Evidence map›Paper›PMID 34824109›Full record

ArticleBMJ open2021

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.

Renata Vesela, Renate Elenjord, Elin C Lehnbom, Eirik Hugaas Ofstad, Tine Johnsgård, Birgitte Zahl-Holmstad, Torstein Risør, Torbjørn Wisløff, Lars Røslie, Ole Magnus Filseth and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04722588 (Integrating the Clinical Pharmacist Into the Emergency Department Interdisciplinary Team), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 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.

NCT04722588 naunknown statusnot on this map

Integrating the Clinical Pharmacist Into the Emergency Department Interdisciplinary Team: A Study Protocol for a Multicentre Trial Applying a Non-randomized Stepped Wedge Study Design

TypeinterventionalSponsorHospital Pharmacy of North Norway TrustRan2021 to 2025Enrolled30,888ConditionsEmergency Department, Clinical PharmacistArmsIntroducing clinical pharmacists to the interdisciplinary ED team.
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
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  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Renata VeselaHospital Pharmacy of North Norway Trust, Tromso, Norway Renata.Vesela@sykehusapotek-nord.no.ORCID 0000-0002-5417-8424
Renate ElenjordHospital Pharmacy of North Norway Trust, Tromso, Norway.ORCID 0000-0002-3384-6964
Elin C LehnbomDepartment of Pharmacy, UiT The Arctic University of Norway, Tromso, Norway.ORCID 0000-0003-1428-5476
Eirik Hugaas OfstadDepartment of Medicine, Nordland Hospital Trust, Bodo, Norway.ORCID 0000-0003-4821-6938
Tine JohnsgårdHospital Pharmacy of North Norway Trust, Tromso, Norway.
Birgitte Zahl-HolmstadHospital Pharmacy of North Norway Trust, Tromso, Norway.
Torstein RisørDepartment of Community Medicine, UiT The Arctic University of Norway, Tromso, Norway.ORCID 0000-0002-2018-528X
Torbjørn WisløffDepartment of Community Medicine, UiT The Arctic University of Norway, Tromso, Norway.ORCID 0000-0002-7539-082X
Lars RøslieDepartment of Emergency Medicine, University Hospital of North Norway Trust, Tromso, Norway.
Ole Magnus FilsethDepartment of Emergency Medicine, University Hospital of North Norway Trust, Tromso, Norway.
Per-Christian ValleDepartment of Emergency Medicine, University Hospital of North Norway Trust, Harstad, Norway.
Kristian SvendsenDepartment of Pharmacy, UiT The Arctic University of Norway, Tromso, Norway.ORCID 0000-0003-3481-3539
Hanne Mathilde FrøyshovDepartment of Emergency Medicine, University Hospital of North Norway Trust, Harstad, Norway.
Beate H GarciaHospital Pharmacy of North Norway Trust, Tromso, Norway.ORCID 0000-0002-0815-0383

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe '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. TRIAL REGISTRATION NUMBER: NCT04722588.

Indexed as

Medication ReconciliationPharmacistsEmergency Service, HospitalHospitalizationHumansMulticenter Studies as TopicRetrospective Studiesaccident & emergency medicineclinical pharmacologyhealth & safetypublic health

Identifiers

PMID34824109
PMCPMC8627400

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.