Please use this identifier to cite or link to this item: http://ahro.austin.org.au/austinjspui/handle/1/18039
Title: Impact of pharmacists assisting with prescribing and undertaking medication review on oxycodone prescribing and supply for patients discharged from surgical wards.
Authors: Tran, T;Taylor, Simone E;Hardidge, Andrew J;Findakly, D;Aminian, Parnaz;Elliott, Rohan A
Affiliation: Centre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutical Sciences, Monash University, Parkville, VIC, Australia
Pharmacy Department, Austin Health, Heidelberg, VIC, Australia
Department of Orthopaedic Surgery, Austin Health, Heidelberg, Victoria, Australia
Pharmacy Department, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Oct-2017
EDate: 2017
Citation: Journal of clinical pharmacy and therapeutics 2017; 42(5): 567-572
Abstract: Overprescribing of oxycodone is a contributor to the epidemic of prescription opioid misuse and deaths. Practice models to optimize oxycodone prescribing and supply need to be evaluated. We explored the impact of pharmacist-assisted discharge prescribing and medication review on oxycodone prescribing and supply for patients discharged from surgical wards. A retrospective audit was conducted on two surgical inpatient wards following a 16-week prospective pre- and post-intervention study. During the pre-intervention period, discharge prescriptions were prepared by hospital doctors and then reviewed by a ward pharmacist (WP) before being dispensed. Post-intervention, prescriptions were prepared by a project pharmacist in consultation with hospital doctors and then reviewed by a WP and dispensed. Proportion of patients who were prescribed, and proportion supplied, oxycodone on discharge; Median amount (milligrams) of oxycodone prescribed and supplied, for patients who were prescribed and supplied at least one oxycodone-containing preparation, respectively. A total of 320 and 341 patients were evaluated pre- and post-intervention, respectively. Pre-intervention, 75.6% of patients were prescribed oxycodone; after WP review, 60.3% were supplied oxycodone (P<.01); the median amount both prescribed and supplied was 100 milligrams/patient. Post-intervention, 68.6% of patients were prescribed oxycodone; after WP review, 57.8% were supplied oxycodone (P<.01); median amount prescribed and supplied was 50 milligrams/patient (difference in amount prescribed and supplied: 50 milligrams, P<.01). WP review of doctor-prepared prescriptions reduced the proportion of patients who were supplied oxycodone but not the amount supplied/patient. Having a pharmacist assist with prescribing reduced the amount of oxycodone supplied.
URI: http://ahro.austin.org.au/austinjspui/handle/1/18039
DOI: 10.1111/jcpt.12540
ORCID: 0000-0002-0592-518X
PubMed URL: 28474345
Type: Journal Article
Subjects: analgesics
discharge prescription
medication review
oxycodone
pharmacists
prescribing
surgery
Appears in Collections:Journal articles

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