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4CPS-037 Selection of patients for pharmaceutical medication management: development and implementation of a digital point-based tool in electronic patient journal system

ejhpharm · 2026-03-18 · canonical JSON source

6 visible annotations · policy: published · automated confidence ≥ 75.00%

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Background and Importance Pharmaceutical resources are limited and it is not possible that every patient is seen by a pharmacist for a medication review. Therefore, patients are normally screened by different parameters such as age, reason for inquiry, hospitalisation-time or by physicians’ request. This leaves a potential group of patients who do not fit these parameters but who could benefit from a pharmaceutical medication review. Because of the limited resources, it is important that pharmacists spend the time on the most relevant patients.After the medication review, the pharmacist can make a written or oral intervention for the physician describing medication related problems and possible solutions.Aim and Objectives This study aimed to develop an electronic point-based tool for pharmacists to use when selecting relevant patients for medication review. Furthermore, the tool was implemented, and the number of pharmaceutical interventions were evaluated.Material and Methods First, pharmacists decided parameters for graduating the patients: kidney function, number of medical treatments, risk-situation-drugs (opioids, blood thinners and antidiabetics), triple-whammy-interaction and anticholinergic burden. These five parameters were based on previous conclusions from medication reviews. Each parameter was given a score and built into an electronic patient journal system (EPJ) for automatic screening. Second, the digital point-based tool was presented and implemented in an emergency department. The pharmacists developed a new workflow prioritising patients with the highest score. Implementation and efficacy were evaluated by the number of pharmaceutical interventions before and after presenting the digital point-based tool.Results In 2024 the group of pharmacists in the emergency department made 3635 medication reviews. Of these the pharmacists found reason for a pharmaceutical intervention in 2046 (56%) cases. After implementation of the digital point-based tool (13 May –19 September 2025) the pharmacists made 726 medication reviews. Of these the pharmacist found reason for a pharmaceutical intervention in 552 (76%) cases, corresponding to a 20% increase.Conclusion and Relevance Incorporation of the digital point-based tool in EPJ makes it easy to see every patient’s point-score and thereby makes patient-prioritisation user-friendly. The increase in rate of interventions (56% to 76%), indicates that the pharmacists are spending more time on pharmacist-relevant patients.Conflict of Interest No conflict of interest