Abstract
Drugs are essential to manage symptoms and slow disease progression in many conditions and also to prevent the development of future illnesses. However, drugs also have a risk of causing harm, and transitions of care are a key risk event regarding drug-related patient safety. This dissertation revealed that both incorrect drug lists and drug-related emergency department visits are critical concerns when patients are admitted to Norwegian emergency departments, as this affects 62% and 20% of patients, respectively. Further, it was revealed that integrating clinical pharmacists in the interdisciplinary team of the emergency department improves the quality of the registered drug list and can increase recognition of drug-related emergency department visits. The four studies included in this dissertation have added new knowledge regarding drug information flow, drug-related emergency department admissions, and tailoring of pharmacists-led emergency department interventions. The dissertation challenges the existing procedures for obtaining and assessing drug-related information at admission to the emergency department. Furthermore, the dissertation highlights that increased awareness, tailored interventions, and willingness to take action are necessary to address the presented factors of concern.
List of papers
Paper I Damlien L, Davidsen N, Nilsen M, Godø A, Moger TA, Viktil KK. Drug safety at admission to emergency department: an innovative model for PRIOritizing patients for MEdication Reconciliation (PRIOMER). European Journal of Emergency Medicine. 2017 Oct;24(5):333- 339. Epub 2015 Dec. The paper is removed from the thesis in DUO due to publisher restrictions. The published version is available at: https://doi.org/10.1097/MEJ.0000000000000355 |
Paper II Nymoen LD, Flatebø TE, Moger TA, Øie E, Molden E, Viktil KK. Impact of systematic medication review in emergency department on patients’ post-discharge outcomes -a randomized controlled clinical trial. PLOS ONE. 2022 Sep 19;17(9):e0274907. An author version is included in the thesis. The published version is available at: https://doi.org/10.1371/journal.pone.0274907 |
Paper III Nymoen LD, Björk M, Flatebø TE, Nilsen M, Godø A, Øie E, Viktil KK. Drug-related emergency department visits: prevalence and risk factors. Internal and Emergency Medicine. 2022 Aug;17(5):1453-1462. The paper is included in the thesis in DUO, and also available at: https://doi.org/10.1007/s11739-022-02935-9 |
Paper IV Nymoen LD, Tran T, Walter SR, Lehnbom EC, Tunestveit IK, Øie E, Viktil KK. Emergency department physicians' distribution of time in the fast paced-workflow-a novel time-motion study of drug-related activities. International Journal of Clinical Pharmacy. 2022 Apr;44(2):448-458. The paper is included in the thesis in DUO, and also available at: https://doi.org/10.1007/s11096-021-01364-6 |