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. 2017 Jan;25(1):70-75.
doi: 10.1016/j.jsps.2015.07.002. Epub 2015 Aug 4.

Clinical Pharmacist interventions in Refill Clinic at Tertiary Care Eye Specialist Hospital

Sitah N Alzuman  1 , Abdullah S Al-Humaidan  1
Affiliations

Clinical Pharmacist interventions in Refill Clinic at Tertiary Care Eye Specialist Hospital

Sitah N Alzuman et al. Saudi Pharm J. 2017 Jan.

Abstract

Objective: To describe the role of Clinical Pharmacists in the Medication Refill Clinic area as a part of a multidisciplinary team in which he/she can provide education to patients and caregivers on the safe and appropriate use of medications, counsel on medication compliance, monitor and manage medication side effects, as well as screen for dangerous drug interactions. Methods: The data of this prospective, single-centered, chart review based study have been collected since the clinic launched in June 2011 till December 2013 in King Khalid Eye Specialist Hospital which is a Tertiary Hospital in KSA. Types of interventions documented during the patient-pharmacist visit are categorized as medication review and patient compliance. Key findings: Out of the total 16,417 patients, 3641 (22.2%) are noncompliant. The Clinical Pharmacist identified 18 intervention types. The most frequent interventions are as follows: Eye screening (24.8%), Counseling (13%), Physician/ER referral (12.4%), Therapeutic substitution/switch (10.8%), and Frequency changed (7%). Summary: This prospective analysis is a document evidence showing Clinical Pharmacist positive outcomes in the management of ophthalmic patients. Dissemination of this information would be valuable because it could raise the awareness of other Healthcare Professionals regarding Pharmacist as effective clinicians in care of ophthalmic patients.

Keywords: Clinical Pharmacist; Ophthalmic patient; Pharmacist intervention; Refill Clinic.

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Figures

Figure 1
Figure 1
Enrollment and follow up.
Figure 2
Figure 2
Type of interventions reported during the study for 3 years (2011, 2012, and 2013) and comparison of the rate between them which show improve in patient compliance ex.: increase the number of patient counseling and decrease in patient eye screening from 2011 till 2013.
Figure 3
Figure 3
Number of unclaimed prescriptions in 2011 is starting from June at the time the study been lunched. The fluctuation in graph got more steady by 2013.
Figure 4
Figure 4
The percentage of patient whom not been seen for more than 1 year is decrease by time as pharmacist get more involved in patient care.
Figure 5
Figure 5
Number of patient not been seen for more than 1 year reached the lowest by end of 2013.
See this image and copyright information in PMC

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