Determining clinical pharmacy workload by patient disease classification in medical and surgical patients

Peter STUCHBERY, David CM KONG, Giovanna N. DESANTIS, Sing Kai LO

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Aim: To determine the time needed to provide clinical pharmacy services to individual patient episodes for medical and surgical patients and the effect of patient presentation and complexity on the clinical pharmacy workload.
Method: During a 5-month period in 2006 at two general hospitals, pharmacists recorded a defined range of activities that they provided for patients, including the actual times required for these tasks. A customised database linked to the two hospitals’ patient administration systems stored the data according to the specific patient episode number. The influence of patient presentation and complexity on the clinical pharmacy activities provided was also examined.
Results: The average time required by pharmacists to undertake a medication history interview and medication reconciliation was 9.6 (SD 4.9) minutes. Interventions required 5.7 (SD 4.6) minutes, clinical review of the medical record 5.5 (SD 4.0) minutes and medication order review 3.5 (SD 2.0) minutes. For all of these activities, the time required for medical patients was greater than for surgical patients and greater for ‘complicated’ patients. The average time required to perform all clinical pharmacy activities for 1071 completed patient episodes was 14.4 (SD 10.9) minutes and was greater for medical and ‘complicated’ patients.
Conclusion: The time needed to provide clinical pharmacy services was affected by whether the patients were medical or surgical. The existence of comorbidities or complications affected these times. The times required to perform clinical pharmacy activities may not be consistent with recently proposed staff ratios for the provision of a basic clinical pharmacy service. Copyright © 2008 Articles may not be reproduced, in whole or in part, without written permission from the publisher.
Original languageEnglish
Pages (from-to)126-131
JournalJournal of Pharmacy Practice and Research
Volume38
Issue number2
DOIs
Publication statusPublished - Jun 2008

Fingerprint

Workload
Hospital Pharmacy Services
Pharmacists
Medication Reconciliation
Hospital Administration
Information Systems
General Hospitals
Medical Records
Comorbidity
Databases
Interviews

Citation

Stuchbery, P., Kong, D. C. M., DeSantis, G. N., & Lo, S. K. (2008). Determining clinical pharmacy workload by patient disease classification in medical and surgical patients. Journal of Pharmacy Practice and Research, 38(2), 126-131. doi: 10.1002/j.2055-2335.2008.tb00818.x