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Patients' recall of interaction with a pharmacist during hospital admission
Douglas Doucette1, Carole Goodine, Jodi Symes
1, RPh, BSc(Pharm), PharmD, FCSHP, is Regional Pharmacy Clinical Manager, Pharmacy Services, Horizon Health Network, New Brunswick, and Associate Professor, College of Pharmacy, Dalhousie University, Halifax, Nova Scotia.
Background:
CSHP 2015 objective 1.5 proposes that at least 50% of recently hospitalized patients or their caregivers will recall speaking with a pharmacist while in the hospital.
Objective:
To determine the baseline prevalence of patients' recall of interaction with a pharmacist during their hospital admission and their level of satisfaction with these encounters, following a major reorganization of health authorities in New Brunswick.
Methods:
Former inpatients from 27 units in 9 hospitals in the Horizon Health Network were randomly selected to complete a telephone survey within 5 to 7 months after discharge from hospital. Patients' responses were validated against pharmacists' documentation in the patients' health records.
Results:
From June 2010 to July 2011, a total of 1028 former inpatients were screened, of whom 399 completed the telephone survey. More than half of the respondents were women (225 [56.4%]), and the mean age was 67 years. Overall, 184 patients (46.1%) recalled speaking with a pharmacist during their recent admission. Of these, 164 (89.1%) were "satisfied" or "very satisfied" with these interactions. In addition, 332 respondents (83.2%) indicated that if the hospital offered the opportunity to talk with a pharmacist who could help answer their questions about medications, they would take advantage of this service. The electronic hospital records of 181 patients (from 15 units at 3 sites) were analyzed to seek evidence of pharmacists' interventions or encounters (e.g., medication history, consultation). Pharmacist documentation was found in the health records of 166 (91.7%) of all patients in this sample.
Conclusions:
Almost half of former inpatients recalled speaking with a pharmacist during a recent hospital admission. The majority of patients were satisfied with these interactions and would welcome future services from hospital pharmacists.
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