International Journal of Clinical Pharmacy

, Volume 39, Issue 6, pp 1175–1184 | Cite as

Effects of multidisciplinary teams and an integrated follow-up electronic system on clinical pharmacist interventions in a cancer hospital

  • Muhammad Tahir AzizEmail author
  • Tofeeq Ur Rehman
  • Sadia Qureshi
  • Sidrah Andleeb
Research Article


Background The aim of drug therapy is to attain distinct therapeutic effects that not only improve patient’s quality of life but also reduce the inherent risks associated with the therapeutic use of drugs. Pharmacists play a key role in reducing these risks by developing appropriate interventions. Whether to accept or reject the intervention made by the pharmacist is a relevant consultant’s decision. Objective To evaluate the impact of electronic prompts and follow-up of rejected pharmacy interventions by clinical pharmacists in an in-patient setting. Setting Shaukat Khanum Cancer Hospital & Research Center, Lahore, Pakistan. Method The study was conducted in two phases. Data for 3 months were collected for each phase of the study. Systematic and quantifiable consensus validity was developed for rejected interventions in phase 1, based on patient outcome analyses. Severity rating was assigned to assess the significance of interventions. Electronic prompts for follow-on interventions in phase 2 were then developed and implemented, including daily review via a multidisciplinary team (MDT) approach. Main outcome measure Validity of rejected interventions, acceptance of follow-on interventions before and after re-engineering the pharmacy processes, rejection rate and severity rating of follow-on interventions. Result Of a total of 2649 and 3064 interventions that were implemented during phase 1 and phase 2, 238 (9%) and 307 (10%) were rejected, respectively. Additionally, 133 (56%) were inappropriate rejections during phase 1. The estimated reliability between pharmacists regarding rejected interventions was 0.74 (95% CI of 0.69, 0.79, p 0.000). Prospective data were analysed after implementing electronic alerts and an MDT approach. The acceptance rate of follow-on interventions in phase 2 was 60% (184). Conclusion Electronic prompts for follow-on interventions together with an MDT approach enhance the optimization of pharmacotherapy, increase drug rationality and improve patient care.


Electronic alert Multidisciplinary team Pakistan Pharmacy interventions Rejected interventions 



The author thanks all the clinical pharmacists for their help with obtaining background information on pharmacy interventions.


There was no specific funding source for this study.

Conflicts of interest

The authors declare no conflicts of interest.


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Muhammad Tahir Aziz
    • 1
    • 2
    Email author
  • Tofeeq Ur Rehman
    • 1
  • Sadia Qureshi
    • 3
  • Sidrah Andleeb
    • 2
  1. 1.Department of PharmacyQuaid-i-Azam UniversityIslamabadPakistan
  2. 2.Department of PharmacyShaukat Khanum Memorial Cancer Hospital & Research CenterLahorePakistan
  3. 3.Department of BiochemistryRashid Latif Medical CollegeLahorePakistan

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