Medication Reconciliation in Pediatric Neurology: A Longitudinal Study of Clinical Pharmacist Recommendations and Physician Acceptance Dynamics

• DOI: 10.20944/preprints202504.1719.v1
• Publication Date: 2025-04-22T00:22:03Z
• Authors: Margherita Zennaro; Anna Trotter; Daniele Mengato; Laura Camuffo; Claudio Ancona; Irene Toldo; Maria Cecilia Giron; Maria Federica Pe...; Margherita Nosadini; Giorgio Perilongo; Stefano Sartori; Francesca Venturini
• Keywords: Pediatric Neurology

Background/Objectives: Clinical pharmacy plays a crucial role in optimizing medication use, particularly pediatric settings where drug therapy can be complex and understudied. This study aims to assess the impact of clinical pharmacists Pediatric Neurology Neurophysiology Unit, focusing on physician acceptance pharmacist suggestions types advice most frequently followed. Methods: A retrospective observational was conducted over 13 weeks, involving three phases: best possible history collection at admission, inpatient treatment, treatment changes. The utilized cluster model categorize evaluate rates. Results: included 57 patients (53% male) with median age 3 years (IQR: 1–10,25). total 138 recommendations were shared, an overall rate 42%. Medication errors accounted for largest (45%), though only 32% accepted. Among shared categories suggestions, pharmaceutical form optimization (A) supply (E) exhibited higher rates by clinicians (64% 42% respectively). increased time, peaking 100% during weeks 7 11, correlating positively enhanced collaboration between (R² = 0.59). Conclusions: highlights importance care, improving management through targeted interventions. findings suggest that integrating into multidisciplinary teams enhance patient care quality fostering trust among healthcare professionals.