The clinical pharmacist's contributions within the multidisciplinary patient care team of an intern nephrology ward

Int J Clin Pharm. 2011 Oct;33(5):759-62. doi: 10.1007/s11096-011-9548-4. Epub 2011 Aug 10.


Objective: To describe and evaluate newly implemented clinical pharmacy services and ward round participation on a specialized nephrology ward in a large tertiary care hospital.

Method: All issues addressed by the clinical pharmacist were systematically collected, and the contributions were classified by type. Where applicable, physicians' acceptance rates were recorded. The drugs most commonly affected by the clinical pharmacist's contributions are described.

Results: A total of 158 clinical pharmacist's contributions were recorded. Approximately 90% (n = 104) of applicable suggestions (117 out of 158; 74%) were accepted by the treating physicians. Most issues were discussed with physicians (85%); the remaining issues were discussed with nurses and medical students. Antimicrobials, drugs affecting the alimentary system and metabolism, and cardiovascular drugs were among the most commonly affected drugs. Issues concerning dosage and drug-therapy selection were common. The clinical pharmacist was also involved in developing dosing guidelines and performing literature searches.

Conclusion: The observed effects of a newly implemented clinical pharmacy service on an internal nephrology ward are encouraging; acceptance rates of suggestions and the multidisciplinary appreciation of clinical pharmacy services are high.

Publication types

  • Evaluation Study

MeSH terms

  • Humans
  • Medication Errors / prevention & control
  • Medication Errors / statistics & numerical data*
  • Nephrology / statistics & numerical data*
  • Patient Care Team / organization & administration
  • Patient Care Team / statistics & numerical data*
  • Pharmacy Service, Hospital / organization & administration
  • Pharmacy Service, Hospital / statistics & numerical data*
  • Program Development / statistics & numerical data*
  • Program Evaluation / methods
  • Program Evaluation / statistics & numerical data