Evidence map›Paper›PMID 38805086›Full record

Observational studyInternational journal of clinical pharmacy2024

Measuring the impact of pharmaceutical care bundle delivery on patient outcomes: an observational study.

Martin Luke Canning, Ross McDougall, Stephanie Yerkovich, Michael Barras, Ian Coombes, Clair Sullivan, Karen Whitfield

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in International journal of clinical pharmacy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Martin Luke CanningPharmacy Department, The Prince Charles Hospital, Rode Rd, Chermside, Qld, 4032, Australia. Martin.Canning@health.qld.gov.au.ORCID http://orcid.org/0000-0002-6216-8728
Ross McDougallPharmacy Department, The Prince Charles Hospital, Rode Rd, Chermside, Qld, 4032, Australia.
Stephanie YerkovichMenzies School of Health Research, Casuarina, Australia.ORCID http://orcid.org/0000-0003-4163-4782
Michael BarrasPrincess Alexandra Hospital, Woolloongabba, Australia.ORCID http://orcid.org/0000-0001-8105-0090
Ian CoombesThe University of Queensland, Woolloongabba, Australia.ORCID http://orcid.org/0000-0002-1009-6136
Clair SullivanThe University of Queensland, Woolloongabba, Australia.ORCID http://orcid.org/0000-0003-2475-9989
Karen WhitfieldThe University of Queensland, Woolloongabba, Australia.

Funding

Queensland Health Health Practitioners Research Scheme
6 · The paper itself

Abstract

backgroundClinical pharmacists perform activities to optimise medicines use and prevent patient harm. Historically, clinical pharmacy quality indicators have measured individual activities not linked to patient outcomes.

aimTo determine the proportion of patients who receive a pharmaceutical care bundle (PCB) (consisting of a medication history, medication review, discharge medication list and medicines information on the discharge summary) as well as investigate the relationship between delivery of this PCB and patient outcomes.

methodPharmaceutical care bundle activities were defined within state-wide (Queensland, Australia) clinical information systems and datasets were linked. An observational study using routinely recorded data was performed at ten participating sites for adult patients who had a non-same day hospital stay. The association between extent of PCB delivery and three patient outcomes were investigated: length of stay (LOS), unplanned readmission, and mortality.

resultsIn total 283,813 patient hospital stays were evaluated. The delivery of the PCB occurred in 26.9% of patients at the ten participating hospital sites, ranging from 0.6 to 61.2% across sites. Patients with a longer LOS were more likely to receive delivery of the complete PCB (P < 0.001). There was no correlation between PCB and hospital standardised mortality ratio (r = 0.03, p = 0.93). Higher rates of delivery of the PCB were associated with lower rates of unplanned readmission within 30 days (r = - 0.993, p < 0.001).

conclusionA complete PCB was delivered to 26.9% of patients and was associated with a significantly lower rate of unplanned readmission within 30 days.

Indexed as

Length of StayPatient Care BundlesPharmacy Service, HospitalAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedPatient ReadmissionPharmacistsQueenslandLength of stayPatient care bundlesPatient safetyPharmaceutical servicesPharmacistsPharmacy

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.