{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T17:36:13Z","timestamp":1762968973718,"version":"3.45.0"},"reference-count":0,"publisher":"Canadian Society of Healthcare-Systems Pharmacy","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Can J Hosp Pharm"],"abstract":"<jats:p>Background: Following a restructuring of its pharmacy practices and activities, the pharmacy department of the Institut universitaire de cardiologie et de pneumologie de Qu\u00e9bec developed a patient prioritization tool to optimize its delivery of pharmaceutical care. This tool assigns a vulnerability score to patients according to their medications and certain vulnerability factors established in the literature. The tool identifies vulnerable patients who need pharmaceutical care on a mandatory basis (within 1 day) or a priority basis (between 1 and 3 days).\nObjective: To describe pharmacist interventions carried out for patients admitted to the study institution, in terms of pharmaceutical care provided in relation to scoring with the prioritization tool.\nMethods: This prospective study involved patients admitted to the study institution for at least 48 hours between May 10 and May 19, 2023. The prioritization tool was applied for all included patients, who were followed prospectively throughout their stay. The pharmacists recorded their interventions on a data collection form. Data were analyzed using frequency analysis, and relationships between variables were expressed using the Pearson correlation coefficients and percentages.\nResults: Of the 393 patients seen during the study period, 304 were included in the study. Of these, 186 had a priority designation and 64 had a mandatory designation, according to the prioritization tool. The pharmacists performed a total of 1023 interventions, with 194 of the 304 included patients receiving at least 1 pharmacist intervention. The number of interventions for each patient increased with the person\u2019s vulnerability score. The most frequent activities were chart review (n = 453, 44.3%), followed by the prescription (n = 115, 11.2%), dose adjustment (n = 64, 6.3%), and discontinuation (n = 64, 6.3%) of a medication. The mean response time was 1.25 days for patients deemed to need pharmaceutical care on a mandatory basis and 1.57 days for patients deemed to need care on a priority basis.\nConclusion: In this study, the number of interventions per patient increased with the person\u2019s vulnerability score. Although pharmacists responded faster than the recommended time for patients deemed to need care on a priority basis, the response time for patients needing care on a mandatory basis could be improved.\nKeywords: pharmaceutical care, pharmaceutical interventions, prioritization tool, vulnerability\nR\u00c9SUM\u00c9\nContexte : \u00c0 la suite d\u2019une restructuration de ses pratiques et de ses activit\u00e9s pharmaceutiques, le D\u00e9partement de pharmacie de l\u2019Institut universitaire de cardiologie et de pneumologie de Qu\u00e9bec a mis au point un outil de priorisation des patients pour optimiser la prestation de ses soins pharmaceutiques. Cet outil attribue un score de vuln\u00e9rabilit\u00e9 aux patients selon les m\u00e9dicaments qu\u2019ils prennent et des facteurs de vuln\u00e9rabilit\u00e9 qui ont \u00e9t\u00e9 \u00e9tablis dans la litt\u00e9rature. Il identifie les patients vuln\u00e9rables ayant besoin de soins pharmaceutiques \u00e0 titre syst\u00e9matique (dans la journ\u00e9e) ou \u00e0 titre prioritaire (entre 1 et 3 jours).\nObjectifs : D\u00e9crire les interventions r\u00e9alis\u00e9es par les pharmaciens aupr\u00e8s des patients admis \u00e0 l\u2019Institut en mati\u00e8re de soins pharmaceutiques offerts par rapport au score obtenu \u00e0 l\u2019aide de l\u2019outil de priorisation des patients.\nM\u00e9thodologie : Cette \u00e9tude prospective comprenait des patients admis \u00e0 l\u2019Institut pendant au moins 48 heures entre le 10 et le 19 mai 2023. L\u2019outil de priorisation a \u00e9t\u00e9 utilis\u00e9 pour tous les patients de l\u2019\u00e9tude, et ceux-ci ont \u00e9t\u00e9 suivis prospectivement pendant leur s\u00e9jour \u00e0 l\u2019h\u00f4pital. Les pharmaciens ont consign\u00e9 leurs interventions sur un formulaire de collecte des donn\u00e9es. Les donn\u00e9es ont fait l\u2019objet d\u2019une analyse de fr\u00e9quence, et des coefficients de corr\u00e9lation de Pearson et des pourcentages ont \u00e9t\u00e9 utilis\u00e9s pour exprimer les relations entre les variables.\nR\u00e9sultats : Sur les 393 patients admis pendant la p\u00e9riode de l\u2019\u00e9tude, 304 ont \u00e9t\u00e9 inclus dans l\u2019\u00e9tude. Selon l\u2019outil de priorisation, 186 de ceux-ci avaient besoin de soins pharmaceutiques \u00e0 titre prioritaire et 64 \u00e0 titre syst\u00e9matique. Les pharmaciens ont effectu\u00e9 1023 interventions au total. Pour 194 des 304 patients inclus, au moins 1 intervention a \u00e9t\u00e9 effectu\u00e9e. Le nombre d\u2019interventions par patient augmentait selon son score de vuln\u00e9rabilit\u00e9. Les activit\u00e9s les plus fr\u00e9quentes \u00e9taient l\u2019analyse de dossiers (n = 453, 44,3 %), suivi par la prescription d\u2019ordonnances (n = 115, 11,2 %), l\u2019ajustement de dose (n = 64, 6,3 %), et la cessation d\u2019un m\u00e9dicament (n = 64, 6,3 %). Le d\u00e9lai d\u2019intervention moyen \u00e9tait de 1,25 jour pour les patients consid\u00e9r\u00e9s comme n\u00e9cessitant des soins pharmaceutiques \u00e0 titre syst\u00e9matique, et de 1,57 jour pour ceux consid\u00e9r\u00e9s comme ayant besoin de soins \u00e0 titre prioritaire.\nConclusion : Dans cette \u00e9tude, le nombre d\u2019interventions par patient augmentait selon son score de vuln\u00e9rabilit\u00e9. Bien que les pharmaciens intervenaient plus rapidement que le d\u00e9lai recommand\u00e9 pour les patients jug\u00e9s n\u00e9cessiter des soins \u00e0 titre prioritaire, le d\u00e9lai de r\u00e9ponse pour ceux n\u00e9cessitant des soins \u00e0 titre syst\u00e9matique pourrait \u00eatre am\u00e9lior\u00e9.\nMots-cl\u00e9s : soins pharmaceutiques, interventions pharmaceutiques, outil de priorisation, vuln\u00e9rabilit\u00e9<\/jats:p>","DOI":"10.4212\/cjhp.3687","type":"journal-article","created":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T17:27:17Z","timestamp":1762968437000},"source":"Crossref","is-referenced-by-count":0,"title":["Description of Pharmacist Interventions Based on Pharmaceutical Care and a Vulnerability Scoring Tool in a Tertiary Care Centre"],"prefix":"10.4212","volume":"78","author":[{"given":"Justine","family":"Falanga-Duchesneau","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gabrielle","family":"Plante","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Racicot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Isabelle","family":"Taillon","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"M\u00e9thot","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2732","published-online":{"date-parts":[[2025,11,12]]},"container-title":["Canadian Journal of Hospital Pharmacy"],"original-title":[],"link":[{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3687\/5757","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3687\/5763","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/download\/3687\/5757","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,12]],"date-time":"2025-11-12T17:27:18Z","timestamp":1762968438000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cjhp-online.ca\/index.php\/cjhp\/article\/view\/3687"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11,12]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2025,11,12]]}},"URL":"https:\/\/doi.org\/10.4212\/cjhp.3687","relation":{},"ISSN":["1920-2903","0008-4123"],"issn-type":[{"value":"1920-2903","type":"electronic"},{"value":"0008-4123","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11,12]]},"article-number":"e3687"}}