%0 Journal Article
%T Assessment of Drug-Related Problems Detected by Clinical Pharmacists in a Thai Academic Healthcare Institution
%A Mikko Lahtinen
%A Elina Salo
%A Juhani Virtanen
%J Annals of Pharmacy Education, Safety, and Public Health Advocacy
%@ 3108-4850
%D 2025
%V 5
%N 1
%R 10.51847/B3mlpi4lSv
%P 164-172
%X Medication-related complications remain a major concern in healthcare because drug-related problems (DRPs) may reduce treatment effectiveness, compromise patient safety, and contribute to unwanted clinical outcomes. Clinical pharmacists are increasingly involved in healthcare teams to detect medication-related issues and recommend appropriate solutions. This study investigated the frequency, classification, severity, and management outcomes of DRPs identified through clinical pharmacist activities.A retrospective review was conducted at Ramathibodi Hospital, a tertiary academic hospital in Thailand. Patient information was retrieved from the institutional DRP monitoring database and electronic medical records. Descriptive statistical analysis was conducted using Statistical Package for Social Sciences (SPSS) version 18.0. Of 2837 hospitalised patients reviewed, 580 (20.44%) had one or more DRPs. A total of 1255 medication-related issues were evaluated according to the Cipolle-Strand-Morley classification system (2012). The leading DRP category was the absence of necessary drug therapy (27.09%), followed by inadequate dosing (26.93%) and excessive dosing (22.31%). Anti-infective medications were the drug class most frequently linked with DRPs (23.71%), whereas omeprazole was the most commonly involved individual medication (2.70%). Based on severity evaluation, the majority of DRPs resulted in no patient harm (95.46%). Clinical pharmacists’ recommendations were accepted by physicians in almost all cases (99.12%). Medication-related issues most frequently involved the initiation of required therapies and optimisation of medication doses, particularly for antimicrobial treatments. Ward-based clinical pharmacy services demonstrated a valuable role in detecting, correcting, and preventing DRPs among hospitalised patients.
%U https://smerpub.com/article/assessment-of-drug-related-problems-detected-by-clinical-pharmacists-in-a-thai-academic-healthcare-i-pwqjilerqzb8yhr