Background Medication errors in the emergency department can persist throughout the episode of care and up to hospital discharge, leading to inadequate management that can compromise patient care. The pharmacist in an emergency department can be a key person in reducing medication errors and improve the quality, safety and efficiency of patient care.
Purpose To analyse the pharmaceutical interventions made during the conciliation and validation process, the drugs classified according to the Anatomical Therapeutic Chemical (ATC) Classification System and the degree of acceptance of the intervention by the prescriber in a medium-sized hospital.
Material and methods Prospective observational study, conducted between August and September 2018. The pharmacist spent 3 hours from Monday to Friday in the emergency department to carry out the conciliation of the previous treatment and the validation of the treatment for the acute pathology that was prescribed in the emergency department. The pharmaceutical interventions were registered in the pharmacy software and were communicated to the responsable physicians. Data collected: drugs involved, type of pharmaceutical interventions and acceptance of the recommendation by the prescriber.
Results A total of 244 pharmaceutical interventions were recorded in 86 patients, 50% males, median age: 73, median age (17–95).
The most frequentl pharmaceutical interventions performed were 186 conciliations of the previous 58 treatments for acute pathology that were prescribed in the emergency department.
The drugs involved according to the ATC were: 39 (16.0%) alimentary tract and metabolism; 28 (11.5%) blood and blood-forming organs; 55 (22.5%) cardiovascular system; three (1.2%) dermatologicals; nine (3.7%) genito-urinary system and sex hormones; 11 (4.5%) systemic hormonal preparations excluding sex hormones; 26 (10.7%) anti-infectives for systemic use; three (1.2%) antineoplastic and immunomodulating agents; six (2.5%) musculo-skeletal system; 45 (18.4%) nervous system; 13 (5.3%) respiratory system; and six (2.5%) various.
The degree of acceptance of pharmaceutical interventions were: 178 (73.0%) accepted, 54 (22.1%) rejected and 12 (4.9%) not valued.
Conclusion The most frequent pharmaceutical interventions performed were related to conciliation of the previous treatment. The most common drugs according to the ATC whose interventions were performed by pharmacists were for the cardiovascular system. The degree of acceptance of the phamaceutical interventions by the prescribers was high.
References and/or acknowledgements 1. Requejo CC, et al. Pharmaceutical interventions in the emergency department: relevance in high-alert medications. Eur J Hosp Pharm 2018;25:A150. https://ejhp.bmj.com/content/25/Suppl_1/A150.1.citation-tools
No conflict of interest.