Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study

Version 1 : Received: 17 July 2023 / Approved: 18 July 2023 / Online: 18 July 2023 (04:15:38 CEST)

How to cite: Mengato, D.; Pivato, L.; Codato, L.; Faccioli, F. F.; Camuffo, L.; Giron, M. C.; Venturini, F. Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study. Preprints 2023, 2023071147. https://doi.org/10.20944/preprints202307.1147.v1 Mengato, D.; Pivato, L.; Codato, L.; Faccioli, F. F.; Camuffo, L.; Giron, M. C.; Venturini, F. Best Possible Medication History Collection by Clinical Pharmacist in a Perioperative Setting: An Observational Prospective Study. Preprints 2023, 2023071147. https://doi.org/10.20944/preprints202307.1147.v1

Abstract

Background: Best Possible Medication History (BPMH) collected by clinical pharmacists is crucial for effective medication review but, in Italy, it is often left to the nursing staff. This study aims to compare the quality and accuracy of a clinical pharmacist-documented BPMH with the current standard practice of ward staff-collected BPMH at an Italian perioperative surgical setting. Methods: A 20-week prospective observational non-profit study was conducted in a major University hospital. The study comprised a feasibility, an observational, and an interventional phase. During the feasibility phase, 10 items for obtaining a correct BPMH were identified. The control group consisted of retrospectively analyzed BPMHs collected by the ward staff during the observational phase, while interventions included BPMHs collected by the clinical pharmacist during the third phase. Omissions between the two groups were compared. Results: 14 (2%) omissions were found in the intervention group, compared with 400 (57.4%) found in the controls (p<0.05); data collection was more complete when collected by pharmacists compared to the current modalities (98.0% versus 42.6%; p<0.05). Conclusions: The involvement of a pharmacist significantly reduced the number of omissions in perioperative surgical-collected BPMHs. This intervention holds the potential to decrease the risk of medication errors associated with inaccurate or incomplete BPMHs prior to surgical hospitalization.

Keywords

clinical pharmacist; pharmacist intervention; perioperative; surgical setting; potentially inappropriate medication; best possible medication history

Subject

Medicine and Pharmacology, Pharmacy

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