Outpatient Prescription Issues
Conditions
Brief summary
The study aims to document the utility of Methodist Charlton Medical Center (MCMC's)Emergency Medicine Pharmacist (EMP) Collaborative Practice Agreement (CPA )utilization for the resolution of outpatient prescription issues. Evaluation of utility will involve describing all EMP-written prescriptions pursuant to resolution of prescription issues realized after discharge.
Detailed description
Use of an EMP CPA, which allows for broad prescriptive authority, will assist Emergency Department (ED )workflow by preventing a significant volume of new prescriptions needing to be sent by physician and mid-level providers. Will improve rates of ED re-visits. In addition, this Collaborative Practice Agreement (CPA) will not be associated with a large volume of new prescription errors.
Interventions
OTHERoutpatient prescription issues
Evaluation of utility will involve describing all Emergency Medicine Pharmacist (EMP)-written prescriptions pursuant to resolution of prescription issues realized after discharge
Sponsors
Methodist Health System
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients at MCMC who had a prescription sent by an EMP between November 1, 2021 and June 30, 2023 and a progress note and documenting the reason for the call and action taken by the EMP.
Exclusion criteria
* CPA actions were misclassified as discharge prescription issue resolutions. * Patients with prescriptions pursuant to late culture review, formulation changes not requiring a new prescription, prescription transfers to another pharmacy, or simple retransmission of prescriptions. * Patients documented to have left the ED against medical advice.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of prescriptions and medication types sent to outpatient pharmacies | 2 years | Number of prescriptions and medication types sent to outpatient pharmacies by EMPs pursuant to outpatient prescription issue resolution. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients returning with complaint or diagnosis related to EMP generated prescriptions | 2 years | Proportion of patients returning with a complaint or diagnosis related to index EMP-generated prescriptions at three and six-month time points |
Countries
United States
Contacts
PRINCIPAL_INVESTIGATORKevin Burnham, Pharm.D.
Methodist Health System
Outcome results
None listed