title: Comprehensive pharmaceutical care in a vascular surgery department.
abstract: OBJECTIVE
  The pharmacist must work with the clinical team across the continuum of care to develop and therefore improve the patient's quality of life. In this study, we present the results from a continuous pharmaceutical care programme for patients admitted to an angiology and vascular surgery department.
  
  
  METHODS
  A 5-month prospective study to evaluate the results of a pharmaceutical care programme in an angiology and vascular surgery department. The pharmacist went on the rounds with the clinical team from Monday to Friday and helped make decisions on treatment, and detect and resolve conciliation discrepancies upon admission and discharge, and drug-related problems during the hospital stay.
  
  
  RESULTS
  We detected and resolved 273 conciliation discrepancies in 99 patients and 76 drug-related problems in 46 patients. Global acceptance of pharmacist interventions was 96%.
  
  
  CONCLUSIONS
  Seventy-four percent of patients presented conciliation discrepancies. Efficiency of pharmaceutical activity across the continuum of care is demonstrated by the high acceptance of the interventions.
authors.affiliation: Servicio de Farmacia, Hospital Universitari Son Espases, Palma de Mallorca, Spain. iciar.martinez@ssib.es
authors.forename: I
authors.initials: I
authors.lastname: Martínez López
authors.forename: F
authors.initials: F
authors.lastname: Do Pazo-Oubiña
authors.forename: P
authors.initials: P
authors.lastname: Lozano Vilardell
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D064420:Drug-Related Side Effects and Adverse Reactions / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010607:Pharmacy Service, Hospital; D011446:Prospective Studies; D013503:Surgery Department, Hospital; D014656:Vascular Surgical Procedures; D055815:Young Adult