title: Partnered medication review and charting between the pharmacist and medical officer in the Emergency Short Stay and General Medicine Unit.
abstract: OBJECTIVE
  A partnered medication review and charting model involving a pharmacist and medical officer was implemented in the Emergency Short Stay Unit and General Medicine Unit of a major tertiary hospital. The aim of the study was to describe the safety and effectiveness of partnered medication charting in this setting.
  
  
  METHODS
  A partnered medication review and charting model was developed. Credentialed pharmacists charted pre-admission medications and venous thromboembolism prophylaxis in collaboration with the admitting medical officer. The pharmacist subsequently had a clinical discussion with the treating nurse regarding the medication management plan for the patient. A prospective audit was undertaken of all patients from the initiation of the service.
  
  
  RESULTS
  A total of 549 patients had medications charted by a pharmacist from the 14th of November 2012 to the 30th of April 2013. A total of 4765 medications were charted by pharmacists with 7 identified errors, corresponding to an error rate of 1.47 per 1000 medications charted.
  
  
  CONCLUSIONS
  Partnered medication review and charting by a pharmacist in the Emergency Short Stay and General Medicine unit is achievable, safe and effective. Benefits from the model extend beyond the pharmacist charting the medications, with clinical value added to the admission process through early collaboration with the medical officer. Further research is required to provide evidence to further support this collaborative model.
authors.affiliation: Pharmacy Department, The Alfred, Lower Ground Floor, Commercial Road, Melbourne, Victoria 3004, Australia; General Medical Unit, The Alfred, Commercial Road, Melbourne, Victoria 3004, Australia. Electronic address: e.tong@alfred.org.au.
authors.forename: Erica Y
authors.initials: EY
authors.lastname: Tong
authors.affiliation: Pharmacy Department, The Alfred, Lower Ground Floor, Commercial Road, Melbourne, Victoria 3004, Australia; The Alfred Emergency and Trauma Centre, Commercial Road, Melbourne, Victoria 3004, Australia.
authors.forename: Cristina P
authors.initials: CP
authors.lastname: Roman
authors.affiliation: The Alfred Emergency and Trauma Centre, Commercial Road, Melbourne, Victoria 3004, Australia.
authors.forename: De Villiers
authors.initials: de V
authors.lastname: Smit
authors.affiliation: General Medical Unit, The Alfred, Commercial Road, Melbourne, Victoria 3004, Australia.
authors.forename: Harvey
authors.initials: H
authors.lastname: Newnham
authors.affiliation: Monash University, Faculty of Pharmacy and Pharmaceutical Sciences, Melbourne, Victoria, Australia.
authors.forename: Kirsten
authors.initials: K
authors.lastname: Galbraith
authors.affiliation: Pharmacy Department, The Alfred, Lower Ground Floor, Commercial Road, Melbourne, Victoria 3004, Australia; Monash University, Faculty of Pharmacy and Pharmaceutical Sciences, Melbourne, Victoria, Australia.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Dooley
mesh_terms: D004636:Emergency Service, Hospital / Q000458:organization & administration / Q000706:statistics & numerical data; D058006:General Practice / Q000458:organization & administration / Q000706:statistics & numerical data; D006801:Humans; D008485:Medical Audit; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D008962:Models, Theoretical; D010607:Pharmacy Service, Hospital / Q000458:organization & administration* / Q000706:statistics & numerical data; D011446:Prospective Studies; D062606:Tertiary Care Centers / Q000458:organization & administration* / Q000706:statistics & numerical data
keywords: Advanced practice; Emergency medicine; General medicine; Medication error; Medication management; Pharmacist