[Mapping of clinical pharmacy activities within the adult emergency care pathway in France].

چکیده اصلی

OBJECTIVES: The aim of this study is to map clinical pharmacy activities within the adult emergency care pathway in France. METHOD: An online survey was sent out between 26/02/2024 and 31/10/2024 to 1,240 hospital pharmacists. The survey consisted of 36 questions on the characteristics of clinical pharmacy activities deployed or not deployed in adult emergency departments. Only one response per establishment was requested. RESULTS: The response rate was 36,9 % (458). Off the 266 institutions with an adult emergency department, 55 (20.7 %) have implemented clinical pharmacy activities, and their geographical distribution is not uniform across the country. The main activities carried out are pharmaceutical prescription analysis and medication reconciliation, particularly in the short stay unit. The profiles of the pharmaceutical professionals involved vary from one institution to another depending on the resources available, and they are mainly funded by the pharmacy department. Of the 211 institutions without any activities in place, 82 (38.9 %) have plans to implement them, either in progress or under consideration, with a stronger dynamic for university hospital-type institutions. The main obstacle to implementing these activities in adult emergency departments is a lack of human resources and funding. DISCUSSION AND CONCLUSION: This mapping reflects a positive trend in the deployment of clinical pharmacy activities in adult emergency departments in France, involving all types of pharmacists, despite disparities depending on the type of establishment or geographical location. The main obstacle identified is the lack of human resources, with few pharmacists currently having a position dedicated entirely to activities in an adult emergency department.

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