Pharmacist care in hospital emergency departments: a consensus paper from the Spanish hospital pharmacy and emergency medicine associations

Jesús Ruiz Ramos1,3, Beatriz Calderón Hernanz1,4, Yolanda Castellanos Clemente1,5, Manuel Bonete Sánchez1,6, Emili Vallve Alcon1,7, M.ª Rosario Santolaya Perrin1,8, M.ª Ángeles García Martín1,9, Ana de Lorenzo Pinto1,10, José Manuel Real Campaña1,11, Javier Ramos Rodríguez1,12, Cristina Calzón Blanco1,13, Milagros García Peláez1,14, Héctor Alonso Ramos1,15, Joan Altimiras Ruiz1,16, Paloma Sempere Serrano1,17, María Martín Cerezuela18, Leonor Periañez Parraga19, Ana María Juanes Borrego2,20, Beatriz Somoza Fernández1,10, Juan Manuel Rodríguez Camacho4,21, Mireia Puig Campmany2,3, Iria Miguens Blanco2,10, Santiago Tomás Vecina22, Catalina Nadal Galmes2,4, Javier Povar Marco2,11

Affiliation of the authors

1Grupo REDFASTER-SEFH. 2Grupo SEMES-FARMA. 3Hospital Santa Creu i Sant Pau, Barcelona, Spain. 4Hospital Universitari Son Llàtzer, Mallorca, Spain. 5Hospital Universitario de Fuenlabrada, Madrid, Spain. 6Hospital Universitario San Juan de Alicante, Spain. 7Hospital Vall d´Hebron, Barcelona, Spain. 8Hospital Príncipe de Asturias, Spain. 9Hospital Universitario La Paz, Madrid, Spain. 10Hospital General Universitario Gregorio Marañón, Madrid, Spain. 11Hospital Universitario Miguel Servet, Zaragoza, Spain. 12Hospital Universitario Parc Taulí, Barcelona, Spain. 13Hospital Universitario Central de Asturias, Oviedo, Spain.14Hospital General de Granollers, Barcelona, Spain. 15Hospital Universitario Doctor Negrín, Las Palmas, Spain. 16Grupo IDC Salud- Catalunya, Spain. 17Complexo Hospitalario Universitario de Santiago de Compostela, Spain. 18Grupo FARMIC-SEFH. Hospital Univarsitari i Politècnic La Fe, Valencia, Spain. 19Grupo AFINF-SEFH. Hospital Univarsitari Son Espases, Palma, Spain. 20Grupo CRONOS-SEFH. 21Grupo Seguridad Clínica-SEFH. 22Fundación FIDISP, Spain.



Ruiz Ramos J, Calderón Hernanz B, Castellanos Clemente Y, Bonete Sánchez M, Vallve Alcon E, Santolaya Perrin MR, et al. Pharmacist care in hospital emergency departments: a consensus paper from the Spanish hospital pharmacy and emergency medicine associations. Emergencias. 2023;35:205-17



To draft a list of actions and quality indicators for pharmacist care in hospital emergency departments, based on consensus among a panel of experts regarding which actions to prioritize in this setting.
Material and methods. A panel of experts from the Spanish Society of Hospital Pharmacy (SEFH) and the Spanish Society of Emergency Medicine (SEMES) evaluated a preliminary list of potential actions and quality of care indicators. The experts used a questionnaire to assess the proposals on the basis of available evidence. In the first round, each expert individually assessed the importance of each proposed action based on 4 dimensions: evidence base, impact on clinical response and patient safety, ease of implementation, and priority. In the second round the experts attended a virtual meeting to reach consensus on a revised list of proposals; suggestions and comments that had been made anonymously in the first round were included. The group then prioritized each action as basic, intermediate, or advanced.


The experts evaluated a total of 26 potential actions and associated quality indicators. No items were eliminated in the analysis of scores and comments from the first round. After the second round, 25 actions survived. Nine were considered basic, 10 intermediate, and 6 advanced.


The expert panel’s list of pharmacist actions and care quality indicators provides a basis for developing a pharmacist care program in Spanish emergency departments on 3 levels of priority. The list can serve as a guide to pharmacists, managers, physicians, and nurses involved in the effort to improve drug therapy in this hospital setting.


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