SYSTEMATIC REVIEW
Pharmacist‐led discharge medication counselling: A scoping
review
Aline F. Bonetti MSc, PharmD
1
|
Wálleri C. Reis PhD, Professor
2
|
Natália Fracaro Lombardi MSc, PharmD
1
|
Antonio M. Mendes MSc, PharmD
1
|
Harli Pasquini Netto MSc, PharmD
1
|
Inajara Rotta PhD, PharmD
1
|
Fernando Fernandez‐Llimos PhD, Professor
3
|
Roberto Pontarolo PhD, Professor
1
1
Postgraduate Program in Pharmaceutical
Sciences, Federal University of Parana,
Curitiba, Brazil
2
Department of Pharmacy, Federal University
of Paraiba, João Pessoa, Brazil
3
Institute for Medicines Research (iMed.
ULisboa), Department of Social Pharmacy,
Faculty of Pharmacy, University of Lisbon,
Lisbon, Portugal
Correspondence
Roberto Pontarolo, Postgraduate Program in
Pharmaceutical Sciences, Federal University of
Parana, Av. Pref Lothario Meissner, 3400,
Jardim Botânico, 36, 80210‐170 Curitiba,
Brazil.
Email: pontarolo@ufpr.br
Abstract
Rationale, aims, and objectives: Discharge medication counselling has produced
improved quality of care and health outcomes, especially by reducing medication
errors and readmission rates, and improving medication adherence. However, no
studies have assembled an evidence‐based discharge counselling process for clinical
pharmacists. Thus, the present study aims to map the components of the pharma-
cist‐led discharge medication counselling process.
Methods: We performed a scoping review by searching electronic databases
(Pubmed, Scopus, and DOAJ) and conducting a manual search to identify studies pub-
lished up to July 2017. Studies that addressed pharmacist‐led discharge medication
counselling, regardless of the population, clinical conditions, and outcomes evaluated,
were included.
Results: A total of 1563 studies were retrieved, with 75 matching the inclusion
criteria. Thirty‐two different components were identified, and the most prevalent
were the indication of the medications and adverse drug reactions, which were
reported in more than 50% of the studies. The components were reported similarly
by studies from the USA and the rest of the world, and over the years. However, 2
differences were identified: the use of a dosage schedule, which was more frequent
in studies published in 2011 or before and in studies outside the USA; and the
teach‐back technique, which was used more frequently in the USA. Poor quality
reporting was also observed, especially regarding the duration of the counselling,
the number of patients, and the medical condition.
Conclusion: Mapping the components of the pharmacist‐led discharge counselling
studies through a scoping review allowed us to reveal how this service is performed
around the world. Wide variability in this process and poor reporting were identified.
Future studies are needed to define the core outcome set of this clinical pharmacy
service to allow the generation of robust evidence and reproducibility in clinical
practice.
KEYWORDS
counselling, evidence‐based practice, patient discharge, pharmaceutical care
Received: 15 February 2018 Revised: 12 March 2018 Accepted: 22 March 2018
DOI: 10.1111/jep.12933
J Eval Clin Pract. 2018;1–10. © 2018 John Wiley & Sons, Ltd. wileyonlinelibrary.com/journal/jep 1