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Exploring pharmacists' perspectives on preparing discharge medicine lists: A qualitative study.
Helena Gjone1,2, Gemma Burns3, Trudy Teasdale3
1School of Pharmacy and Medical Sciences, Griffith University, QLD 4222, Australia.
Exploratory Research in Clinical and Social Pharmacy
|February 23, 2023
Summary
Hospital pharmacists face barriers in discharge processes, including poor software integration and high workloads. Utilizing pharmacy assistants and better communication can improve patient safety and medicine handover during hospital discharge.
Area of Science:
- Pharmacy Practice
- Patient Safety
- Healthcare Management
Background:
- Hospital pharmacists are crucial for safe medicine handover during patient discharge.
- Key roles include medicine reconciliation, patient counseling, and generating discharge lists.
- Numerous barriers hinder pharmacists from providing comprehensive discharge services.
Purpose of the Study:
- To explore hospital pharmacists' experiences and opinions on discharge processes.
- Investigate the impact of technology, pharmacy assistant involvement, and challenges in discharge preparation.
Main Methods:
- Qualitative study employing semi-structured interviews with 15 hospital pharmacists.
- Data collected between October and December 2021.
- Thematic analysis of interview transcriptions.
Main Results:
- Four themes emerged: patient safety, staff roles, discharge handover, and electronic health software.
- Barriers identified include workload, poor software integration, and lack of advance notice.
- Effective communication and discharge nurses improved efficiency; pharmacy assistants were favored for list preparation.
Conclusions:
- Poor integration of medical software hinders discharge list completion.
- Advance notice of discharges is essential for managing workloads.
- Increased use of trained pharmacy assistants can streamline discharge workflows.
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