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Managing emergency department patients with potential medication-related harm: a qualitative study
B Bullock1, R Allen2, Gary Grant2
1Pharmacy, Gold Coast Hospital and Health Service, Gold Coast, QLD, 4215, Australia.
International Journal of Clinical Pharmacy
|November 12, 2025
Summary
Emergency department (ED) clinicians lack standardized processes for prioritizing patients with medication-related harm. Developing a specific tool is crucial for consistent patient care and reducing harm.
Area of Science:
- Clinical Pharmacy
- Emergency Medicine
- Patient Safety
Background:
- Medication-related harm is a global challenge, frequently leading to emergency department (ED) visits.
- Accurate medication histories are vital for identifying harm as a cause of ED presentations.
Purpose of the Study:
- To explore emergency department (ED) clinicians' perspectives on prioritizing patients admitted due to potential medication-related harm.
Main Methods:
- Semi-structured qualitative interviews were conducted with 15 ED doctors, pharmacists, and nurses.
- Interviews focused on clinicians' views regarding medication management and prioritization in suspected medication-related harm cases.
- Thematic analysis was used to identify key themes and subthemes.
Main Results:
- ED clinicians employ varied and inconsistent methods for identifying and flagging patients with potential medication-related harm.
- A need for a strategic, structured prioritization process was identified.
- Non-pharmacist participants emphasized the significant value of ED pharmacists.
Conclusions:
- In the absence of standardized protocols, ED clinicians rely on individual clinical judgment for patient prioritization.
- There is a clear need for a tool tailored to the ED setting to guide patient prioritization for medication-related harm.
Keywords:
Emergency departmentMedicationMedication errorsMedication managementMedication reconciliationPatient prioritisationPharmacist roleRelated harmMore Related Videos
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