[Role of clinical pharmacist in the therapeutical optimization in geriatric outpatient hospital].
METHODS
Cares in outpatient hospital for elderly patients is a period of interest for multidisciplinary reassessment and pharmaceutical care of the prescription. The objective is to present the implementation of the pharmaceutical care activity at the outpatient hospital.


METHODS
Between August and October 2011, elderly patients hospitalized in the outpatient hospital for a brief appraisal had a pharmaceutical care. The clinician introduced pharmaceutical reviews in the synthesis letter for general practitioner. An analysis of the activity was carried out over 3 months.


RESULTS
A pharmaceutical care had been realized for 67 patients, mean age of 81.7 years. Among medical related problems identified, 39.6% were for potentially unnecessary medication. A stop was proposed for 44% of pharmaceutical interventions. A total of 91 pharmaceutical interventions and 13 recommendations were made and 34% of patients had potentially inappropriate medication.


CONCLUSIONS
According to the objective to reduce the therapeutics contributing to the iatrogenesis, this approach allowed us to undertake a multidisciplinary collaboration oriented toward the relay between hospital and city cares.
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France. Electronic address: elodiejb@yahoo.fr.
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Jean-Bart
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France.
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Faure
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France.
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Omrani
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France.
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Guilli
Centre mémoire, recherche et ressource de Lyon, hôpital des Charpennes, hospices civils de Lyon, 69100 Villeurbanne,France.
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Roubaud
Centre mémoire, recherche et ressource de Lyon, hôpital des Charpennes, hospices civils de Lyon, 69100 Villeurbanne,France; Université Claude-Bernard Lyon-1, 69373 Lyon, France; Inserm, U1028, CNRS, UMR5292, centre de recherche en neurosciences, 69500 Bron, France; Centre de recherche clinique « vieillissement, cerveau, fragilité », hôpital des Charpennes, hospices civils de Lyon, 69100 Villeurbanne, France.
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Krolak-Salmon
Pharmacie, hôpital des Charpennes, hospices civils de Lyon, 27, rue Gabriel-Péri, 69100 Villeurbanne, France; Université Claude-Bernard Lyon-1, 69373 Lyon, France; Inserm, U1028, CNRS, UMR5292, centre de recherche en neurosciences, 69500 Bron, France; Centre de recherche clinique « vieillissement, cerveau, fragilité », hôpital des Charpennes, hospices civils de Lyon, 69100 Villeurbanne, France.
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Mouchoux
D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005853:Geriatrics / Q000458:organization & administration*; D006801:Humans; D057970:Inappropriate Prescribing; D008297:Male; D010044:Outpatient Clinics, Hospital / Q000458:organization & administration*; D010593:Pharmaceutical Services / Q000458:organization & administration*; D010595:Pharmacists
Clinical pharmacy; Elderly; Geriatric; Gériatrie; Hôpital de jour; Inappropriate prescribing; Médicament potentiellement inapproprié; Outpatient hospital; Pharmacie clinique; Sujet âgé