Creating new pharmacy services at a large tertiary hospital

Mrs Estelle Jensen1, Ms Victoria Forrester1

1Queensland Health, Brisbane, Australia

Background: Pharmacists provide essential patient safety services and provide large financial benefits through medication management. The Princess Alexandra Hospital has created five trial senior (HP4) pharmacist positions over the last two years. These roles have arisen in areas without previous pharmacy services due to medication incidents, requests from nursing or medical staff for a clinical pharmacy service, and successful projects established at other sites. The new roles are: Perioperative, Security and Prisoners (“Security”), Transit Care Hub and Patient Flow (“Transit”), Ophthalmology Outpatient Clinic and Transplant Outpatient Clinic. Innovative pharmacist roles offer opportunities to improve services and expand pharmacy scope, but can be challenging to establish.

Method: When a new service was suggested, key stakeholders were engaged and reportable outcomes for the position were identified. Other sites with similar positions were also consulted. Stakeholder committees containing pharmacists, nurses and doctors were established to provide strategic direction for the role and to get initial business case funding. The successful candidates presented periodic progress reports to the stakeholder committee throughout the trial. Final reports were prepared and presented to the hospital’s Executive Committee midway and at completion of the trials. Business cases for permanent funding were submitted at the conclusion of the trial period.

Results: Three of the roles have received permanent funding: Perioperative, Transit and Security. Annual cost savings that offset the expense of the position were demonstrated for the first two; $279,785 and $265,198 respectively. The Security role has improved safety for correctional patients, reduced readmissions and provided cost savings to the ward. The other two roles are still in trial periods.

Conclusion: Innovative pharmacist roles optimise patient safety outside of traditional inpatient wards and upskill the pharmacy workforce. Collaboration and strategic direction are imperative to the success of establishing these roles.


Biography: To be confirmed

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