Short Research Report

International Journal of Clinical Pharmacy

, Volume 34, Issue 2, pp 272-276

First online:

Acceptance and importance of clinical pharmacists’ LIMM-based recommendations

  • Åsa BondessonAffiliated withDepartment of Clinical Pharmacology, Lund UniversityApoteket Farmaci AB, Hospital Pharmacy, Lund University Hospital Email author 
  • , Lydia HolmdahlAffiliated withDepartment of Medicine, Lund University Hospital
  • , Patrik MidlövAffiliated withDepartment of Clinical Sciences in Malmoe, General Practice/Family Medicine, Lund University
  • , Peter HöglundAffiliated withDepartment of Clinical Pharmacology, Lund University
  • , Emmy AnderssonAffiliated withApoteket Farmaci AB, Hospital Pharmacy, Lund University Hospital
  • , Tommy ErikssonAffiliated withDepartment of Clinical Sciences, Lund UniversityApoteket Farmaci AB, Hospital Pharmacy, Lund University Hospital

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Abstract

Objective The objective of this study was to evaluate the quality of the clinical pharmacy service in a Swedish hospital according to the Lund Integrated Medicine Management (LIMM) model, in terms of the acceptance and clinical significance of the recommendations made by clinical pharmacists. Method The clinical significance of the recommendations made by clinical pharmacists was assessed for a random sample of inpatients receiving the clinical pharmacy service in 2007. Two independent physicians retrospectively ranked the recommendations emerging from errors in the patients’ current medication list and actual drug-related problems according to Hatoum, with rankings ranging between 1 (adverse significance) and 6 (extremely significant). Results The random sample comprised 132 patients (out of 800 receiving the service). The clinical significance of 197 recommendations was assessed. The physicians accepted and implemented 178 (90%) of the clinical pharmacists’ recommendations. Most of these recommendations, 170 (83%), were ranked 3 (somewhat significant) or higher. Conclusion This study provides further evidence of the quality of the LIMM model and confirms that the inclusion of clinical pharmacists in a multi-professional team can improve drug therapy for inpatients. The very high level of acceptance by the physicians of the pharmacists’ recommendations further demonstrates the effectiveness of the process.

Keywords

Clinical pharmacist Clinical significance Drug-related problems Hospital Medication reconciliation Medication review Sweden