Medication reviews by emergency department pharmacists in patients hospitalised for an adverse drug event: a cost study.
BMC Health Serv Res
; 24(1): 975, 2024 Aug 23.
Article
en En
| MEDLINE
| ID: mdl-39180043
ABSTRACT
OBJECTIVE:
To perform a cost study of pharmacist-led medication reviews in patients with an acute hospitalization for adverse drug events.METHOD:
Emergency department pharmacists performed medication reviews in patients hospitalized after visiting the emergency department for an adverse drug event (ADE). Control patients were hospitalized after an emergency department visit not related to an ADE and received usual care. The costs of the intervention were labour costs of the junior emergency department pharmacist and the cost savings consisted of costs of medication that was stopped or reduced during six months after the intervention. Sensitivity analyses were performed to evaluate different scenarios.RESULTS:
In the intervention group (n = 104) 113 medication changes led to stopping or reducing medication, accounting for averted costs of 22,850. In the control group (n = 112) 39 medication changes led to stopping or reducing medication, accounting for averted costs of 299. The mean labour costs of the intervention were 138 per patient, resulting in saved costs of 61 per patient per six months. Sensitivity analyses showed that if the intervention would be performed by a senior clinical pharmacist, there are no cost savings (-21), if parts of the intervention would be executed by pharmacy technicians (e.g. administrative tasks), cost savings would be augmented to 87, if outliers in costs associated with medication reduction would be excluded, there are no cost savings (-35) and if the costs of reduced medication were extrapolated to one year, cost savings would be 260.CONCLUSION:
In this study, medication reviews by junior emergency department pharmacists in patients hospitalized after an emergency department visit for an ADE lead to a cost reduction over a six month period. TRIAL REGISTRATION The main study is registered on the ISRCTN registry with trial ID ISRCTN12506329 on 06-03-2022.Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Farmacéuticos
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Servicio de Farmacia en Hospital
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Efectos Colaterales y Reacciones Adversas Relacionados con Medicamentos
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Servicio de Urgencia en Hospital
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Hospitalización
Límite:
Adult
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Aged
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Año:
2024
Tipo del documento:
Article