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complaint might affect the ability of ED clinicians to prescribe drugs, such as in situations of life-threatening trauma or cardiac arrest. These situations may have more close correlations with dose omissions, rather than pharmacist intervention. Furthermore, situation of admission may also more significantly affect a total length of inpatient stay. References 1 Gerlach O et al. Deterioration of Parkinson’s disease during hospitization: Survey of 684 Patients. BMC Neurology 2012:12:13. 2 Guttman M et al. Parkinsonism in Ontario : Comorbidity associated with hospitalization in a large cohort. Mov Disord 2003;17:45–54. 3 Wood B et al. Incidence and prediction of falls in Parkinson’s disease : a prospective multidisciplinary study. J Neurol Neurosurg Psychiatry 2001;72:721–5. 4 Haddad S et al. Prognostic factors associated with short- term decompensation of sepsis in the emergency department. Acad Emerg Med 2014;21(5). 5 Fernandez H, Lapane L. Predictors of mortality among nursing home residents with a Conclusions Pharmacist intervention was associated with a statistically lower number of omissions of APMs while in the ED. This intervention was associated with a lower incidence of PD-related deterioration in symptoms while in the department. Furthermore, as the interventions involved early medicines reconciliation, supply and handover of care, beneficial effects on dose omissions were observed on base ward level also. These results also clearly demonstrate the potential deficiencies of EDs in reconciling and continuing chronic therapies in the acute setting. Readily available clinical pharmacists are an ideal choice in taking on this responsibility and taking pressure off ED clinicians, as well as yielding time and efficiency savings on base ward level. The relatively small amount of data collected makes it difficult to comment on conclusions around an effect on length of patient stay. It is likely that a combination of factors such as age, co-morbidities and presenting complaint has impacts on length of stay and outcomes, and greater numbers of patients would need to be analysed to draw concrete conclusions. Further study is required in exploring clinical pharmacy services within EDs on other high risk patient profiles, to determine if similar benefits can be identified. diagnosis of Parkinson’s disease. Med Sci Monit 2002;8:241–6. 6 Parkinsons Disease Society. Emergency management of patients with Parkinsons. www.parkinsons.org.uk/ professionals/resources/ emergency-management- patients-parkinsons (accessed December 2017). 7 National Patient Safety Association (NPSA). Reducing harm from omitted and delayed medication in hospital. www.nrls.npsa.nhs. uk alerts/?entryid45=66720 (accessed December 2017). 8 Sin B et al. Implementation of a 24-hour pharmacy service with prospective medication review in the emergency department. Hosp Pharm 2015;50(2): 134–8. 9 Rothschild J et al. Medication errors recovered by emergency Acute Hospitals: unwarranted variations. www.gov.uk/ government/uploads/system/ uploads/attachment_data/ file/499229/Operational_ productivity_A.pdf (accessed December 2017). 15 Gohil K, Patel C, Sani. M. Integrating a clinical pharmacy service in the ED. Hospital Pharmacy Europe 2016;83, accessed online 10/3/17 from http://www. hospitalpharmacyeurope.com/ pharmacy -practice/integrating- clinical-pharmacy-service-ed 16 Henderson K, Gotel U, Hill J. Using a clinical pharmacist in the Emergency Department. EmergMed J 2015;32(12):RCEM Abstract 045. 17 Magadalinou K, Martin A, Kessel B. Prescribing medications in Parkinsons disease (PD) during acute admissions to a District department pharmacists. Ann Emerg Med 2010;55(6):513–21. 10 Stasiak P et al. Detection and correction of prescription errors by an emergency department pharmacy service. CJEM 2014;16(3):193–206. 11 Marconi G, Claudius I. Impact of an emergency department pharmacy on medication omission and delay. Paediatric Emerg Care 2012;28(1):30–3. 12 Gohil.K. ED and Inpatient waiting times for higher risk medical patients. Internal Audit, Nottingham University Hospitals;2016. 13 Kaboli P et al. Clinical pharmacists and inpatient medical care: a systematic review. Arch Intern Med 2006;166(9):955–64. 14 Lord Carter of Coles. Operational productivity and performance in English NHS 21 HHE 2019 | hospitalhealthcare.com General Hospital. Parkinsonism Relat Disord 2006;13:539–40. 18 Skelly R et al. Does a specialist unit improve outcomes for hospitalized patients with Parkinson’s Disease? Parkinsonism Relat Disord 2014;20:1242–7. 19 Martinez-Ramirez D et al. Missing dosages and neuroleptic usage may prolong length of stay in hospitalized Parkinson’s disease patients. PLoS ONE 2015;10:e0124356. 20 Skelly R, Brown L, Fogarty A. Delayed administration of dopaminergic drugs is not associated with prolonged length of stay in hospitalized patients with Parkinson’s Disease. Parkinsonism Relat Disord 2017;35:25–9.