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System for exchanging information among pharmacists in different practice environments

A K Kuehl1, E A Chrischilles, B A Sorofman

  • 1Department of Preventive Medicine, University of Iowa, Iowa City 52242, USA. akuehl@dexter.pmeh.uiowa.edu

Journal of the American Pharmaceutical Association (Washington, D.C. : 1996)
|July 9, 1998
PubMed
Summary

Implementing a patient information exchange system increased pharmacist interventions in hospital and ambulatory care settings. Long-term-care pharmacists saw no change, as they already received discharge information.

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Area of Science:

  • Health Informatics
  • Pharmacy Practice
  • Patient Care Coordination

Background:

  • Effective communication between healthcare facilities is crucial for continuity of care.
  • Information exchange gaps between hospital, long-term-care (LTC), and ambulatory care pharmacies can lead to suboptimal patient outcomes.
  • Pharmacist interventions are key to identifying and resolving drug therapy problems.

Purpose of the Study:

  • To describe a system for exchanging patient information among hospital, LTC, and ambulatory care pharmacies.
  • To evaluate the impact of this information exchange system on pharmacist interventions.

Main Methods:

  • A quasi-experimental study involving three ambulatory care pharmacies, one LTC pharmacy, and one hospital.
  • Patients admitted to the hospital were assigned to experimental (pre-admission information received) or control groups.

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  • Pharmacist interventions were documented for both groups during the study period.

    • Main Results:

    • Complete information transfer was achieved for 75% of patients in the experimental group.
    • Significantly more interventions were documented for experimental group patients in the hospital and ambulatory care settings compared to controls.
    • No significant difference in intervention rates was observed for LTC pharmacists.

    Conclusions:

    • A system facilitating patient information exchange between healthcare settings enhances pharmacist interventions in hospitals and ambulatory care.
    • The system's impact on LTC pharmacists was limited due to existing information flow.
    • Improved inter-professional communication through information exchange systems can optimize medication management and patient safety.