FIGURE 4
Significance ratings ( Hatoum scale ) for 30 interventions rated by four consultant doctors vs the clinical pharmacist
25
20
Consultant 1 Consultant 2 Consultant 3 Consultant 4 Pharmacist
15
10
5
0
1 2 3 4
Clinical significance of pharmaceutical interventions The suggested pharmaceutical intervention led to an immediate change in 59.6 % ( 152 / 255 ). If the interventions , which were only recorded as “ considered ”, also led to a prompt change in prescribed medication , then an even higher number of pharmaceutical interventions would be directly accepted by the ward round physician . This strongly implies that clinical pharmacist input is an essential part of multidisciplinary ward teams , resulting in more holistic patient therapy . The physician can incorporate other professional opinions into their overall patient care plan , that is , not purely from the medical viewpoint with all the attendant benefits . The physician is then also able to include pharmaceutical thinking , psychological considerations , physiotherapist views etc , into their patient care . Numerous studies have shown that working in such an interdisciplinary manner can greatly improve patient care . 4 – 9
Some rating differences could be explained by considering the different educational backgrounds of the four medical raters and the clinical pharmacist . The medical consultants rated interventions concerning QT-interval prolonging drugs and potential interactions thereof significantly higher ( 2 points ) than the pharmacist . On subsequent individual discussions , they all stated that they have previously encountered problems in this field , leading to major adverse drug reactions , some of which had been fatal . They reported that cross-professional training for this particular subject would be desirable . They have experienced serious adverse events entailing this before and have become risk averse in this area .
The pharmacist , on the other hand , rated interventions where drug doses had not been adjusted according to kidney and liver function
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