Abstract
This article summarizes the experience with the development of clinical pharmacy services in the Ghent University Hospital in Belgium. Implementation of clinical pharmacy services in Belgian hospitals has not been evident because these activities were initially not structurally financed. The aim is to describe the strengths and weaknesses of the clinical pharmacy development process, and the milestones that enhanced the progress. Furthermore, the organisation of clinical pharmacy in the Ghent University Hospital is explained, including back- and front-office activities, seamless pharmaceutical care and medication safety improvement. Some working methods, procedures and tools are explained for different clinical pharmacy services. In particular, the clinical pharmacy projects for geriatric patients as well as the preparation of clinical pharmacy services for the accreditation process are explained. We also reflect on the organisation model and the future development of clinical pharmacy, taking into consideration facilitators and potential barriers.
Similar content being viewed by others
Explore related subjects
Discover the latest articles, news and stories from top researchers in related subjects.References
Federal Public Service of Health. Network for clinical pharmacy. http://www.health.belgium.be/internet2Prd/groups/public/@public/@dg1/@acutecare/documents/ie2divers/19082651_nl.pdf. Accessed 4 January 2016.
Bauters TG, Verlooy J, Robays H, Benoit Y, Laureys G. Emesis control by aprepitant in children and adolescents with chemotherapy. Int J Clin Pharm. 2013;35(6):1021–4.
Bauters T, Bordon V, Robays H, Benoit Y, Dhooge C. Successful use of eculizumab in a pediatric patient treated for paroxysmal nocturnal hemoglobinuria. J Pediatr Hematol Oncol. 2012;34(8):346–8.
Bauters T, Mondelaers V, Robays H, De Wilde H, Benoit Y, De Moerloose B. Methemoglobinemia and hemolytic anemia after rasburicase administration in a child with leukemia. Int J Clin Pharm. 2011;33(1):58–60.
Claus B, Robays H, Decruyenaere J, Annemans L. Expected net benefit of clinical pharmacy in intensive care medicine: a randomized interventional comparative trial with matched before-and-after groups. J Eval Clin Pract. 2014;20(6):1172–9.
Claus B, Colpaert K, Steurbaut K, De Turck F, Vogelaers D, Robays H, Decruyenaere J. Role of an electronic antimicrobial alert system in intensive care in dosing errors and pharmacist workload. Int J Clin Pharm. 2015;37(2):387–94.
Buyle F, Wallaert M, Beck N, Boelens J, Callens S, Claeys G, Deryckere S, Haegeman E, Leroux-Roels I, Sermijn E, Steel E, Robays H, Vandekerckhove L, Vermis K, Vogelaers D. Implementation of a multidisciplinary infectious diseases team in a tertiary hospital within an Antimicrobial Stewardship Program. Acta Clin Belg. 2014;69(5):320–6.
Buyle F, Vogelaers D, Peleman R, Van Maele G, Robays H. Implementation of guidelines for sequential therapy with fluoroquinolones in a Belgian hospital. Pharm World Sci. 2010;32(3):404–10.
Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. CMAJ. 2005;173(5):510–5.
Nielsen TR, Andersen SE, Rasmussen M, et al. Clinical pharmacist service in the acute ward. Int J Clin Pharm. 2013;35(6):1137–51.
Perehudoff K, Azermai M, Somers A, Vander Stichele R, Petrovic M. Medication discrepancies in older patients admitted to non-geriatric wards: an exploratory study. Eur Geriatr Med. 2015;6(1):41–5.
Holland R, Desborough J, Goodyer L, et al. Does pharmacist-led medication review help to reduce hospital admissions and deaths in older people? A systematic review and meta-analysis. Br J Clin Pharmacol. 2008;65:303–16.
Somers A, Mallet L, van der Cammen T, Robays H, Petrovic M. Applicability of an adapted Medication Appropriateness Index (MAI) for detection of drug related problems in geriatric inpatients. Am J Geriatr Pharmacother. 2012;10(2):101–9.
Kruse V, Somers A, Van Bortel L, De Both A, Van Belle S, Rottey S. Sunitinib for metastatic renal cell cancer patients: observational study highlighting the risk of important drug–drug interactions. J Clin Pharm Ther. 2014;39(3):259–65.
Somers A, Petrovic M, Robays H, et al. Reporting adverse drug reactions on a geriatric ward: a pilot project. Eur J Clin Pharmacol. 2003;58(10):707–14.
Hallas J, Harvald B, Worm J, Beck-Nielsen J, et al. Drug related hospital admissions: results from an intervention program. Eur J Clin Pharmacol. 1993;45(3):199–203.
Somers A, Robays H, Vander Stichele R, Van Maele G, Bogaert M, Petrovic M. Contribution of drug related problems to hospital admission in the elderly. J Nutr Health Aging. 2010;14:475–82.
Somers A, Robays H, De Paepe P, Van Maele G, Perehudoff K, Petrovic M. Evaluation of clinical pharmacist recommendations in the geriatric ward of a Belgian university hospital. Clin Interv Aging. 2013;8:703–9.
QMentum International. Managing medication standards: accreditation Canada international. https://accreditation.ca/medication-management-standards. Accessed 4 January 2016.
Tuckwell KJ. Integrated marketing communications: strategic planning perspectives. 4th ed. Toronto: Pearson Education Canada; 2014.
Acknowledgments
The authors are indebted to all the participating clinical pharmacists, especially to the former head pharmacist Prof. H. Robays. This article is based on a presentation at the 42nd ESCP Symposium on the Implementation of Clinical Pharmacy Practice: Research, Education and Management, held in Prague, Czech Republic, October 2013.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Funding
This article was not funded.
Conflicts of interest
The authors have no conflicts of interest.
Rights and permissions
About this article
Cite this article
Somers, A., Claus, B., Vandewoude, K. et al. Experience with the Implementation of Clinical Pharmacy Services and Processes in a University Hospital in Belgium. Drugs Aging 33, 189–197 (2016). https://doi.org/10.1007/s40266-016-0356-3
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40266-016-0356-3