CLINICAL PHARMACIST IMPACT ON MEDICATION-RELATED OUTCOMES IN A PEDIATRIC MEDICAL HOME

Auditorium A

Objective. The purpose of this study is to develop and implement clinical pharmacy services in a pediatric patient centered medical home (PCHM). Background. The PCMH is a common delivery model for special needs children and lends itself to the incorporation of a pharmacist to manage medication use and improve medication related outcomes. Methods. A clinical pharmacist initiated services at Children's Medical Services. All medical charts were reviewed by a pharmacist prior to clinic visits and evaluated for improved medication use. During the visit, the clinical pharmacist completed a medication history to reconcile the medication records. Results. In seven months, a total of 166 medical charts were reviewed. The average age was 11.6 ± 5.2 years (range 0.8-21.4). The average number of medications per patient at time of review was 4 ± 4(range 0-18). Overall, the total number of interventions made was 102 in 60 (36%) patients. The intervention included: 31 (53% of all interventions) omitted medications, 28 (47%) medication discontinued, 18 (17%) incorrect doses , 1 (2%) incorrect route , 14 (23%) incorrect frequency , 1 (2%) missing PRN indication , 4 (7%) missing allergy , and 5 (8%) other (including incorrect concentration medication). Conclusion. The number of interventions in a short timeframe illustrates the necessity of a pharmacist to assist in coordinating medication use in this population. Accurate medication records can prevent medication errors upon hospital admission, visits to specialty practitioners in which sedation may be required (e.g., dental procedures) and when referring the patient to another specialty physician. Grants. N/A