3 research outputs found

    Austrittsrezepte: pharmazeutische Interventionen in der Offizin

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    Die Versorgungskontinuität oder Continuity of Care stellt eine grosse Herausforderung im Gesundheitsbereich dar. Der Spitalaustritt ist ein heikler Schritt mit Optimierungsbedarf, um eine angemessene Arzneimittelsicherheit zu gewährleisten. Die Apotheke der Spitäler der Region Ost-Waadtland (Pharmacie des Hôpitaux de l’Est Lémanique; PHEL), die Offizinapotheker:innen der Waadt- länder Riviera und das Riviera-Chablais Spital, Waadt-Wallis (Hôpital Riviera- Chablais; HRC) haben eine Studie durchgeführt, um den Versorgungs- übergang beim Spitalaustritt zu beurteilen. Vorschläge, wie die pharma-zeutische Betreuung optimiert werden könnte, liegen auf dem Tisch.La continuité des soins représente un enjeu de santé majeur, et la sortie d’hôpital est une étape délicate qui a besoin d’être optimisée pour assurer une sécurité médicamenteuse adéquate. Une étude pour évaluer la transition des soins lors de la sortie d’hôpital a été réalisée par la Pharmacie des Hôpitaux de l’Est Lémanique (PHEL), les pharmaciens d’officine de la Riviera vaudoise et l’Hôpital Riviera-Chablais,Vaud-Valais (HRC). Avec à la clé des suggestions pouvant optimiser le suivi pharmaceutique

    Pharmaceutical interventions on hospital discharge prescriptions: Prospective observational study highlighting challenges for community pharmacists

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    Background: Transition between hospital and ambulatory care is a delicate step involving several healthcare professionals and presenting a considerable risk of drug-related problems. Objective: To investigate pharmaceutical interventions made on hospital discharge prescriptions by community pharmacists. Method: This observational, prospective study took place in 14 community pharmacies around a Swiss acute care hospital. We recruited patients with discharge prescriptions (minimum three drugs) from the internal medicine ward of the hospital. The main outcome measures were: number and type of pharmaceutical interventions made by community pharmacists, time spent on discharge prescriptions, number of medication changes during the transition of care. Results: The study included 64 patients discharged from the hospital. Community pharmacists made a total of 439 interventions; a mean of 6.9 ± 3.5 (range 1-16) interventions per patient. All of the discharge prescriptions required pharmaceutical intervention, and 61 (95%) necessitated a telephone call to the patients' hospital physician for clarifications. The most frequent interventions were: confirming voluntary omission of a drug (31.7%), treatment substitution (20.5%), dose adjustment (16.9%), and substitution for reimbursement issues (8.8%). Roughly half (52%) of all discharge prescriptions required 10-20 min for pharmaceutical validation. The mean number of medication changes per patient was 16.4: 9.6 changes between hospital admission and discharge, 2.6 between hospital discharge and community pharmacy, and 4.2 between community pharmacy and a general practitioner's appointment. Conclusion: Hospital discharge prescriptions are complex and present a significant risk of medication errors. Community pharmacists play a key role in preventing and identifying drug-related problems.</p

    Clinical features and prognostic factors of listeriosis: the MONALISA national prospective cohort study

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