American College of Clinical Pharmacy
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  Poster Hall

Mon-75 - Development of a pharmaceutical care tool in an electronic system

Scientific Poster Session III - Hot Topic Themed Presentations

Special - Hot Topic Themed Presentations
  Monday, October 14, 2024
  01:00 PM–02:30 PM

Abstract

Service or Program: The Albert Einstein Hospital in São Paulo, Brazil, has a clinical pharmacy service with 33 pharmacists split between the Prescription Care Center and Bedside Care. The Prescription Care Center is where clinical pharmacists conduct an initial evaluation of medication orders. This assessment includes evaluate medication orders, checking doses, patient allergies, medication availability, and dilution and infusion instructions. Bedside pharmacists work in inpatient units, collaborating with nursing and multidisciplinary teams. They provide patient-centered care by reviewing medical records, assessing medication indications, interpreting lab results, identifying drug interactions, ensuring medication compatibility, enforcing antibiotic and anticoagulant protocols, offering administration guidance, and answering healthcare team questions. Justification/Documentation: To further enhance our clinical pharmacy service and strengthen pharmaceutical monitoring, we are developing a dedicated page for clinical pharmacists within the hospital's electronic health system. This page will focus on key monitoring points critical to ensuring optimal patient care. With the current clinical pharmacy team performing approximately 3,584 interventions per month, we anticipate that this new tool will lead to a significant increase in the number of interventions, thereby further enhancing patient safety. Adaptability: In the dynamic hospital environment, it is crucial to integrate tools that bolster patient safety. While our hospital already has a robust clinical pharmacy service, we aim to elevate the effectiveness of medical record analysis through advanced technology. This system will be designed to prioritize and highlight critical aspects of patient prescriptions, thereby streamlining the focus of bedside clinical pharmacists on the most important areas. Significance: The implementation of this pharmaceutical care tool represents a significant advancement in the support provided by bedside clinical pharmacists. By enabling more targeted and efficient interventions, this tool will not only improve the quality of care but also contribute to better patient outcomes across the institution.

Presenting Author

Tatiana Marins Master's in health sciences
Hospital Albert Einstein

Authors

Silvana Almeida PhD in health sciences
Hospital Albert Einstein

Cristina Kunii Pharmacy
Hospital Albert Einstein

Roberta Santos Pharmacy
Hospital Albert Einstein

Ernane Silva Pharmacy
Hospital Albert Einstein