The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study
Background: In recent years, pharmacists in Australia have been able to expand their scope to include the provision of a range of services. Although evidence has demonstrated the benefits of pharmacist-managed TDM services, recent studies have shown that these services are not prominent within Austr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-12-01
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| Series: | Pharmacy |
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| Online Access: | https://www.mdpi.com/2226-4787/10/6/173 |
| _version_ | 1797455637114781696 |
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| author | Paul Firman Ken-Soon Tan Alexandra Clavarino Meng-Wong Taing Sally Dixon Helender Singh Karen Whitfield |
| author_facet | Paul Firman Ken-Soon Tan Alexandra Clavarino Meng-Wong Taing Sally Dixon Helender Singh Karen Whitfield |
| author_sort | Paul Firman |
| collection | DOAJ |
| description | Background: In recent years, pharmacists in Australia have been able to expand their scope to include the provision of a range of services. Although evidence has demonstrated the benefits of pharmacist-managed TDM services, recent studies have shown that these services are not prominent within Australia and that the current TDM workflow may not be optimal. Methods: An interventional pilot study was conducted of a pharmacist-managed TDM program for vancomycin at a tertiary hospital in Australia. Results: In total, 15 pharmacists participated in the program. They performed 50.5% of the medication-related pathology over the intervention period. Pharmacist involvement in the TDM process was more likely to lead to appropriate TDM sample collection (OR 87.1; 95% CI = 11.5, 661.1) and to an appropriate dose adjustment (OR 19.1; 95% CI = 1.7, 213.5). Pharmacists demonstrated increased confidence after the education and credentialling package was provided. Conclusions: This study demonstrated that a credentialling package for pharmacists can improve knowledge, skills, and confidence around the provision of pharmacist-managed TDM services for vancomycin. This may lead to the evolution of different roles and workflows enabling pharmacists to contribute more efficiently to improving medication safety and use. |
| first_indexed | 2024-03-09T15:57:09Z |
| format | Article |
| id | doaj.art-272c11a2f7384df2bd02734fb78c9c69 |
| institution | Directory Open Access Journal |
| issn | 2226-4787 |
| language | English |
| last_indexed | 2024-03-09T15:57:09Z |
| publishDate | 2022-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Pharmacy |
| spelling | doaj.art-272c11a2f7384df2bd02734fb78c9c692023-11-24T17:23:40ZengMDPI AGPharmacy2226-47872022-12-0110617310.3390/pharmacy10060173The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot StudyPaul Firman0Ken-Soon Tan1Alexandra Clavarino2Meng-Wong Taing3Sally Dixon4Helender Singh5Karen Whitfield6School of Pharmacy, The University of Queensland, Woolloongabba, QLD 4102, AustraliaSchool of Medicine, Griffith University, Gold Coast, QLD 4222, AustraliaSchool of Public Health, The University of Queensland, Saint Lucia, QLD 4072, AustraliaSchool of Pharmacy, The University of Queensland, Woolloongabba, QLD 4102, AustraliaLogan Hospital, Meadowbrook, QLD 4131, AustraliaLogan Hospital, Meadowbrook, QLD 4131, AustraliaSchool of Pharmacy, The University of Queensland, Woolloongabba, QLD 4102, AustraliaBackground: In recent years, pharmacists in Australia have been able to expand their scope to include the provision of a range of services. Although evidence has demonstrated the benefits of pharmacist-managed TDM services, recent studies have shown that these services are not prominent within Australia and that the current TDM workflow may not be optimal. Methods: An interventional pilot study was conducted of a pharmacist-managed TDM program for vancomycin at a tertiary hospital in Australia. Results: In total, 15 pharmacists participated in the program. They performed 50.5% of the medication-related pathology over the intervention period. Pharmacist involvement in the TDM process was more likely to lead to appropriate TDM sample collection (OR 87.1; 95% CI = 11.5, 661.1) and to an appropriate dose adjustment (OR 19.1; 95% CI = 1.7, 213.5). Pharmacists demonstrated increased confidence after the education and credentialling package was provided. Conclusions: This study demonstrated that a credentialling package for pharmacists can improve knowledge, skills, and confidence around the provision of pharmacist-managed TDM services for vancomycin. This may lead to the evolution of different roles and workflows enabling pharmacists to contribute more efficiently to improving medication safety and use.https://www.mdpi.com/2226-4787/10/6/173clinical pharmacytherapeutic drug monitoringvancomycinexpanded scope pharmacist |
| spellingShingle | Paul Firman Ken-Soon Tan Alexandra Clavarino Meng-Wong Taing Sally Dixon Helender Singh Karen Whitfield The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study Pharmacy clinical pharmacy therapeutic drug monitoring vancomycin expanded scope pharmacist |
| title | The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study |
| title_full | The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study |
| title_fullStr | The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study |
| title_full_unstemmed | The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study |
| title_short | The Development, Implementation, and Evaluation of a Pharmacist-Managed Therapeutic Drug Monitoring (TDM) Service for Vancomycin—A Pilot Study |
| title_sort | development implementation and evaluation of a pharmacist managed therapeutic drug monitoring tdm service for vancomycin a pilot study |
| topic | clinical pharmacy therapeutic drug monitoring vancomycin expanded scope pharmacist |
| url | https://www.mdpi.com/2226-4787/10/6/173 |
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