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

Study Overview
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Brief Summary
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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.

Detailed Description
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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.

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

Conditions
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Surgical Patients

Intervention / Treatment
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* Other: clinical pharmacist intervention


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: All patients were followed up prospectively for their length of hospital stay, and recommendations concerning each identified TRP were provided to the surgeons responsible for patients in the intervention group. Likewise, patient counseling and encouraging adherence to therapy were provided solely to patients in the intervention group. Patients in the control group received usual care by the surgical team without a coordinated contribution from the clinical pharmacist.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Clinical pharmacist intervention + usual care arm<br>Patients in the clinical pharmacist intervention + usual care arm received the clinical pharmacist intervention as well as usual care provided by the surgical team | Other: clinical pharmacist intervention<br>* clinical pharmacist intervention<br>|
| No Intervention: Usual care arm (Control arm)<br>Patients in the control arm received usual care by the surgical team without a coordinated contribution from the clinical pharmacist | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 
| 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 | 
| 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 Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Surgeons' attitudes and satisfaction towards the provided clinical pharmacy services | Measured by a self-administered questionnaire | 19-week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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clinical pharmacist, general surgical ward, RCT, SICU