPs. The most common DRPs were the recommendation of a drug or dose and need for additional information about drugs. Drug price and supply were the most prevalent logistic issues. DRPs were more frequently initiated by medical doctors and required more time to solve the problem compared to logistic issues (Mann-Whitney U test, p  lt = 0.001, respectively). The acceptance rate of interventions to solve DRPs (83.7%) was lower compared to logistic issues (95.2%; p  lt = 0.001). Conclusions Hospital pharmacists were faced with an approximately equal number of DRPs and logistic issues during their routine everyday work. The overall acceptance rate of pharmacists' interventions was high, and the results of our study indicate that there is a need for more involvement of hospital pharmacists in Bosnia and Herzegovina in clinical activities. Impact on practice.
PB  - Springer, Dordrecht
T2  - International Journal of Clinical Pharmacy
T1  - Problems, interventions, and their outcomes during the routine work of hospital pharmacists in Bosnia and Herzegovina
VL  - 39
IS  - 4
SP  - 743
EP  - 749
DO  - 10.1007/s11096-017-0491-x
ER  - 
@article{
author = "Ljubojević, Gordana and Miljković, Branislava and Bucma, Tatjana and Ćulafić, Milica and Prostran, Milica and Vezmar-Kovačević, Sandra",
year = "2017",
url = "http://farfar.pharmacy.bg.ac.rs/handle/123456789/2801",
abstract = "Background In the last 30 years, activities of hospital pharmacists have gone through significant changes. Pharmacists are increasingly involved in patient care. Objectives To explore drug-related and logistic problems, interventions, and their outcomes during routine everyday work of hospital pharmacists. Setting Institute for physical medicine and rehabilitation, Banja Luka, Bosnia and Herzegovina. Methods In the period of January 2013-October 2015 a prospective observational study was performed. Medical doctors, nurses, therapists, and patients addressed pharmacists, face-to-face or by telephone, with drug-related problems (DRPs) and/or logistic issues. Main outcome measure Type of DRP or logistic issue, intervention, outcome, initiator and time spent for solving the problem were documented for each consultation. Results Out of 1515 interventions, 48.8% were aimed at solving DRPs. The most common DRPs were the recommendation of a drug or dose and need for additional information about drugs. Drug price and supply were the most prevalent logistic issues. DRPs were more frequently initiated by medical doctors and required more time to solve the problem compared to logistic issues (Mann-Whitney U test, p  lt = 0.001, respectively). The acceptance rate of interventions to solve DRPs (83.7%) was lower compared to logistic issues (95.2%; p  lt = 0.001). Conclusions Hospital pharmacists were faced with an approximately equal number of DRPs and logistic issues during their routine everyday work. The overall acceptance rate of pharmacists' interventions was high, and the results of our study indicate that there is a need for more involvement of hospital pharmacists in Bosnia and Herzegovina in clinical activities. Impact on practice.",
publisher = "Springer, Dordrecht",
journal = "International Journal of Clinical Pharmacy",
title = "Problems, interventions, and their outcomes during the routine work of hospital pharmacists in Bosnia and Herzegovina",
volume = "39",
number = "4",
pages = "743-749",
doi = "10.1007/s11096-017-0491-x"
}
Ljubojević G, Miljković B, Bucma T, Ćulafić M, Prostran M, Vezmar-Kovačević S. Problems, interventions, and their outcomes during the routine work of hospital pharmacists in Bosnia and Herzegovina. International Journal of Clinical Pharmacy. 2017;39(4):743-749
Ljubojević, G., Miljković, B., Bucma, T., Ćulafić, M., Prostran, M.,& Vezmar-Kovačević, S. (2017). Problems, interventions, and their outcomes during the routine work of hospital pharmacists in Bosnia and Herzegovina.
International Journal of Clinical PharmacySpringer, Dordrecht., 39(4), 743-749.
https://doi.org/10.1007/s11096-017-0491-x
Ljubojević Gordana, Miljković Branislava, Bucma Tatjana, Ćulafić Milica, Prostran Milica, Vezmar-Kovačević Sandra, "Problems, interventions, and their outcomes during the routine work of hospital pharmacists in Bosnia and Herzegovina" 39, no. 4 (2017):743-749,
https://doi.org/10.1007/s11096-017-0491-x .

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