Publications by authors named "Louise Smed Gronkjaer"

Introduction: In 2017, as part of the Danish National Evaluation (LUP), some patients at Lillebaelt Hospital reported receiving insufficient information about their drug treatment. The aim of this study was to evaluate the effect of a multifaceted clinical pharmacist intervention on patient-reported levels of drug information received and patients' perceptions of safety and comfortability with their drug treatment.

Methods: In this feasibility study, the intervention consisted of a multifaceted service including two patient interviews using a motivational interviewing approach.

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As a consequence of implementing clinical pharmacy at hospitals in Denmark, the need of defining some of the services delivered appeared: medication anamnesis, medication reconciliation, medication review and prescription review. Consensus was reached on the definitions with qualification by 20 colleagues from hospital pharmacies throughout the country as well as from external stakeholders. As an additional benefit, the definitions could cover the pharmacy services performed in primary care as well, which may help improve communication in the interface management of medication treatment.

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Objective: Incomplete medication histories obtained on hospital admission are responsible for more than 25% of prescribing errors. This study aimed to evaluate whether pharmacy technicians can assist hospital physicians' in obtaining medication histories by performing medication reconciliation and prescribing reviews. A secondary aim was to evaluate whether the interventions made by pharmacy technicians could reduce the time spent by the nurses on administration of medications to the patients.

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We document the process of implementing a clinical pharmacist service at the acute medical admission unit at Odense University Hospital. During the period December 2009 through April 2010 we reviewed 915 medication lists, which resulted in 628 interventions with generic substitution as the most frequent. The overall acceptance rate was 80%, albeit varying from 99% for generic substitution to 25% for change of administration route.

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