The Impact of Clinical Pharmacist in the Identification and Management of Treatment Related Problems in the Surgery Ward

Surgical Patients Clinical Trial

Official title:

The Impact of Clinical Pharmacist in the Identification and Management of Treatment Related Problems in the Surgery Ward

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04941820
• Other study ID #: 80/2019/1943
• Status: Completed
• Phase: N/A
• Start date: September 29, 2019
• Est. completion date: February 6, 2020

Study information

• Verified date: June 2021
• Source: University of Jordan
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Patients in the surgery ward are at risk of morbidity and mortality from various types of treatment-related problems (TRPs). The primary aim of this study is to assess the impact of the clinical pharmacist in the identification and management of TRPs in the surgery ward.

Description:

Patients were randomly assigned to intervention (n=50) and usual care (n=50) arms. The clinical pharmacist assessed the types, frequencies, and clinical significance of TRPs for all recruited patients at baseline. Patients and treating surgeons in the intervention arm received recommendations concerning the identified TRPs, while the usual care arm did not. The number of TRPs was reevaluated at follow-up.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 100
• Est. completion date: February 6, 2020
• Est. primary completion date: February 6, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Admission for elective, urgent, or emergency surgery

• age 18 years or older

• Expected length of stay of 3 days or more in the general surgical ward or the SICU

Exclusion Criteria:

• Pregnancy, breastfeeding, drug or alcohol abuse, active malignancy, or admission for plastic surgery

Related Conditions & MeSH terms

• Surgical Patients

Intervention

Other:
• clinical pharmacist intervention
clinical pharmacist intervention

Locations

Country	Name	City	State
Jordan	University of Jordan	Amman

Sponsors (1)

Lead Sponsor	Collaborator
University of Jordan

Country where clinical trial is conducted

Jordan, 

References & Publications (4)

AbuRuz SM, Bulatova NR, Yousef AM. Validation of a comprehensive classification tool for treatment-related problems. Pharm World Sci. 2006 Aug;28(4):222-32. Epub 2006 Oct 26. — View Citation

Basheti IA, Ayasrah SM, Ahmad M. Identifying treatment related problems and associated factors among hospitalized post-stroke patients through medication management review: A multi-center study. Saudi Pharm J. 2019 Feb;27(2):208-219. doi: 10.1016/j.jsps.2018.10.005. Epub 2018 Oct 19. — View Citation

Bilal AI, Tilahun Z, Beedemariam G, Ayalneh B, Hailemeskel B, Engidawork E. Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: A post-deployment survey. J Pharm Policy Pract. 2016 Mar 8;9:7. doi: 10.1186/s40545-016-0058-6. eCollection 2016. — View Citation

Hepler CD. Clinical pharmacy, pharmaceutical care, and the quality of drug therapy. Pharmacotherapy. 2004 Nov;24(11):1491-8. Review. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Acceptance rate of clinical pharmacist's recommended interventions	(Number of recommendations accepted by surgeons) / (total number of recommendations submitted to surgeons by the clinical pharmacist) *100	19-week
Primary	Implementation rate of clinical pharmacist's recommended interventions	(Number of recommendations implemented by surgeons and patients) / (total number of recommendations submitted to surgeons and patients by the clinical pharmacist) *100	19-week
Primary	The impact of the clinical pharmacist on the identification and management of TRPs in the surgery ward	Measured by comparing the means of differences in the number of TRPs identified at baseline and at the time of short-term follow-up in the intervention and usual care groups	19-week
Secondary	Surgeons' attitudes and satisfaction towards the provided clinical pharmacy services	Measured by a self-administered questionnaire	19-week