Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design
Introduction - The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing...
Published in: | BMJ Open |
---|---|
Main Authors: | , , , , , , , , , , , , , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
BMJ Publishing Group
2021
|
Subjects: | |
Online Access: | https://hdl.handle.net/10037/23891 https://doi.org/10.1136/bmjopen-2021-049645 |
id |
ftunivtroemsoe:oai:munin.uit.no:10037/23891 |
---|---|
record_format |
openpolar |
spelling |
ftunivtroemsoe:oai:munin.uit.no:10037/23891 2023-05-15T15:45:26+02:00 Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design Vesala, Renata Elenjord, Renate Lehnbom, Elin Ofstad, Eirik Hugaas Johnsgård, Tine Zahl-Holmstad, Birgitte Risør, Torstein Wisløff, Torbjørn Røslie, Lars Filseth, Ole Magnus Valle, Per Christian Svendsen, Kristian Frøyshov, Hanne Mathilde Garcia, Beate Hennie 2021-11-25 https://hdl.handle.net/10037/23891 https://doi.org/10.1136/bmjopen-2021-049645 eng eng BMJ Publishing Group BMJ Open Vesala, Elenjord, Lehnbom, Ofstad, Johnsgård, Zahl-Holmstad, Risør, Wisløff, Røslie, Filseth, Valle, Svendsen, Frøyshov, Garcia. Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design. BMJ Open. 2021 FRIDAID 1983967 doi:10.1136/bmjopen-2021-049645 2044-6055 https://hdl.handle.net/10037/23891 openAccess Copyright 2021 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2021 ftunivtroemsoe https://doi.org/10.1136/bmjopen-2021-049645 2022-02-02T23:57:54Z Introduction - The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing effects on patients has not been conducted. The aim of this study is to investigate the impact of introducing clinical pharmacists to the interdisciplinary ED team. In this multicentre study, the intervention will be pragmatically implemented in the regular operation of three EDs in Northern Norway; Tromsø, Bodø and Harstad. Clinical pharmacists will work as an integrated part of the ED team, providing pharmaceutical care services such as medication reconciliation, review and/or counselling. The primary endpoint is ‘time in hospital during 30 days after admission to the ED’, combining (1) time in ED, (2) time in hospital (if hospitalised) and (3) time in ED and/or hospital if re-hospitalised during 30 days after admission. Secondary endpoints include time to rehospitalisation, length of stay in ED and hospital and rehospitalisation and mortality rates. Methods and analysis - We will apply a non-randomised stepped-wedge study design, where we in a staggered way implement the ED pharmacists in all three EDs after a 3, 6 and 9 months control period, respectively. We will include all patients going through the three EDs during the 12-month study period. Patient data will be collected retrospectively from national data registries, the hospital system and from patient records. Ethics and dissemination - The Regional Committee for Medical and Health Research Ethics and Local Patient Protection Officers in all hospitals have approved the study. Patients will be informed about the ongoing study on a general basis with ads on posters and flyers. Article in Journal/Newspaper Bodø Bodø Northern Norway Tromsø University of Tromsø: Munin Open Research Archive Bodø ENVELOPE(14.405,14.405,67.280,67.280) Norway Tromsø BMJ Open 11 11 e049645 |
institution |
Open Polar |
collection |
University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
description |
Introduction - The ‘emergency department (ED) pharmacist’ is an integrated part of the ED interdisciplinary team in many countries, which have shown to improve medication safety and reduce costs related to hospitalisations. In Norway, few EDs are equipped with ED pharmacists, and research describing effects on patients has not been conducted. The aim of this study is to investigate the impact of introducing clinical pharmacists to the interdisciplinary ED team. In this multicentre study, the intervention will be pragmatically implemented in the regular operation of three EDs in Northern Norway; Tromsø, Bodø and Harstad. Clinical pharmacists will work as an integrated part of the ED team, providing pharmaceutical care services such as medication reconciliation, review and/or counselling. The primary endpoint is ‘time in hospital during 30 days after admission to the ED’, combining (1) time in ED, (2) time in hospital (if hospitalised) and (3) time in ED and/or hospital if re-hospitalised during 30 days after admission. Secondary endpoints include time to rehospitalisation, length of stay in ED and hospital and rehospitalisation and mortality rates. Methods and analysis - We will apply a non-randomised stepped-wedge study design, where we in a staggered way implement the ED pharmacists in all three EDs after a 3, 6 and 9 months control period, respectively. We will include all patients going through the three EDs during the 12-month study period. Patient data will be collected retrospectively from national data registries, the hospital system and from patient records. Ethics and dissemination - The Regional Committee for Medical and Health Research Ethics and Local Patient Protection Officers in all hospitals have approved the study. Patients will be informed about the ongoing study on a general basis with ads on posters and flyers. |
format |
Article in Journal/Newspaper |
author |
Vesala, Renata Elenjord, Renate Lehnbom, Elin Ofstad, Eirik Hugaas Johnsgård, Tine Zahl-Holmstad, Birgitte Risør, Torstein Wisløff, Torbjørn Røslie, Lars Filseth, Ole Magnus Valle, Per Christian Svendsen, Kristian Frøyshov, Hanne Mathilde Garcia, Beate Hennie |
spellingShingle |
Vesala, Renata Elenjord, Renate Lehnbom, Elin Ofstad, Eirik Hugaas Johnsgård, Tine Zahl-Holmstad, Birgitte Risør, Torstein Wisløff, Torbjørn Røslie, Lars Filseth, Ole Magnus Valle, Per Christian Svendsen, Kristian Frøyshov, Hanne Mathilde Garcia, Beate Hennie Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
author_facet |
Vesala, Renata Elenjord, Renate Lehnbom, Elin Ofstad, Eirik Hugaas Johnsgård, Tine Zahl-Holmstad, Birgitte Risør, Torstein Wisløff, Torbjørn Røslie, Lars Filseth, Ole Magnus Valle, Per Christian Svendsen, Kristian Frøyshov, Hanne Mathilde Garcia, Beate Hennie |
author_sort |
Vesala, Renata |
title |
Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
title_short |
Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
title_full |
Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
title_fullStr |
Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
title_full_unstemmed |
Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
title_sort |
integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design |
publisher |
BMJ Publishing Group |
publishDate |
2021 |
url |
https://hdl.handle.net/10037/23891 https://doi.org/10.1136/bmjopen-2021-049645 |
long_lat |
ENVELOPE(14.405,14.405,67.280,67.280) |
geographic |
Bodø Norway Tromsø |
geographic_facet |
Bodø Norway Tromsø |
genre |
Bodø Bodø Northern Norway Tromsø |
genre_facet |
Bodø Bodø Northern Norway Tromsø |
op_relation |
BMJ Open Vesala, Elenjord, Lehnbom, Ofstad, Johnsgård, Zahl-Holmstad, Risør, Wisløff, Røslie, Filseth, Valle, Svendsen, Frøyshov, Garcia. Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study design. BMJ Open. 2021 FRIDAID 1983967 doi:10.1136/bmjopen-2021-049645 2044-6055 https://hdl.handle.net/10037/23891 |
op_rights |
openAccess Copyright 2021 The Author(s) |
op_doi |
https://doi.org/10.1136/bmjopen-2021-049645 |
container_title |
BMJ Open |
container_volume |
11 |
container_issue |
11 |
container_start_page |
e049645 |
_version_ |
1766379815209795584 |