Establishing a pharmacy presence in the emergency department: opportunities and challenges in the French setting
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Overview of clinical pharmacy practice around the world shows that pharmaceutical services in emergency departments (EDs) are far less common in Europe than in North America. Reported experiences have shown the impact of a clinical pharmacy service on drug utilisation and safety issues. This commentary presents the implementation of a pharmacy presence in the ED of a French tertiary care hospital. Our experience helps to define the role of the clinical pharmacist in the ED, including patient interviewing, providing medication reconciliation, promoting drug safety, and supporting specific interventions to improve quality of care and patient safety. The role of ED pharmacists in the improvement of quality of care is not necessarily limited to drug therapy, e.g. by helping outpatients to access care and treatment facilities as best suits their needs. Challenges of implementing ED pharmacy services have been identified well, but still require developing strategies to be overcome.
KeywordsContinuity of care Emergency department France Implementation of clinical pharmacy services Literature review
The authors would like to thank Drs Antoine Dupuis and Marie-Line Mottier for reviewing this article.
Conflicts of interest
The authors have no conflict of interest to declare.
- 14.Welch SA, Graudins LV. Scope of pharmacy services to the emergency department. J Pharm Pract Res. 2007;37(1):27–9.Google Scholar
- 19.Gammelgaard LG, Nørskov MN, Trolle S, Berlac P, Tomsen DV. Implementation of front-line clinical pharmacy in an emergency department. Eur J Hosp Pharm. 2012;19:228–9.Google Scholar
- 20.De Winter S, von Winckelmann S, Spriet I, Knockaert D, Willems L. Measuring the activities of a clinical pharmacist on sequential treatment on the emergency department (Poster: PEC-232). 36th European symposium of clinical pharmacy, Turkey. Pharm World Sci. 2007;30(5):649–740.Google Scholar
- 24.Fairbanks RJ, Rueckmann EA, Kolstee KE, Hays DP, Cobaugh DJ, Wears RL, et al. Clinical pharmacists in emergency medicine. In: Henriksen K, Battles JB, Keyes MA, Grady ML, editors. Advances in patient safety: new directions and alternative approaches. Vol. 4. Technology and medication safety. AHRQ Publication No. 08-0034-4. Rockville, MD: Agency for Healthcare Research and Quality; August 2008.Google Scholar