Transcript posters CF 20081205

Clinical Pharmacy in the Belgian Hospitals
National Pilot Project
Raoul Degives - Hugo Robays - Ludo Willems
Network Medical Pharmaceutical Committees | FPS Health, Food Chain Safety and Environment
Eurostation II - 1D269 | Place Victor Horta 40 box 10 | B-1060 Brussels | [email protected] | www.mfc-cmp.be
Development, Implementation and Evaluation of the Activity of
Clinical Pharmacy through the Results of 54 Pilot Projects
Objectives of the Project
Introduction : Pharmaceutical care has been recognised by the Belgian
legislator as a core task of the pharmacist since 1 Mai 2006 1
Since 2007, a budget to this effect is made available by the federal
authorities for the organisation of clinical pharmacy in Belgian hospitals.
Method
Developing, implementing and assessing clinical pharmacy is a process of
change, the effects of which being identified through:
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Definition : Clinical pharmacy is the commitment of the pharmacist and of
the clinical pharmacist to optimise the therapy plan of the patient, in
collaboration with other care providers.2
Aim : The pilot project has to demonstrate the impact of clinical pharmacy
services on patient care and hospital finances in a group of selected
hospitals.
activity reports, periodical registrations and targeted indicators
the exchange of experience and presentation of model projects
swot analysis and important conclusions
tools provided by the collected case reports and the summarised
indicators into five areas: clinical, service, team, process and
financial indicators
Processing the Data of the Activity Reports
Medical Discipline
2
2
2
2
1
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4
Minimising
Maximising
Minimising
the risk of treatment induced adverse events
the clinical effect of medicines
the expenditure for pharmacological
treatments
by monitoring the therapy course
and the patients compliance therapy
using the most effective treatment
for each type of patient
trying to provide the best treatment alternative
for the greatest number of patients
Results
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6
Residence
Psychiatry
Digestive
Nutrition
Cardiology
Emergencies
Oncology
Internal Medicine
Intensive Care
Orthopedics
Elder Patients
Geriatrics
Surgery
Other services
0
11
Anticoagulants
Antithrombotic
Treatment
2
14
Drug Policy
Pre-surgical
Consult
4
19
Adverse Drug
Events
5
4
22
Residential and
Hospital Care
4
25
Transmural
Care
7
29
Communication
9
38
Transfer
9
39
Discharge
10
9
Dialysis
10
Traumatology
15
14
Rehabilitation
16
Paediatrics
17
Children
20
40
35
30
25
20
15
10
5
0
Anamnesis
23
Haematology
25
Processes in the Pharmacotherapy
Conclusion
The pilot projects start a process of change within the hospital
organisation with a conscious vision development around a secure,
qualitative and cost-controlled pharmaceutical care.
The core competencies of the new hospital pharmacist have been
named and a few activities of clinical pharmacy have already
embedded in the present working process: drug anamneses, release
letter...
Data on hospital based clinical services that clinical pharmacists
provide strongly suggest an increasingly positive effect on health are
outcomes
graphics : martine dhoore
The intervention of the clinical pharmacist shows
that clinical pharmacy has become an essential link in every policy
aiming at the continuity of health care.
References
[1]
Law of 1 May 2006 modifying the Royal Decree No. 78 of 10 November 1967 relating to the
practice of health care professions, published in Belgium's Official Journal on 13 July 2006.
[2] B. CLAUS, A-S FRANKI en H. ROBAYS (eds.), Uw pil onze farmaceutische zorg, 10 jaar
klinische farmacie Universitair Ziekenhuis Gent, Gent, Academia Press, 2010, 13.
12 January 2012
[email protected]