Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers

Background: During transitions of care, older adults are at risk of adverse drug events which could lead to avoidable hospital visits. Pharmacists are increasingly involved in care teams at various stages of the continuum of care. The types and frequency of clinical interventions performed by pharma...

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Autores principales:	Véronique C. LeBlanc, Audrey Desjardins, Marie-Pier Desbiens, Christine Dinh, Fanny Courtemanche, Faranak Firoozi, Suzanne Gilbert, Yola Moride, Yannick Villeneuve
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2022
Materias:	Transitions of care Older adult Pharmacy Pharmacist Barriers Clinical practice Pharmacy and materia medica RS1-441
Acceso en línea:	https://doaj.org/article/4437c6eacb22471a8508c91f793c33da
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spelling	oai:doaj.org-article:4437c6eacb22471a8508c91f793c33da2021-12-04T04:36:44ZPharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers2667-276610.1016/j.rcsop.2021.100090https://doaj.org/article/4437c6eacb22471a8508c91f793c33da2022-03-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2667276621000901https://doaj.org/toc/2667-2766Background: During transitions of care, older adults are at risk of adverse drug events which could lead to avoidable hospital visits. Pharmacists are increasingly involved in care teams at various stages of the continuum of care. The types and frequency of clinical interventions performed by pharmacists in the geriatric practice setting remain poorly documented. Objectives: This study aimed to describe the current integration of pharmacist interventions during transitions of care of older adults admitted in short-term geriatric units (STGUs) and to explore barriers and facilitators to their implementation in clinical practice. The secondary objective was to explore associations between certain patient characteristics and pharmacist-led interventions during transitional care. Methods: A mixed methods study was conducted with pharmacists practicing in STGUs in the Montreal area, Canada. The application of 8 pharmaceutical interventions was assessed using a self-administered questionnaire, along with as a retrospective chart review. Four semi-structured group interviews were conducted in order to identify perceived barriers and facilitators. Results: Thirteen pharmacists participated in the study. In the questionnaire, medication reconciliation on admission and at discharge was reported as being performed at least half the time by 12 (92%) and 7 (54%) pharmacists, respectively. The retrospective chart review revealed that these interventions were documented in 95 (98%) and 25 (26%) files, respectively. While 35% of patients had a documented pharmaceutical care plan on admission, none was documented at discharge. Several barriers to implementing clinical interventions were identified such as lack of time, technical support, communication and standardization. Conclusions: Pharmacists are involved at different periods of transitional care; however, certain barriers should be addressed in order to expand their role in discharge planning. Providing guidelines on what is expected at discharge and post-discharge, and having a practice focused on delegation and collaboration would help pharmacists increase their role throughout the transition of care of older adults.Véronique C. LeBlancAudrey DesjardinsMarie-Pier DesbiensChristine DinhFanny CourtemancheFaranak FirooziSuzanne GilbertYola MorideYannick VilleneuveElsevierarticleTransitions of careOlder adultPharmacyPharmacistBarriersClinical practicePharmacy and materia medicaRS1-441ENExploratory Research in Clinical and Social Pharmacy, Vol 5, Iss , Pp 100090- (2022)
institution	DOAJ
collection	DOAJ
language	EN
topic	Transitions of care Older adult Pharmacy Pharmacist Barriers Clinical practice Pharmacy and materia medica RS1-441
spellingShingle	Transitions of care Older adult Pharmacy Pharmacist Barriers Clinical practice Pharmacy and materia medica RS1-441 Véronique C. LeBlanc Audrey Desjardins Marie-Pier Desbiens Christine Dinh Fanny Courtemanche Faranak Firoozi Suzanne Gilbert Yola Moride Yannick Villeneuve Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
description	Background: During transitions of care, older adults are at risk of adverse drug events which could lead to avoidable hospital visits. Pharmacists are increasingly involved in care teams at various stages of the continuum of care. The types and frequency of clinical interventions performed by pharmacists in the geriatric practice setting remain poorly documented. Objectives: This study aimed to describe the current integration of pharmacist interventions during transitions of care of older adults admitted in short-term geriatric units (STGUs) and to explore barriers and facilitators to their implementation in clinical practice. The secondary objective was to explore associations between certain patient characteristics and pharmacist-led interventions during transitional care. Methods: A mixed methods study was conducted with pharmacists practicing in STGUs in the Montreal area, Canada. The application of 8 pharmaceutical interventions was assessed using a self-administered questionnaire, along with as a retrospective chart review. Four semi-structured group interviews were conducted in order to identify perceived barriers and facilitators. Results: Thirteen pharmacists participated in the study. In the questionnaire, medication reconciliation on admission and at discharge was reported as being performed at least half the time by 12 (92%) and 7 (54%) pharmacists, respectively. The retrospective chart review revealed that these interventions were documented in 95 (98%) and 25 (26%) files, respectively. While 35% of patients had a documented pharmaceutical care plan on admission, none was documented at discharge. Several barriers to implementing clinical interventions were identified such as lack of time, technical support, communication and standardization. Conclusions: Pharmacists are involved at different periods of transitional care; however, certain barriers should be addressed in order to expand their role in discharge planning. Providing guidelines on what is expected at discharge and post-discharge, and having a practice focused on delegation and collaboration would help pharmacists increase their role throughout the transition of care of older adults.
format	article
author	Véronique C. LeBlanc Audrey Desjardins Marie-Pier Desbiens Christine Dinh Fanny Courtemanche Faranak Firoozi Suzanne Gilbert Yola Moride Yannick Villeneuve
author_facet	Véronique C. LeBlanc Audrey Desjardins Marie-Pier Desbiens Christine Dinh Fanny Courtemanche Faranak Firoozi Suzanne Gilbert Yola Moride Yannick Villeneuve
author_sort	Véronique C. LeBlanc
title	Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
title_short	Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
title_full	Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
title_fullStr	Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
title_full_unstemmed	Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers
title_sort	pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: current practices and perceived barriers
publisher	Elsevier
publishDate	2022
url	https://doaj.org/article/4437c6eacb22471a8508c91f793c33da
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Pharmacist-led interventions during transitions of care of older adults admitted to short term geriatric units: Current practices and perceived barriers

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