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Download Hoe een risico analyse realiseren om een patiëntengroep te
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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
