Multidisciplinary team working
CPT consultants often have important working relationships with other medical specialties and healthcare professionals.
CPT consultants work in collaboration with clinical pharmacists to bring together complementary expertise to:
- improve reporting of adverse events
- promote good prescribing practice
- reduce medication errors
- train prescribers (new and experienced) through the Prescribing Safety Assessment (PSA).
A UK in-depth investigation into the causes of prescribing errors by foundation trainees in relation to their medical education found that prescribing or monitoring errors were detected in the care of one in eight patients, involving one in 20 of all prescription items.
In England, reducing the incidence of medication errors has been incorporated as a key improvement area within Domain 5 of the NHS Outcomes Framework. Clinical pharmacologists work to minimise errors by playing a key role in advising specialists in other disciplines on the safe, effective and evidence-based use of medicines. This specialist role is crucial in protecting patient safety and improving outcomes. A specific example is clinical pharmacologists working with microbiologists to promote rational antibiotic prescribing.
Clinical pharmacologists work closely with laboratory staff, including those in toxicology laboratories, nurses, basic scientists in academia and industry, and other healthcare professions, regulators and civil servants. Examples of close working include the development of national guidance for laboratory support, antidote recommendations and supply mechanisms and advice concerning the availability of high-cost medicines.