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2023-01-11
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Pharmacy Practice & Practice-Based Research
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Copyright (c) 2023 Simroop Ladhar, Karen Dahri, Colleen Inglis, Amanda Sambrielaz, Haider Raza, Michael Legal
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright of content published in INNOVATIONS in pharmacy belongs to the author(s).
Insights into British Columbian Hospital Pharmacists Perspectives on the Discharge Process
Simroop Ladhar
University of British Columbia
Karen Dahri
Faculty of Pharmaceutical Sciences, University of British Columbia
Colleen Inglis
University of British Columbia; Island Health, Courtenay, BC
Amanda Sambrielaz
University of British Columbia
Haider Raza
University of British Columbia
Michael Legal
University of British Columbia; Lower Mainland Pharmacy Services, Lower Mainland, BC
DOI: https://doi.org/10.24926/iip.v13i4.5093
Keywords: patient discharge, clinical pharmacist, seamless care
Abstract
Background: Transitions of care represent a vulnerable time for patients where unintended therapeutic changes are common and inadequate communication of information frequently results in medication errors. Pharmacists have a large impact on the success of patients during these care transitions; however, their role and experiences are largely absent from the literature.
Objectives: The purpose of this study was to gain a greater understanding of British Columbian hospital pharmacists’ perceptions of the hospital discharge process and their role in it.
Methods: A qualitative study utilizing focus groups and key informant interviews of British Columbian hospital pharmacists was conducted from April to May 2021. Questions asked during interviews were developed following a detailed literature search and included questions regarding the use of frequently studied interventions. Interview sessions were transcribed and then thematically analyzed using both NVivo software and manual coding.
Results: Three focus groups with a total of 20 participants and one key informant interview were conducted. Six themes were identified through data analysis: (1) overall perspectives; (2) important roles of pharmacists in discharges; (3) patient education; (4) barriers to optimal discharges; (5) solutions to current barriers; and (6) prioritization.
Conclusions and Relevance: Pharmacists play a vital role in patient discharges but due to limited resources and inadequate staffing models they are often unable to be optimally involved. Understanding the thoughts and perceptions of pharmacists on the discharge process can help us better allocate limited resources to ensure patients receive optimal care.
