[Clinical pharmacy and surgery: Review].
Clinical pharmacy has been developed and evaluated in various medical hospital activities. Reviews conducted in this area reported a higher value of this discipline. In surgical services, evenly adverse drug events may occur, so clinical pharmacy activities must also help to optimize the management of drug's patient. The objectives of this literature review is to determine the profile of clinical pharmacy activities developed in surgical services and identify indicators. The research was conducted on Pubmed(®) database with the following keywords (2000-2013), "surgery", "pharmacy", "pharmacist", "pharmaceutical care", "impact" and limited to French or English papers. Studies dealing on simultaneously medical and surgical areas were excluded. Twenty-one papers were selected. The most frequently developed clinical pharmacy activities were history and therapeutic drug monitoring (antibiotics or anticoagulants). Two types of indicators were identified: activity indicators with the number of pharmaceutical interventions, their description and clinical signification, the acceptance rate and workload. Impact indicators were mostly clinical and economic impacts. The development of clinical pharmacy related to surgical patients is documented and appears to have, as for medical patients, a clinical and economical value.
Service de pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France. Electronic address: ajarfaut@gmail.com.
A
A
Jarfaut
Service de pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
Y
Y
Nivoix
Service de neurochirurgie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
D
D
Vigouroux
Service de neurochirurgie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
P
P
Kehrli
Centre de chirurgie orthopédique et de la main, hôpitaux universitaires de Strasbourg, 10, avenue Achille-Baumann, 67400 Illkirch-Graffenstaden, France.
J
J
Gaudias
Centre de chirurgie orthopédique et de la main, hôpitaux universitaires de Strasbourg, 10, avenue Achille-Baumann, 67400 Illkirch-Graffenstaden, France.
J-F
JF
Kempf
Service de pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
D
D
Levêque
Service de pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France. Electronic address: Benedicte.gourieux@chru-strasbourg.fr.
B
B
Gourieux
D019072:Antibiotic Prophylaxis; D013502:General Surgery / Q000639:trends*; D006801:Humans; D010593:Pharmaceutical Services; D010601:Pharmacology, Clinical / Q000639:trends*; D010607:Pharmacy Service, Hospital / Q000458:organization & administration; D013503:Surgery Department, Hospital / Q000458:organization & administration
Activities; Activités; Chirurgie; Clinic; Clinique; Impact; Indicateurs; Indicators; Pharmacie; Pharmacy; Surgery