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Determining clinical pharmacy workload by patient disease classification in medical and surgical patients

Stuchbery, P., Kong, D.C., DeSantis, G. and Lo, S.K. 2008, Determining clinical pharmacy workload by patient disease classification in medical and surgical patients, Journal of pharmacy practice and research, vol. 38, no. 2, pp. 126-131.

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Title Determining clinical pharmacy workload by patient disease classification in medical and surgical patients
Author(s) Stuchbery, P.
Kong, D.C.
DeSantis, G.
Lo, S.K.
Journal name Journal of pharmacy practice and research
Volume number 38
Issue number 2
Start page 126
End page 131
Publisher Society of Hospital Pharmacists of Australia
Place of publication South Melbourne, Vic.
Publication date 2008
ISSN 1445-937X
Summary Aim: To determine the time needed to provide clinical pharmacy services to individual patient episodes for medical and surgical patients and the effect of patient presentation and complexity on the clinical pharmacy workload. Method: During a 5-month period in 2006 at two general hospitals, pharmacists recorded a defined range of activities that they provided for patients, including the actual times required for these tasks. A customised database linked to the two hospitals' patient administration systems stored the data according to the specific patient episode number. The influence of patient presentation and complexity on the clinical pharmacy activities provided was also examined. Results: The average time required by pharmacists to undertake a medication history interview and medication reconciliation was 9.6 (SD 4.9) minutes. Interventions required 5.7 (SD 4.6) minutes, clinical review of the medical record 5.5 (SD 4.0) minutes and medication order review 3.5 (SD 2.0) minutes. For all of these activities, the time required for medical patients was greater than for surgical patients and greater for 'complicated' patients. The average time required to perform all clinical pharmacy activities for 1071 completed patient episodes was 14.4 (SD 10.9) minutes and was greater for medical and 'complicated' patients. Conclusion: The time needed to provide clinical pharmacy services was affected by whether the patients were medical or surgical. The existence of comorbidities or complications affected these times. The times required to perform clinical pharmacy activities may not be consistent with recently proposed staff ratios for the provision of a basic clinical pharmacy service.
Language eng
Field of Research 111599 Pharmacology and Pharmaceutical Sciences not elsewhere classified
Socio Economic Objective 920299 Health and Support Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
HERDC collection year 2008
Copyright notice ©2008, Society of Hospital Pharmacists of Australia
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017975

Document type: Journal Article
Collections: Faculty of Health
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.