Conflicts of interest: The authors have no conflicts of interest to declare and no funding support was received for this research.
Pilot study of a pharmaceutical care intervention in an outpatient lung transplant clinic
Article first published online: 16 APR 2012
© 2012 John Wiley & Sons A/S
Volume 26, Issue 2, pages E149–E157, March/April 2012
How to Cite
Harrison JJ, Wang J, Cervenko J, Jackson L, Munyal D, Hamandi B, Chernenko S, Dorosz J, Chaparro C, Singer LG. Pilot study of a pharmaceutical care intervention in an outpatient lung transplant clinic.
- Issue published online: 16 APR 2012
- Article first published online: 16 APR 2012
- Manuscript Accepted: 6 FEB 2012
- ambulatory care;
- clinical pharmacists;
- drug therapy problem;
- lung transplantation;
- patient satisfaction;
- pharmaceutical care
Lung transplant recipients have complex drug regimens. Study objectives were to assess drug therapy problems (DTPs), pharmacist recommendations, and patient satisfaction with pharmacist services.
Using a pharmaceutical care assessment process, pharmacists identified DTPs and made therapeutic recommendations. Number of DTPs identified per pharmacist visit was calculated and compared to standard care visits through retrospective chart review. Potential clinical impact of recommendations was evaluated by blinded clinicians. Patient satisfaction was assessed via survey.
Fifty-five DTPs were identified in 43 patients over 50 pharmacist visits (1.05 ± 1.34 DTPs per visit). In these same patients, rate of DTP identification was 0.51 ± 0.64 DTPs per standard visit in the preceding two-wk period (p = 0.018 vs. pharmacist visit). The most common DTPs identified by the pharmacist were adverse drug effect (27%) and untreated indication (25%). Overall, 62% of pharmacist recommendations were rated very significant or significant. Survey return rate was 58% and satisfaction scores ranged from 3 to 5 out of 5. Review of medications and teaching regarding the use of medications received the most “very satisfied” and “highly important” scores.
Pharmacists can make valuable contributions in a lung transplant clinic setting by identifying DTPs and making recommendations with a positive impact on patient outcomes and satisfaction.