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Measuring the impact of pharmaceutical care bundle delivery on patient outcomes: an observational study.
Canning, Martin Luke; McDougall, Ross; Yerkovich, Stephanie; Barras, Michael; Coombes, Ian; Sullivan, Clair; Whitfield, Karen.
Afiliação
  • Canning ML; Pharmacy Department, The Prince Charles Hospital, Rode Rd, Chermside, Qld, 4032, Australia. Martin.Canning@health.qld.gov.au.
  • McDougall R; Metro North Clinical Governance, Metro North Health, Herston, Australia. Martin.Canning@health.qld.gov.au.
  • Yerkovich S; Pharmacy Department, The Prince Charles Hospital, Rode Rd, Chermside, Qld, 4032, Australia.
  • Barras M; Menzies School of Health Research, Casuarina, Australia.
  • Coombes I; Queensland University of Technology, Brisbane, Australia.
  • Sullivan C; Princess Alexandra Hospital, Woolloongabba, Australia.
  • Whitfield K; The University of Queensland, Woolloongabba, Australia.
Int J Clin Pharm ; 46(5): 1172-1180, 2024 Oct.
Article em En | MEDLINE | ID: mdl-38805086
ABSTRACT

BACKGROUND:

Clinical pharmacists perform activities to optimise medicines use and prevent patient harm. Historically, clinical pharmacy quality indicators have measured individual activities not linked to patient outcomes.

AIM:

To determine the proportion of patients who receive a pharmaceutical care bundle (PCB) (consisting of a medication history, medication review, discharge medication list and medicines information on the discharge summary) as well as investigate the relationship between delivery of this PCB and patient outcomes.

METHOD:

Pharmaceutical care bundle activities were defined within state-wide (Queensland, Australia) clinical information systems and datasets were linked. An observational study using routinely recorded data was performed at ten participating sites for adult patients who had a non-same day hospital stay. The association between extent of PCB delivery and three patient outcomes were investigated length of stay (LOS), unplanned readmission, and mortality.

RESULTS:

In total 283,813 patient hospital stays were evaluated. The delivery of the PCB occurred in 26.9% of patients at the ten participating hospital sites, ranging from 0.6 to 61.2% across sites. Patients with a longer LOS were more likely to receive delivery of the complete PCB (P < 0.001). There was no correlation between PCB and hospital standardised mortality ratio (r = 0.03, p = 0.93). Higher rates of delivery of the PCB were associated with lower rates of unplanned readmission within 30 days (r = - 0.993, p < 0.001).

CONCLUSION:

A complete PCB was delivered to 26.9% of patients and was associated with a significantly lower rate of unplanned readmission within 30 days.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviço de Farmácia Hospitalar / Pacotes de Assistência ao Paciente / Tempo de Internação Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Serviço de Farmácia Hospitalar / Pacotes de Assistência ao Paciente / Tempo de Internação Limite: Adult / Aged / Aged80 / Female / Humans / Male / Middle aged País/Região como assunto: Oceania Idioma: En Ano de publicação: 2024 Tipo de documento: Article