Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16201
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dc.contributor.authorTran, Tim-
dc.contributor.authorHardidge, Andrew-
dc.contributor.authorHeland, Melodie J-
dc.contributor.authorTaylor, Simone E-
dc.contributor.authorGarrett, Kent-
dc.contributor.authorMitri, Elise-
dc.contributor.authorElliott, Rohan A-
dc.date2016-08-15-
dc.date.accessioned2016-09-06T23:04:14Z-
dc.date.available2016-09-06T23:04:14Z-
dc.date.issued2017-04-
dc.identifier.citationJournal of Evaluation in Clinical Practice 2017; 23(2): 333-339en_US
dc.identifier.urihttps://ahro.austin.org.au/austinjspui/handle/1/16201-
dc.description.abstractRATIONALE, AIMS AND OBJECTIVES: Inpatient bed access decreases when ward discharge is delayed. This contributes to prolonged emergency department (ED) length of stay (LOS) which has been associated with increased hospital LOS and mortality. Delays in preparation of discharge medication prescriptions by ward doctors may contribute to delayed ward discharge. This project aimed to evaluate the effect on patient flow of having a pharmacist collaborate with ward doctors to prepare discharge prescriptions at a hospital with an electronic prescribing system. METHOD: Eight-week pre- and post-intervention study on two surgical wards at a major metropolitan Australian hospital. During the intervention, a project pharmacist (PP) electronically prepared discharge prescriptions, in consultation with ward doctors, which were reviewed by the regular ward pharmacist before being dispensed. Outcome measures, based on hospital performance indicators, included: Percentage of patients transferred to wards from ED within four and six hours of presentation; Median time (minutes) past 9 am that patients were discharged from the wards; Percentage of patients discharged from wards by 9 am; Staff satisfaction. RESULTS: Pre- and post-intervention, there were 259 and 246 patients transferred from ED to the study wards, respectively. The percentage of patients transferred within four and six hours of presentation did not change. There were 320 and 341 patients discharged, pre- and post-intervention, respectively, who required a discharge prescription. The PP prepared 273 (80%) prescriptions during the post-intervention period. Patients were discharged 57 minutes earlier with the intervention (median 211 vs. 154 minutes past 9 am, P = 0.01). The percentage of patients discharged before 9 am increased from 6% to 12% (P = 0.01). All 26 health-professional respondents (79% response rate) were satisfied with the service and recommended its continuation. CONCLUSIONS: Pharmacist collaboration with doctors to prepare discharge prescriptions did not impact upon ED access targets, but resulted in patients being discharged earlier.en_US
dc.subjectElectronic prescribingen_US
dc.subjectHospital emergency serviceen_US
dc.subjectMedication reconciliationen_US
dc.subjectPatient dischargeen_US
dc.subjectPharmacistsen_US
dc.subjectSurgical unitsen_US
dc.titleSlick scripts: impact on patient flow targets of pharmacists preparing discharge prescriptions in a hospital with an electronic prescribing systemen_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleJournal of Evaluation in Clinical Practiceen_US
dc.identifier.affiliationAustin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationPharmacy Department, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, Victoria, Australiaen_US
dc.identifier.affiliationOrthopaedic Surgery, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.affiliationSurgical Clinical Service Unit, Austin Health, Heidelberg, Victoria, Australiaen_US
dc.identifier.pubmedurihttps://pubmed.ncbi.nlm.nih.gov/27524695-
dc.identifier.doi10.1111/jep.12615en_US
dc.type.contentTexten_US
dc.type.austinJournal Articleen_US
local.name.researcherElliott, Rohan A
item.openairecristypehttp://purl.org/coar/resource_type/c_18cf-
item.cerifentitytypePublications-
item.grantfulltextnone-
item.fulltextNo Fulltext-
item.openairetypeJournal Article-
crisitem.author.deptPharmacy-
crisitem.author.deptDivision of Surgery, Anaesthesia and Procedural Medicine-
crisitem.author.deptPharmacy-
crisitem.author.deptPharmacy-
crisitem.author.deptPharmacy-
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