Publications by authors named "Olavo A Fernandes"

Objectives: The aim of this scoping review was to identify and characterise pharmacy students' contributions to extend pharmacist's direct patient care during inpatient hospital experiential rotations.

Methods: A search of PubMed, Embase and CINAHL databases from 2000 to July 2021 was conducted. Articles were included if they involved pharmacy students during experiential rotations, described student's contribution to direct patient care in the inpatient hospital setting, and reported outcomes.

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Article Synopsis
  • Patients on haemodialysis are at high risk for medication discrepancies, with a study finding 512 discrepancies in 228 patients (3.4 per patient).
  • Most discrepancies were unintentional, such as missed medications (21%) and incorrect dosages (43%).
  • The findings highlight the need for formal medication reconciliation practices to enhance patient safety and prevent potential adverse drug events.
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Background: Internal hospital transfer is a vulnerable time during which patients are at high risk of medication discrepancies that can result in clinically significant harm, medication errors, and adverse drug events.

Objective: To identify, characterize, and assess the clinical impact of unintentional medication discrepancies during internal hospital transfer and to investigate the influence of computerized prescriber order entry (CPOE) on medication discrepancies.

Methods: All patients transferred between 10 inpatient units at 2 tertiary care hospitals were prospectively assessed to identify discrepancies.

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Background: Hospital discharge is an interface of care when patients are at a high risk of medication discrepancies as they transition from hospital to home. These discrepancies are important, as they may contribute to drug-related problems, medication errors, and adverse drug events.

Objective: To identify, characterize, and assess the clinical impact of unintentional medication discrepancies at hospital discharge.

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Background: In the hospital setting, postoperative admission is a key vulnerable moment when patients are at increased risk of medication discrepancies. This study measures the reduction of medication discrepancies associated with a combined intervention of structured pharmacist medication history interviews with assessments in a surgical preadmission clinic and a postoperative medication order form.

Methods: In the Surgical Pharmacist in Preadmission Clinic Evaluation (SPPACE) study, patients who had a preadmission clinic appointment before undergoing surgical procedures were eligible for inclusion.

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Background: Continuity of care is required as patients move from the care of one pharmacist to another. The appropriate transfer of medication information between pharmacists as well as to patients at these times is essential in order to prevent drug-related problems (DRPs).

Objective: To develop a tool to transfer medication information between various pharmacists caring for the same patients.

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Background: Patients with end-stage renal disease (ESRD) are at risk for drug-related problems (DRPs), especially on hospital admission.

Objective: To identify and characterize the DRPs experienced by patients with ESRD on admission and investigate how these DRPs could be related to gaps in medication information transfer.

Methods: Patients with ESRD admitted to the hospital were prospectively identified and clinically assessed by a pharmacist to identify and categorize DRPs on admission.

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