4CPS-240 Clinical pharmacy in psychiatric department. A qualitative study from users of medicine reviews performed by pharmacists

<h3>Background and Importance</h3> Clinical pharmacy services within the psychiatric departments of the Region of Southern Denmark have been established for a decade. Over the years, these services have evolved, with pharmacists now primarily conducting medical reviews at the request of physicians. On average, approximately 30 medical reviews are requested each month, reflecting a clear and growing demand. The aim of this study was to emphasise the value that pharmacists provide within psychiatric departments. While some evaluations of pharmacist guidance have been conducted, these have typically focused on community pharmacy settings and patient perspectives. <h3>Aim and Objectives</h3> Pharmacists play a central role in supporting psychiatric care through their expertise in medication management. The primary objective of this study was to assess the impact and perceived benefits of pharmacist-conducted medical reviews from the perspective of physicians in psychiatric departments within the Region of Southern Denmark, highlighting the critical contribution of pharmacists to patient care. <h3>Material and Methods</h3> A questionnaire was distributed via email to physicians in psychiatric departments who had previously requested one or more medical reviews. The initial distribution took place in May 2023, with a follow-up conducted in September 2024. <h3>Results</h3> In 2023, 49 physicians responded to the questionnaire, while in 2024, 31 responses were received. Results from both surveys indicated that pharmacist-led medical reviews saved physicians significant time. The quality and usefulness of these reviews were rated as satisfactory or very satisfactory. Physicians noted that pharmacists were instrumental in promoting rational pharmacotherapy and enhancing patient safety. The reviews enabled psychiatrists to concentrate on other critical responsibilities, underscoring the essential role of clinical pharmacists in psychiatric care. <h3>Conclusion and Relevance</h3> The Danish healthcare system is undergoing significant structural changes, and incorporating a broader range of health professionals is vital for maintaining comprehensive medical care. Pharmacists’ involvement in medical reviews is regarded as beneficial, particularly for alleviating physicians’ workload and enhancing the quality of care. The increasing demand for pharmacist-conducted medical reviews highlights their crucial role in ensuring rational pharmacotherapy and promoting patient safety. This study underlines the importance of integrating pharmacists into psychiatric care settings, especially where the availability of healthcare professionals, including psychiatrists, is limited. <h3>References and/or Acknowledgements</h3> <h3>Conflict of Interest</h3> No conflict of interest