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
Introduction The ‘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 e...
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| Format: | Article |
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BMJ Publishing Group
2021-11-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/11/e049645.full |
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| author | Torbjørn Wisløff Eirik Hugaas Ofstad Elin C Lehnbom Renate Elenjord Renata Vesela Tine Johnsgård Birgitte Zahl-Holmstad Torstein Risør Lars Røslie Ole Magnus Filseth Per-Christian Valle Kristian Svendsen Hanne Mathilde Frøyshov Beate H Garcia |
| author_facet | Torbjørn Wisløff Eirik Hugaas Ofstad Elin C Lehnbom Renate Elenjord Renata Vesela Tine Johnsgård Birgitte Zahl-Holmstad Torstein Risør Lars Røslie Ole Magnus Filseth Per-Christian Valle Kristian Svendsen Hanne Mathilde Frøyshov Beate H Garcia |
| author_sort | Torbjørn Wisløff |
| collection | DOAJ |
| description | Introduction The ‘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. |
| format | Article |
| id | doaj-art-1ad6d919342e4ae1a4e4dcb46d32869c |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-11-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-1ad6d919342e4ae1a4e4dcb46d32869c2025-08-20T02:18:46ZengBMJ Publishing GroupBMJ Open2044-60552021-11-01111110.1136/bmjopen-2021-049645Integrating the clinical pharmacist into the emergency department interdisciplinary team: a study protocol for a multicentre trial applying a non-randomised stepped-wedge study designTorbjørn Wisløff0Eirik Hugaas Ofstad1Elin C Lehnbom2Renate Elenjord3Renata Vesela4Tine Johnsgård5Birgitte Zahl-Holmstad6Torstein Risør7Lars Røslie8Ole Magnus Filseth9Per-Christian Valle10Kristian Svendsen11Hanne Mathilde Frøyshov12Beate H Garcia135 Department of Community Medicine, UiT The Arctic University of Norway, Tromso, Norway4 Department of Medicine, Nordland Hospital Trust, Bodo, Norway2 Department of Pharmacy, UiT The Arctic University of Norway, Tromso, Norway1 Hospital Pharmacy of North Norway Trust, Tromso, Norway1 Hospital Pharmacy of North Norway Trust, Tromso, Norway1 Hospital Pharmacy of North Norway Trust, Tromso, Norway1 Hospital Pharmacy of North Norway Trust, Tromso, Norway5 Department of Community Medicine, UiT The Arctic University of Norway, Tromso, Norway7 Department of Emergency Medicine, University Hospital of North Norway Trust, Tromso, Norway7 Department of Emergency Medicine, University Hospital of North Norway Trust, Tromso, Norway8 Department of Emergency Medicine, University Hospital of North Norway Trust, Harstad, Norway2 Department of Pharmacy, UiT The Arctic University of Norway, Tromso, Norway8 Department of Emergency Medicine, University Hospital of North Norway Trust, Harstad, Norway1 Hospital Pharmacy of North Norway Trust, Tromso, NorwayIntroduction The ‘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.https://bmjopen.bmj.com/content/11/11/e049645.full |
| spellingShingle | Torbjørn Wisløff Eirik Hugaas Ofstad Elin C Lehnbom Renate Elenjord Renata Vesela Tine Johnsgård Birgitte Zahl-Holmstad Torstein Risør Lars Røslie Ole Magnus Filseth Per-Christian Valle Kristian Svendsen Hanne Mathilde Frøyshov Beate H Garcia 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 BMJ Open |
| title | 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 |
| title_full | 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 |
| title_fullStr | 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 |
| title_full_unstemmed | 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 |
| title_short | 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 |
| title_sort | 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 |
| url | https://bmjopen.bmj.com/content/11/11/e049645.full |
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