Download Hoe een risico analyse realiseren om een patiëntengroep te

How to organize a risk analysis
to select patients
for clinical pharmacy activities?
Clinicamp 2016 04 29
Reality and patients
OR
Reality and hospital pharmacists
AND
Point of view of the patient?
Why clinical pharmacy
for my neighbour
and not for me?
Risk analysis
Clinical pharmacy for
• Some patients?
• Some patient populations?
• All patients?
• Some high alert drugs?
• Some pharmacological groups of drugs?
• All drugs?
•…
Example: Medication reconciliation on emergency department
• Traditional activity
• From ‘nine to five’: interview of 20 patients/day
• Patients hospitalized/day coming from ED: 60
• 40 patient are missed
• Dangerous situation?
• Patients with potential problems?
• Activity based on risk analysis
•
•
•
•
Only patients older than …
Only patients with more than … medications
Only …
Training/education of physicians/nurses? Procedures? …
How to manage clinical pharmacy
in an hospital setting?
Clinical pharmacy bedside and Clinical pharmacy on call
Check of appropriateness by a second competent person
(e.g. pharmacist)
CPOE and Prescriber support with use of decision support
(clinical rules, machine learning, …)
CPOE support with use of databases in relation to interactions