Publications by authors named "K D Wien"

Article Synopsis
  • The systematic review focuses on identifying common drug-related problems (DRPs) in adult psychiatric inpatients and potential solutions to address these issues.
  • The review analyzed 88 articles, revealing a prevalence of DRPs ranging from 0.32 to 9.48 per patient, with prescribing errors and drug interactions being the most frequent problems encountered.
  • Clinical pharmacists play a crucial role in mitigating these DRPs through various interventions, including medication reviews and the use of digital tools, highlighting the importance of interdisciplinary collaboration in psychiatric care.
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Introduction: In 2021, a computerized physician order entry (CPOE) system with an integrated clinical decision support system (CDSS) was implemented at a tertiary care center for the treatment of mental health conditions in Lübeck, Germany. To date, no study has been reported on the types and prevalence of drug-related problems (DRPs) before and after CPOE implementation in a psychiatric inpatient setting. The aim of this retrospective before-and-after cohort study was to investigate whether the implementation of a CPOE system with CDSS accompanied by the introduction of regular medication plausibility checks by a pharmacist led to a decrease of DRPs during hospitalization and unsolved DRPs at discharge in psychiatric inpatients.

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Objective: To assess the effect of a routine medication review service in German community pharmacies (ATHINA) on drug-related problems (DRPs) and patient-related outcomes.

Materials And Methods: From 2015 to 2017, ATHINA patients were invited by their pharmacists to participate in a prospective, observational trial, meaning that they needed to attend to a follow-up visit (T2) 3 - 6 months after the routine ATHINA baseline (T0) and concluding visit (T1) to assess implementation rates of the pharmacists' interventions. Moreover, they were asked to fill in 2 surveys on drug treatment-related quality of life and satisfaction with the amount of information received about medicines at T0, T1, and T2.

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Background: Inadequate drug monitoring of drug therapy after hospital discharge facilitates adverse drug events and preventable hospital readmissions.

Objective: This study aimed to analyze the structure and content of drug monitoring advices of a representative sample of discharge letters as a basis for future electronic information systems.

Methods: On 2 days in November 2016, all discharge letters of 3 departments of a university hospital were extracted from the hospital information system.

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Comprehensible information leaflets can improve a patient's knowledge. However, in clinical studies leaflets are often introduced without meticulously verifying their comprehensibility. In an attempt to provide a feasible guidance on how to design comprehensible leaflets we complied and evaluated an easy-to-use development procedure.

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