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@article{1652277, author = {Dvorackova, E. and Rychlíčková, Jitka and Pavek, P. and Hojny, M. and Vlcek, J.}, article_location = {ESCHBORN}, article_number = {10}, doi = {http://dx.doi.org/10.1691/ph.2019.9568}, keywords = {CHRONIC KIDNEY-DISEASE; CLINICAL PHARMACISTS; OUTCOMES; CARE; INTERVENTIONS; MEDICATIONS; PREVALENCE; GUIDELINE; SERVICES; IMPACT}, language = {eng}, issn = {0031-7144}, journal = {Pharmazie}, title = {Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view}, url = {https://www.ingentaconnect.com/contentone/govi/pharmaz/2019/00000074/00000010/art00011?crawler=true&mimetype=application/pdf}, volume = {74}, year = {2019} }
TY - JOUR ID - 1652277 AU - Dvorackova, E. - Rychlíčková, Jitka - Pavek, P. - Hojny, M. - Vlcek, J. PY - 2019 TI - Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view JF - Pharmazie VL - 74 IS - 10 SP - 625-629 EP - 625-629 PB - GOVI-VERLAG PHARMAZEUTISCHER VERLAG GMBH SN - 00317144 KW - CHRONIC KIDNEY-DISEASE KW - CLINICAL PHARMACISTS KW - OUTCOMES KW - CARE KW - INTERVENTIONS KW - MEDICATIONS KW - PREVALENCE KW - GUIDELINE KW - SERVICES KW - IMPACT UR - https://www.ingentaconnect.com/contentone/govi/pharmaz/2019/00000074/00000010/art00011?crawler=true&mimetype=application/pdf L2 - https://www.ingentaconnect.com/contentone/govi/pharmaz/2019/00000074/00000010/art00011?crawler=true&mimetype=application/pdf N2 - The main goal of the study was to determine the incidence and the character of drug related problems (DRPs) identified in chronic kidney disease patients by the clinical pharmacist at the nephrology department. As secondary objective, the aim was to identify the frequency and character of DRPs of selected high risk drugs in medication reviews. The clinical pharmacist reviewed patients. medication records and made drug therapy-related recommendations to physicians. The clinical pharmacists. interventions were categorized using an adaptation of the Pharmaceutical Care Network Europe. During the study period (January 2016 - June 2018) the clinical pharmacist performed 1192 interventions in 1870 adult patients admitted to the Nephrology Department. The most frequent DRP was untreated indication 324 (27.18%) of all interventions, and incorrect dose 248 (20.81%). Anti-infectives were identified as the drug category with the highest frequency of interventions. Almost 93% of all interventions were accepted by the attending physicians. Still within the second objectives, underdosing was observed as the most frequent problem for renally excreted drugs. It was found that an incorrect dose is a very frequent issue at the nephrology department. Surprisingly, the main problem was underdosing. In the category of renally excreted drugs, underdosing was observed in antithrombotics and antivirals. The above- mentioned results prove the need of a clinical pharmacist, preferably in sense of maximizing of the treatment effect and improving the care of patients. ER -
DVORACKOVA, E., Jitka RYCHLÍČKOVÁ, P. PAVEK, M. HOJNY a J. VLCEK. Analysis and management of drug related problems on a nephrology ward from a pharmacist's point of view. \textit{Pharmazie}. ESCHBORN: GOVI-VERLAG PHARMAZEUTISCHER VERLAG GMBH, 2019, roč.~74, č.~10, s.~625-629. ISSN~0031-7144. Dostupné z: https://dx.doi.org/10.1691/ph.2019.9568.
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