4CPS-141 Pharmaceutical interventions in a medical emergency department: 6-months experience

Background and ImportanceMedication errors are a major global public health problem that requires a very important approach and collaborative work between physicians, pharmacists and nurses. Pharmaceutical interventions (PI) are an effective way to fight drug iatrogeny.Aim and ObjectivesThe objective of the study was to analyse pharmaceutical interventions and their impact on patients hospitalised in a medical emergency departmentMaterial and MethodsThis is a retrospective study conducted in a medical emergency department of the Ibn Sina Hospital in Rabat over a period of 6 months. Prescriptions were analysed and validated according to the methodology of the French Society of Clinical Pharmacy (SFPC). The relevance of the PIs was assessed by their acceptance rate by the prescribers and their clinical impact was evaluated according to the Hatoum scale.ResultsA total of 158 Pharmaceutical interventions were recorded over six months. Of these, 98% were accepted by the prescriber. The sex ratio (male/female) was 1.35. The average age of our patients was 56.06 ± 15.81 years. 86 PIs (55%) concerned an antibiotic. The main prescription problems were overdose (29%). Our interventions concerned dosage adjustment (32.27%), optimisation of administration modalities (22.15%).Conclusion and RelevanceThis study highlights the importance of the clinical pharmacist in the fight against drug iatrogeny.ReferencesHedira et al. Évaluation de l'activité de pharmacie clinique dans un centre hospitalier mère-enfant en Tunisie – 53- Le Pharmacien Hospitalier et Clinicien. 2018A. Clementz et al. Mise en place et évaluation des validations d'ordonnances et d'interventions pharmaceutiques dans un service d'urgences adultes. Le Pharmacien Hospitalier et Clinicien, Juin 2017; 52: e47–e53Abdelaziz H et al. Impact des services de pharmacie clinique dans une unité de court séjour d'un service d'urgence hospitalier au Qatar. Int J Clin Pharm 2016;38:776–9Nielsen T et al. Service de pharmacien clinicien dans le service aigu. Int J Clin Pharm 2013;35:1137–51.Conflict of InterestNo conflict of interest