Optimizing Heart Failure Management: A Review of the Clinical Pharmacist Integration to the Multidisciplinary Health Care Team.
Esteban Zavaleta-MonestelSebastián Arguedas-ChacónAlonso Quirós-RomeroJose Miguel Chaverri-FernándezBruno Serrano-AriasJosé Pablo Díaz-MadrizJonathan García-MonteroMario Osvaldo Speranza-SanchezPublished in: International journal of heart failure (2023)
Heart failure (HF) stands as a prevalent chronic ailment, imposing a substantial burden on global healthcare systems due to recurrent hospitalizations, intricate management, persistent symptoms, and polypharmacy challenges. The augmentation of patient safety and treatment efficacy across various care stages, facilitated by a multidisciplinary HF team inclusive of a clinical pharmacist, emerges as paramount. Evidence underscores that the collaborative engagement of a physician and a clinical pharmacist engenders proficient and secure management, forestalling avoidable adversities stemming from drug reactions and prescription inaccuracies. This synergistic approach tailors treatments optimally to individual patients. Post-discharge, the vulnerability of HF patients to re-hospitalization looms large, historically holding sway as the foremost cause of 30-day readmissions. Diverse strategies have been instituted to fortify patient well-being, leading to the formulation of specialized transitional care programs that shepherd patients effectively from hospital to outpatient settings. These initiatives have demonstrably curtailed readmission rates. This review outlines a spectrum of roles assumed by clinical pharmacists within the healthcare cohort, spanning inpatient care, transitional phases, and outpatient services. Moreover, it traverses a compendium of studies spotlighting the affirmative impact instigated by integrating clinical pharmacists into these fields.
Keyphrases
- healthcare
- quality improvement
- end stage renal disease
- heart failure
- palliative care
- patient safety
- newly diagnosed
- ejection fraction
- chronic kidney disease
- prognostic factors
- primary care
- public health
- peritoneal dialysis
- mental health
- climate change
- depressive symptoms
- patient reported outcomes
- drug delivery
- chronic pain
- health insurance
- left ventricular
- acute care
- combination therapy
- health information