dc.contributor.author	Clarke, Rebecca	en
dc.contributor.author	Colleran, Maeve	en
dc.contributor.author	Melanophy, Gail	en
dc.contributor.author	Bermingham, Margaret	en
dc.date.accessioned	2023-09-29T11:44:21Z
dc.date.available	2023-09-29T11:44:21Z
dc.date.issued	2023-09-21	en
dc.description.abstract	Background: The number and complexity of patients being admitted to hospitals is rising and some patients may not receive a full clinical pharmacy review or be reviewed as regularly as needed during their inpatient stay. This is a risk factor for medication errors. Clinical prioritisation identifies patients who are high-risk and most in need of a pharmacist review, targeting finite pharmacy resources to patients who will benefit the most. Objectives: Assess and enhance clinical prioritisation within a hospital pharmacy department. Methods: The study was conducted in a large urban academic teaching hospital. A cross-sectional survey of clinical pharmacists in the hospital was conducted to establish the patient clinical criteria they prioritise in their work. A clinical prioritisation tool was developed based on survey findings and was integrated into an existing electronic pharmacy care interface. A pre- and post-intervention study was conducted, consisting of data collection for five days pre- and five days post-implementation of the tool. Quantitative data were analysed using descriptive and inferential statistics. Qualitative data were analysed by thematic analysis. Results: Of 39 eligible pharmacists, 37 (95%) responded to the survey. The top-rated prioritisation criteria, including medicines reconciliation tasks and high-risk medicines, helped to inform the content of the clinical prioritisation tool. Post-intervention, there were more Level 1 complex patients reviewed by pharmacists and fewer Level 3 stable patients compared to pre-intervention. Tool sensitivity ranged from 51 to 88%, depending on the experience of the pharmacist using the tool. High levels of satisfaction with clinical prioritisation were reported by those using the tool. Conclusion: This newly developed clinical prioritisation tool has the potential to support pharmacists in identifying and reviewing patients in a more targeted manner than practice prior to tool development. Continued development and validation of the tool is essential, with a focus on developing a fully automated tool.	en
dc.description.status	Peer reviewed	en
dc.description.version	Published Version	en
dc.format.mimetype	application/pdf	en
dc.identifier.articleid	100335	en
dc.identifier.citation	Clarke, R., Colleran, M., Melanophy, G. and Bermingham, M. (2023) ‘Enhancing the clinical pharmacy service of a large teaching hospital: Development of a new clinical prioritisation tool’, Exploratory Research in Clinical and Social Pharmacy, 12, 100335 (8 pp). https://doi.org/10.1016/j.rcsop.2023.100335	en
dc.identifier.doi	10.1016/j.rcsop.2023.100335	en
dc.identifier.endpage	8	en
dc.identifier.issn	2667-2766	en
dc.identifier.journaltitle	Research in Clinical and Social Pharmacy	en
dc.identifier.startpage	1	en
dc.identifier.uri	https://hdl.handle.net/10468/15054
dc.identifier.volume	12	en
dc.language.iso	en	en
dc.publisher	Elsevier	en
dc.relation.uri	https://doi.org/10.1016/j.rcsop.2023.100335	en
dc.rights	© 2023 The Authors. Published by Elsevier Inc. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/bync- nd/4.0/).	en
dc.rights.uri	http://creativecommons.org/licenses/bync- nd/4.0/	en
dc.subject	Pharmacy	en
dc.subject	Pharmacy service	en
dc.subject	Hospital	en
dc.subject	Clinical pharmacy information systems	en
dc.subject	Pharmacists	en
dc.title	Enhancing the clinical pharmacy service of a large teaching hospital: Development of a new clinical prioritisation tool	en
dc.type	Article (peer-reviewed)	en
oaire.citation.volume	12	en

Enhancing the clinical pharmacy service of a large teaching hospital: Development of a new clinical prioritisation tool

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