Pharmacists' active interventions in a children's hospital: an Australian context.
PURPOSE: This study documented pharmacists’ active interventions leading to changes in drug therapy in order to (i) compare the nature of clinical pharmacists’ active interventions made in different practice settings within a children’s hospital, and (ii) identify the predictors for physician accept...
| Main Authors: | , , |
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| Format: | Conference Paper |
| Published: |
2014
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| Online Access: | http://hdl.handle.net/20.500.11937/42728 |
| _version_ | 1848756499321454592 |
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| author | Ramadaniati, H. Lee, Ya Ping Hughes, J. |
| author_facet | Ramadaniati, H. Lee, Ya Ping Hughes, J. |
| author_sort | Ramadaniati, H. |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | PURPOSE: This study documented pharmacists’ active interventions leading to changes in drug therapy in order to (i) compare the nature of clinical pharmacists’ active interventions made in different practice settings within a children’s hospital, and (ii) identify the predictors for physician acceptance of the interventions. METHODS: The primary investigator observed and documented all clinical interventions performed by clinical pharmacists for between 35 – 37 days on five study wards. The rates and types of pharmacists’ interventions on the different wards were then com- pared. Multivariate logistic regression analysis using SPSS version 22.0 was performed to identify the predictors of physician acceptance of the interventions. RESULTS: The Hematology-Oncology Ward had a higher rate of active interventions (2.43 interventions per 100 medication orders) compared to general medical settings and general surgical setting. Active interventions contributed for less than a quarter of all interventions on the general medical and surgical wards com- pared to nearly half (46.2%, p < 0.001) on the specialty Hematology-Oncology Ward. Dose adjustment was the most frequent active interventions in the general settings, whilst drug addition constituted the most common active interventions on the Hematology-Oncology Ward. The degree of acceptance of pharmacists’ intervention by physicians was high (90% for active interventions). There were three variables significantly predicting the intervention acceptance, namely patients’ age (OR = 0.893; 95% CI 0.813, 0.981), non high-risk medication category (OR = 2.801; 95% CI 1.094, 7.169), and pharmacists’ experience (OR = 1.114; 95% CI 1.033, 1.200). CONCLUSIONS: The rate of pharmacists’ active interventions documented on Hematology-Oncology Ward was higher than the general medical and surgical wards. The pattern of the interventions documented on Hematology-Oncology Ward was also different compared to that of other wards. The interventions involving younger patients, addressing non high-risk medication related problems, being recommended by more experienced pharmacists were associated with increased likelihood of acceptance by physicians. |
| first_indexed | 2025-11-14T09:13:10Z |
| format | Conference Paper |
| id | curtin-20.500.11937-42728 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T09:13:10Z |
| publishDate | 2014 |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-427282017-01-30T15:01:42Z Pharmacists' active interventions in a children's hospital: an Australian context. Ramadaniati, H. Lee, Ya Ping Hughes, J. PURPOSE: This study documented pharmacists’ active interventions leading to changes in drug therapy in order to (i) compare the nature of clinical pharmacists’ active interventions made in different practice settings within a children’s hospital, and (ii) identify the predictors for physician acceptance of the interventions. METHODS: The primary investigator observed and documented all clinical interventions performed by clinical pharmacists for between 35 – 37 days on five study wards. The rates and types of pharmacists’ interventions on the different wards were then com- pared. Multivariate logistic regression analysis using SPSS version 22.0 was performed to identify the predictors of physician acceptance of the interventions. RESULTS: The Hematology-Oncology Ward had a higher rate of active interventions (2.43 interventions per 100 medication orders) compared to general medical settings and general surgical setting. Active interventions contributed for less than a quarter of all interventions on the general medical and surgical wards com- pared to nearly half (46.2%, p < 0.001) on the specialty Hematology-Oncology Ward. Dose adjustment was the most frequent active interventions in the general settings, whilst drug addition constituted the most common active interventions on the Hematology-Oncology Ward. The degree of acceptance of pharmacists’ intervention by physicians was high (90% for active interventions). There were three variables significantly predicting the intervention acceptance, namely patients’ age (OR = 0.893; 95% CI 0.813, 0.981), non high-risk medication category (OR = 2.801; 95% CI 1.094, 7.169), and pharmacists’ experience (OR = 1.114; 95% CI 1.033, 1.200). CONCLUSIONS: The rate of pharmacists’ active interventions documented on Hematology-Oncology Ward was higher than the general medical and surgical wards. The pattern of the interventions documented on Hematology-Oncology Ward was also different compared to that of other wards. The interventions involving younger patients, addressing non high-risk medication related problems, being recommended by more experienced pharmacists were associated with increased likelihood of acceptance by physicians. 2014 Conference Paper http://hdl.handle.net/20.500.11937/42728 restricted |
| spellingShingle | Ramadaniati, H. Lee, Ya Ping Hughes, J. Pharmacists' active interventions in a children's hospital: an Australian context. |
| title | Pharmacists' active interventions in a children's hospital: an Australian context. |
| title_full | Pharmacists' active interventions in a children's hospital: an Australian context. |
| title_fullStr | Pharmacists' active interventions in a children's hospital: an Australian context. |
| title_full_unstemmed | Pharmacists' active interventions in a children's hospital: an Australian context. |
| title_short | Pharmacists' active interventions in a children's hospital: an Australian context. |
| title_sort | pharmacists' active interventions in a children's hospital: an australian context. |
| url | http://hdl.handle.net/20.500.11937/42728 |