Evidence map›Paper›PMID 29531414›Full record

ArticleBulletin of the World Health Organization2018

Ward-based clinical pharmacists and hospital readmission: a non-randomized controlled trial in Sri Lanka.

Lelwala Guruge Thushani Shanika, Shaluka Jayamanne, Chandrani Nirmala Wijekoon, Judith Coombes, Dhineli Perera, Fahim Mohamed, Ian Coombes, Hithanadura Asita De Silva, Andrew Hamilton Dawson

Erratum issuedAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Bulletin of the World Health Organization, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  12. The acceptance and awareness of healthcare providers towards doctor of pharmacy (Phram D) in the Palestinian health care system.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Lelwala Guruge Thushani ShanikaDepartment of Allied Health Science, Faculty of Medical Sciences, University of Sri Jayewardenapura, Nugegoda, Sri Lanka.
Shaluka JayamanneFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Chandrani Nirmala WijekoonFaculty of Medical Sciences, University of Sri Jayewardenapura, Nugegoda, Sri Lanka.
Judith CoombesSchool of Pharmacy, University of Queensland, Brisbane, Australia.
Dhineli PereraDepartment of Pharmacy, Austin Health, Melbourne, Australia.
Fahim MohamedFaculty of Medicine, University of Peradeniya, Peradeniya, Sri Lanka.
Ian CoombesSchool of Pharmacy, University of Queensland, Brisbane, Australia.
Hithanadura Asita De SilvaFaculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Andrew Hamilton DawsonFaculty of Medicine, University of Sydney, Sydney, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess if a ward-based clinical pharmacy service resolving drug-related problems improved medication appropriateness at discharge and prevented drug-related hospital readmissions.

methodBetween March and September 2013, we recruited patients with noncommunicable diseases in a Sri Lankan tertiary-care hospital, for a non-randomized controlled clinical trial. The intervention group received usual care and clinical pharmacy service. The intervention pharmacist made prospective medication reviews, identified drug-related problems and discussed recommendations with the health-care team and patients. At discharge, the patients received oral and written medication information. The control group received usual care. We used the medication appropriateness index to assess appropriateness of prescribing at discharge. During a six-month follow-up period, a pharmacist interviewed patients to identify drug-related hospital readmissions.

resultsData from 361 patients in the intervention group and 354 patients in the control group were available for analysis. Resolutions of drug-related problems were higher in the intervention group than in the control group (57.6%; 592/1027, versus 13.2%; 161/1217;

conclusionA ward-based clinical pharmacy service improved appropriate prescribing, reduced drug-related problems and readmissions for patients with noncommunicable diseases. Implementation of such a service could improve health care in Sri Lanka and similar settings.

Indexed as

Medication ReconciliationMedication Therapy ManagementPatient ReadmissionPharmacistsProfessional RoleDrug-Related Side Effects and Adverse ReactionsDrug Utilization ReviewFemaleHumansMaleMedication ErrorsPharmacy Service, HospitalProspective StudiesSri Lanka

Identifiers

PMID29531414
PMCPMC5840627

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