[Feedback on the evaluation of clinical pharmacy activities developed in surgery].
BACKGROUND
Our current development strategy integrates clinical pharmacy activities prioritized in surgical services. Patients in these services are typically risk patients: transfers, multiple prescribers, frequent medication change, pharmacotherapeutic risk classes.


METHODS
Three clinical pharmacy activities (admission reconciliation, pharmaceutical analysis, participation doctors round) have been developed in orthopaedic surgery and neurosurgery. Pharmacists prospectively recorded data describing their activities: number of reconciliations and analyzed requirements and time required to achieve them. Data on pharmaceutical interventions were recorded on the basis ActIP®. The clinical significance of interventions was retrospectively rated by a team of two pharmacists and two physicians on the scale adapted Hatoum et al.


RESULTS
Four thousand five hundred pharmaceutical analysis and 248 reconciliations were conducted. One hundred and fifty-six pharmaceutical interventions were issued. The average acceptance rate was 80%. A total of 5.8% of pharmaceutical interventions have been listed with a very significant clinical importance and 48.1% with at least significant clinical importance. The activities and documentation required pharmaceutical average daily time (senior pharmacist, resident and external pharmacist) about 6 hours.


CONCLUSIONS
Other studies, including comparative and medico-economic, must be conducted to support these results. Nevertheless, the indicators obtained attend a better readability of the clinical importance of the activities performed by clinical pharmacists and this particularly in surgical services, both by prescribers and authorities.
Service pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France. Electronic address: ajarfaut@gmail.com.
A
A
Jarfaut
Service pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
M
M
Clauzel-Montserrat
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 pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
D
D
Levêque
Service pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
Y
Y
Nivoix
Service pharmacie, hôpitaux universitaires de Strasbourg, 1, avenue Molière, 67098 Strasbourg, France.
B
B
Gourieux
D013502:General Surgery; D006801:Humans; D059065:Medication Reconciliation; D004364:Pharmaceutical Preparations / Q000032:analysis; D010595:Pharmacists; D010607:Pharmacy Service, Hospital / Q000458:organization & administration*; D011446:Prospective Studies
D004364:Pharmaceutical Preparations
Chirurgie; Clinical impact; Clinical pharmacy; Impact clinique; Intervention pharmaceutique; Pharmaceutical intervention; Pharmacie clinique; Surgery