Universität zu Köln

Amkreutz, Julia, Lenssen, Rebekka, Marx, Gernot, Deisz, Robert and Eisert, Albrecht (2020). Medication safety in a German telemedicine centre: Implementation of a telepharmaceutical expert consultation in addition to existing tele-intensive care unit services. J. Telemed. Telecare, 26 (1-2). S. 105 - 113. LONDON: SAGE PUBLICATIONS LTD. ISSN 1758-1109

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Abstract

Introduction Tele-intensive care unit (tele-ICU) services offer the possibility to provide specialized medical care in remote areas and to improve patient outcomes. The aim of this study was to implement and evaluate an additional telepharmaceutical expert consultation as part of tele-ICU services. Methods This is a prospective observational study conducted in the telemedicine centre of the University Hospital RWTH Aachen, Germany. Between March and July 2015, all tele-ICU patients of one internal and two remote ICUs received telepharmaceutical consultation. Number and type of drug related problems (DRPs) were identified in a comprehensive medication safety check. Implementation of DRPs was discussed interdisciplinarily by tele-ICU pharmacist, tele-ICU physician and remote ICU physician. Special focus was on drug-drug interactions (DDIs) and dosage adjustment in renal and liver failure. Results A total of 210 DRPs in 103 patients were identified and discussed. On average, 2.0 (range 0-17) DRPs per patient were found. At least one DRP was found in 62% of patients. Antibacterials for systemic use were most involved in DRPs. A total of 1129 DDI-alerts were generated by ID PHARMA CHECK (R). Fifty-six DDIs (5%) were discussed in tele-ICU rounds. The tele-ICU team discussed 28 cases of dosage adjustment in organ failure. Discussion Telepharmaceutical consultation as part of tele-ICU services was successfully implemented and can improve medication safety. Telemedicine infrastructure provides the possibility to implement guidelines recommending pharmaceutical service in the ICU in remote hospitals not having access to clinical pharmacists. Thus, quality of care can be improved.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Amkreutz, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Lenssen, Rebekka UNSPECIFIED UNSPECIFIED UNSPECIFIED Marx, Gernot UNSPECIFIED UNSPECIFIED UNSPECIFIED Deisz, Robert UNSPECIFIED UNSPECIFIED UNSPECIFIED Eisert, Albrecht UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-352198
DOI:	10.1177/1357633X18799796
Journal or Publication Title:	J. Telemed. Telecare
Volume:	26
Number:	1-2
Page Range:	S. 105 - 113
Date:	2020
Publisher:	SAGE PUBLICATIONS LTD
Place of Publication:	LONDON
ISSN:	1758-1109
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DRUG-RELATED PROBLEMS; CRITICALLY-ILL PATIENTS; ECONOMIC OUTCOMES; PHARMACIST PARTICIPATION; CONTROLLED-TRIAL; COMMUNITY; MORTALITY; PARADIGM; MEDICINE; PROGRAM Multiple languages Health Care Sciences & Services Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/35219