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Pharmacist intervention to enhance postoperative fluid prescribing practice in an Iraqi hospital through implementation of NICE guideline

Pharmacy practice, 2019-07, Vol.17 (3), p.1552-1552 [Peer Reviewed Journal]

Copyright: © Pharmacy Practice. ;2019. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;Copyright: © Pharmacy Practice 2019 ;This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License. ;LICENCIA DE USO: Los documentos a texto completo incluidos en Dialnet son de acceso libre y propiedad de sus autores y/o editores. Por tanto, cualquier acto de reproducción, distribución, comunicación pública y/o transformación total o parcial requiere el consentimiento expreso y escrito de aquéllos. Cualquier enlace al texto completo de estos documentos deberá hacerse a través de la URL oficial de éstos en Dialnet. Más información: https://dialnet.unirioja.es/info/derechosOAI | INTELLECTUAL PROPERTY RIGHTS STATEMENT: Full text documents hosted by Dialnet are protected by copyright and/or related rights. This digital object is accessible without charge, but its use is subject to the licensing conditions set by its authors or editors. Unless expressly stated otherwise in the licensing conditions, you are free to linking, browsing, printing and making a copy for your own personal purposes. All other acts of reproduction and communication to the public are subject to the licensing conditions expressed by editors and authors and require consent from them. Any link to this document should be made using its official URL in Dialnet. More info: https://dialnet.unirioja.es/info/derechosOAI ;ISSN: 1885-642X ;ISSN: 1886-3655 ;EISSN: 1886-3655 ;EISSN: 1696-1137 ;DOI: 10.18549/PharmPract.2019.3.1552 ;PMID: 31592296

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  • Title:
    Pharmacist intervention to enhance postoperative fluid prescribing practice in an Iraqi hospital through implementation of NICE guideline
  • Author: Abbood, Sarah K ; Assad, Hayder C ; Al-Jumaili, Ali A
  • Subjects: Body Weight ; Electrolytes ; Fluid Therapy ; Fluids ; Guideline Adherence ; Hospital ; Iraq ; Morbidity ; Mortality ; Original Research ; Patients ; Pharmacists ; Pharmacology & Pharmacy ; Pharmacy Service ; Pharmacy Service Hospital ; Professional Practice ; Prospective Studies ; Researchers ; Studies ; Surgeons ; Surgery ; Teaching hospitals
  • Is Part Of: Pharmacy practice, 2019-07, Vol.17 (3), p.1552-1552
  • Description: The objectives of this study were to evaluate the current practice of postoperative fluid prescribing and assess the effectiveness of pharmacist-led intervention in the implementation of the National Institute of Health and Care Excellence (NICE) fluid therapy guideline in an Iraqi hospital. The prospective interventional study was conducted at AL-Hilla Teaching Hospital, Babylon, Iraq between November 2017 and July 2018. The study included two phases: The pre-intervention phase with 84 patients and the post-intervention phase with 112 patients. A pharmacist provided training and educational sessions for the hospital physicians and pharmacists about the NICE guideline of fluid therapy. The researcher calculated the amount of given post-operative fluids and compared to the NICE guideline and also measured the patients' body weight, serum Na, K and creatinine pre-and post-operatively. The pre-intervention phase showed no correlation between the amounts of prescribed fluids and body weight which caused increases in patients' body weight. In pre-intervention phase, 6% of patients experienced hyponatremia, 19% had hypernatremia and 7.1% had hypokalemia. In the post-intervention phase, abnormal level of electrolytes and patient weight gain decreased significantly. Additionally, the intervention led to a strong correlation between body weight and amount of prescribed fluids in addition to lowering the incidence of electrolyte disturbances. A high proportion of patients in the pre-intervention phase experienced fluid overload, weight gain and electrolyte disturbances when fluid therapy was not prescribed in accordance with the NICE guidelines. The pharmacist-led intervention increased the surgeon awareness of the proper use of the NICE guideline which decreased the incidence of fluid-related complications and the inconsistency of fluid prescribing. Pharmacists can play a critical role to enhance post-operative fluid prescribing and minimize fluid-induced complications.
  • Publisher: Spain: Centro de Investigaciones y Publicaciones Farmaceuticas, S.L
  • Language: English;Spanish;Portuguese
  • Identifier: ISSN: 1885-642X
    ISSN: 1886-3655
    EISSN: 1886-3655
    EISSN: 1696-1137
    DOI: 10.18549/PharmPract.2019.3.1552
    PMID: 31592296
  • Source: SciELO
    PubMed Central
    ROAD: Directory of Open Access Scholarly Resources
    ProQuest Central
    Dialnet
    DOAJ Directory of Open Access Journals
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