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Table 4 Type, Acceptance Rate and Clinical Significance of Interventions

From: Evaluation of the implementation of a clinical pharmacy service on an acute internal medicine ward in Italy

Intervention Type

n (%)

Acceptance Rate (%)

Clinical Significance (%)*,1

Full

Partial*,2

Rejected

Minor

Moderate

Major

Extreme

Deleterious

Educate/inform healthcare professional

151 (20.4)

96.0

2.6

1.3

NA

NA

NA

NA

NA

Change dose

119 (16.1)

94.1

3.4

2.5

1.0

73.7

24.6

1.0

0

Switch to other drug

109 (14.7)

94.5

3.7

1.8

20.2

64.2

14.7

0

0.9

Discontinue drug

105 (14.2)

89.5

6.7

3.8

16.2

59.5

21.6

2.7

0

Add a new drug

86 (11.6)

93.0

4.7

2.3

25.0

44.0

31.0

0

0

Other*,3

170 (23.0)

91.8

3.5

4.7

4.3

72.0

23.4

0

0

Total

740 (100)

93.2

3.9

2.8

12.6

63.2

23.4

0.7

0.2

  1. NA = not applicable; i.e. clinical significance not assessed by the independent panel as intervention triggered by a healthcare professional other than the pharmacist and/or intervention not leading to change in drug therapy
  2. *,1N = 611 (a total of 611 interventions were assessed for clinical significance by the independent panel; panellists did not assess 129 iinterventions as considered not to impact on clinical care)
  3. *,2Advice accepted but partially acted upon
  4. *,3Most common intervention types were: monitoring of medications, follow up of medications newly started, advice on form and route of administration of medications and dosage calculations