Yahya Faiza, Nazar Hamde, Hadi Muhammad Abdul
Our Health Partnership, First Floor, 1856 Pershore Road, Cotteridge, Birmingham, B30 3AS, UK.
School of Pharmacy, Newcastle University, King George VI Building, Newcastle-Upon-Tyne, NE1 7RU, UK.
J Pharm Policy Pract. 2022 Oct 29;15(1):75. doi: 10.1186/s40545-022-00473-5.
Evidence has shown that there is a significant problem with medication safety when patients are transferred between settings. The role of community pharmacists and hospital pharmacists in facilitating transition of care has been well-researched. However, with the developing role of pharmacists in general practice as part of a multi-disciplinary team, little is known about their role in improving transition of care when patients move from secondary to primary care. The key objective of this scoping review is to understand the nature and extent of the role of primary care pharmacists for patients recently discharged from secondary care.
This scoping review will follow the Joanna Briggs Institute (JBI) methodology for scoping review underpinned by the Arksey and O'Malley methodology and reported in accordance with the Preferred Reporting Items for Systematic Reviews Extension for Scoping Reviews (PRISMA-ScR) guidelines. The following electronic databases will be systematically searched: MEDLINE, EMBASE, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science and NICE Evidence. Reference lists of included full texts will be searched for relevant papers, in addition to grey literature which includes websites of relevant professional organisations. Primary studies, published in the English language that involved a primary care pharmacist-led intervention post-hospital discharge will be included. Two independent reviewers will screen studies against eligibility criteria and use a piloted data extraction form to extract data related to the review questions. The data will be presented in tabular form and assessed for key themes to identify gaps and inform future research.
This scoping review will map current evidence surrounding the role of primary care pharmacists in the post-hospital discharge care of patients. Findings will inform ongoing research to support safer transfer-of-care post-hospital discharge and identify ways in which collaboration between healthcare professionals can be improved. This review anticipates guiding the inclusion of patient and public involvement (PPI) at the consultation stage to validate and build on the findings.
有证据表明,患者在不同医疗机构之间转诊时,用药安全存在重大问题。社区药剂师和医院药剂师在促进护理转接方面的作用已得到充分研究。然而,随着药剂师在全科医疗中作为多学科团队一员的作用不断发展,对于患者从二级医疗转向初级医疗时药剂师在改善护理转接方面的作用却知之甚少。本范围综述的主要目的是了解初级医疗药剂师在二级医疗机构近期出院患者护理中作用的性质和程度。
本范围综述将遵循乔安娜·布里格斯研究所(JBI)的范围综述方法,该方法以阿克西和奥马利方法为基础,并按照系统评价扩展版范围综述的首选报告项目(PRISMA-ScR)指南进行报告。将系统检索以下电子数据库:MEDLINE、EMBASE、PubMed、Cochrane对照试验中心注册库(CENTRAL)、科学网和英国国家卫生与临床优化研究所(NICE)证据库。除了包括相关专业组织网站在内的灰色文献外,还将检索纳入全文的参考文献列表以查找相关论文。将纳入以英文发表的、涉及初级医疗药剂师主导的出院后干预措施的原始研究。两名独立评审员将根据纳入标准筛选研究,并使用预先测试的数据提取表提取与综述问题相关的数据。数据将以表格形式呈现,并评估关键主题以识别差距并为未来研究提供信息。
本范围综述将梳理当前有关初级医疗药剂师在患者出院后护理中作用的证据。研究结果将为正在进行的研究提供信息,以支持出院后更安全的护理转接,并确定可改善医疗保健专业人员之间协作的方法。本综述预计将指导在咨询阶段纳入患者和公众参与(PPI),以验证并完善研究结果。