Monitoring patient profiles from the pharmacy : an opportunity for the pharmacist to contribute to patient care Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/mc87pt334

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  • The literature clearly indicates that pharmacist monitoring of hospital patients by use of a patient profile is needed. The literature does not, however, describe a method of selecting the information to be included on the profile. Since monitoring needs vary from hospital to hospital, a method of identifying specific needs is necessary. Therefore, this study was undertaken in three parts to develop such a method. Part I was concerned with devising a list of the types of information which can be monitored by the pharmacist. This list included both patient information, such as age and weight, and therapeutic information, such as drug regimens and laboratory tests. Another list was then generated of all contributions a pharmacist can make to patient care. A contribution was defined as any action the pharmacist can take to insure safety of the patient's drug-related therapy and to provide for the optimal use of medications. It was then possible to identify which types of information lead to making specific contributions to patient care and which were non-productive. Part II consisted of designing the A-P-C (All-Possible-Contributions) profile. This profile contains all of the information found in part I to be useful, enabling the pharmacist to make all of the contributions possible to patient care. The third part was the application of the newly devised A-P-C profile to an actual hospital pharmacy practice. The contributions to patient care which were needed were identified on the basis of finding drug-drug interactions, adverse drug reactions, etc. occurring in the sampled patients' therapy. Once the needed contributions were identified by use of the A-P-C profile, the pharmacist was able to know which types of information he must monitor. Any extraneous information was then eliminated from the A-P-C profile, and a new profile drawn up for use thereafter. In part I, seventeen types of information were found to be useful for making the fifteen possible contributions to patient care. Application of the A-P-C profile to the actual hospital practice indicated that fourteen types of information should be monitored to make possible the twelve contributions shown to be needed. The results of the study indicate that the A-P-C profile can be used to identify the specific monitoring requirement of a given hospital pharmacy practice, which can lead to safer and more effective therapy.
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