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Pharmacy 2017, 5(4), 60; doi:10.3390/pharmacy5040060

Medication Reviews by a Clinical Pharmacist at an Irish University Teaching Hospital

Pharmacy Department, Mercy University Hospital, Cork T12 WE28, Ireland
Department of General Practice, School of Medicine, University College Cork, Cork T12 YN60, Ireland
The Pharmaceutical Care Research Group, School of Pharmacy, University College Cork, Cork T12 YN60, Ireland
Author to whom correspondence should be addressed.
Received: 27 August 2017 / Revised: 19 October 2017 / Accepted: 24 October 2017 / Published: 27 October 2017
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Purpose: Pharmacist-led medication reviews in hospitals have shown improvement in patient outcomes. The aim of this study is to describe the prevalence and nature of pharmacist interventions (PIs) following a medication review in an Irish teaching hospital. Methods: PIs were recorded over a six-month period in 2015. PIs were assessed by a panel of healthcare professionals (n = 5) to estimate the potential of adverse drug events (ADEs). Descriptive statistics were used for the variables and the chi square test for independence was used to analyse for any association between the variables. Results: Of the 1216 patients (55.8% female; median age 68 years (interquartile range 24 years)) who received a medication review, 313 interventions were identified in 213 patients. 412 medicines were associated with PIs, of which drugs for obstructive airway disease (n = 82), analgesics (n = 56), and antibacterial products for systemic use (n = 50) were the most prevalent. A statistically significant association was found between PI and patient’s age ≥65 years (p = 0.000), as well as female gender (p = 0.037). A total of 60.7% of the PIs had a medium or high likelihood of causing an ADE. Conclusion: Pharmacist-led medication review in a hospital setting prevented ADEs. Patients ≥65 years of age and female patients benefited the most from the interventions. View Full-Text
Keywords: hospital pharmacy; pharmacist intervention; medication review; adverse drug event; Ireland hospital pharmacy; pharmacist intervention; medication review; adverse drug event; Ireland

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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Kearney, A.; Halleran, C.; Walsh, E.; Byrne, D.; Haugh, J.; Sahm, L.J. Medication Reviews by a Clinical Pharmacist at an Irish University Teaching Hospital. Pharmacy 2017, 5, 60.

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