Role of clinical pharmacists in telemonitoring for patients with Coronavirus Disease 2019 (COVID-19)

J Clin Pharm Ther. 2021 Feb;46(1):236-239. doi: 10.1111/jcpt.13293. Epub 2020 Oct 21.

Abstract

What is known and objective: Clinical pharmacists actively participate in patient care via patients' medication use. Yet the setting of Coronavirus Disease 2019 (COVID-19) limits patient contact with healthcare personnel. We aimed to review the services provided and drug-related problems detected using telemonitoring methods to guide clinical pharmacists in providing service in treating COVID-19 patients.

Comment: At a tertiary care hospital in Thailand, clinical pharmacists provided pharmaceutical care services for COVID-19 patients via telemonitoring using the hospital's computerized physician order entry system. The pharmacists were able to provide therapeutic drug monitoring services, especially for anticoagulants. Many patients were considered special populations, with individualized requirements for drug dosing. Some adverse drug reactions were observed. Drug-related problems were mostly related to medication use in critically ill patients.

What is new and conclusion: Telemonitoring is a viable method for clinical pharmacists to provide pharmaceutical care and meet the challenges posed by treating patients with COVID-19.

Keywords: adverse effect; clinical pharmacy; drug interactions; pharmaceutical care; pharmacist consultation; therapeutic drug monitoring.

MeSH terms

  • Anticoagulants / administration & dosage
  • COVID-19 / therapy*
  • Critical Illness
  • Dose-Response Relationship, Drug
  • Drug Monitoring / methods
  • Drug-Related Side Effects and Adverse Reactions / epidemiology
  • Drug-Related Side Effects and Adverse Reactions / prevention & control
  • Humans
  • Patient Care / methods
  • Pharmacists / organization & administration*
  • Pharmacy Service, Hospital / organization & administration*
  • Professional Role
  • Telemedicine / organization & administration*
  • Tertiary Care Centers
  • Thailand

Substances

  • Anticoagulants