The document describes the development and validation of the VI-Med® tool for medication review in Vietnamese hospitals. The tool consists of 3 forms to collect patient information, conduct medication review, and document pharmacist interventions. Six clinical pharmacists used the tool to classify sample drug-related problems and pharmacist interventions. Their classifications showed good to excellent agreement according to Cohen's Kappa scores. A survey found the pharmacists were satisfied with the tool's usefulness, ease of use, and that it can be used to support medication review in clinical practice. The VI-Med® tool is validated and ready to use to standardize the medication review process in Vietnam.

1. INTRODUCTION
Tra-Linh HOANG, Thi-Ha VO
THE VI – MED® TOOL FOR MEDICATION REVIEW
IN CLINICAL PHARMACY PRACTICE
Hue University of Medicine and Pharmacy, Hue, Viet Nam
METHODS
RESULTS
CONCLUSION REFERENCES
 Medication review (MR) is one of the most important activities in daily clinical pharmacy
practice. Clinical pharmacists are able to detect drug-related problems (DRPs) and provide
pharmacist interventions (PIs) to physicians for improving patient care.
 However, MR is conducted infrequently by clinical pharmacists in Vietnam because of a lack
of supporting tools.
Develop and validate a tool for supporting MR in
Vietnamese hospitals.
 Vi-Med® tool: consits of 3 forms  Validating Vi-Med® tool
 Reliability  Satisfaction
Level Very poor Poor Fair Good Excellent
Cohen’s
Kappa
0,20 0,21 – 0,40 0,41 – 0,60 0,61-0,80 0,81-1,00
80,4% agreement
κ = 0,76
Classification of DRPs
“GOOD”
87,6% agreement
κ = 0,83
Classification of PIs
“EXCELLENT”
 Ready-to-use
Form Content
61,1%
“very satisfied”
50%
“very satisfied”
38,9%
“satisfied”
50%
“satisfied”
 Usefulness
83%
17%
Very useful Useful
83%
17%
Definitely use
certainly use
The level of concordance between users and user-friendliness can be considered as
satisfactory, allowing the use of the tool in daily clinical pharmacy practice. The
present instrument is the first one which was validated for supporting medication review
in Vietnamese hospital.
1.Vo TH et al. Tools for Assessing Potential Significance of Pharmacist Interventions: A
Systematic Review. Drug Safety. 2016 Feb;39(2):131-46
2.T.-H. Vo et al. Validation of the CLEO tool for evaluating potential significance of
pharmacist interventions in a centralized chemotherapy preparation unit. 44th ESCP 2015
Symposium. Lisbon, Portugal 28-30 October 2015 (Oral Poster Discussion).
Form 1 for patient information Form 2 for medication review Form 3 for Documentation of PI
The list of 8-type of DRPs:
1. Unnecessary indication
2. Non conformity indication
3. Missing indication
4. Dosage
5. Administration mode
6. Drug side effect
7. Drug Interaction
8. Drug monitoring
The list of 7-type of PIs:
1. Drug discontinuation
2. Drug switch
3. Drug addition
4. Dose increasing
5. Dose decreasing
6. Administration mode optimisation
7. Drug monitoring optimisation
6 clinical pharmacists
• Having a postgraduate cerificate
• Be a clinical pharmacist in a
hospital
• Having at least 7 years of
experience
Online survey
• 30 cases of PIs were randomly
selected from daily practise and
clinical references
• Pharmacists were asked to
classify independently cases into
a type of DRP and a type of PI
(reliability); and assess the tool
(satisfaction, usefulness, ready-
to-use).
4 criteria of assessment of the tool
Reliability Cohen’s Kappa
Satisfaction 4-point Likert scales:
very not, not, satified, very
sastified
Usefulness
Ready-to-use
Level of reliability
Thi-Ha VO, Department of Clinical Pharmacy, Faculty of Pharmacy, Hue Medicine and Pharmacy University, Hue, Vietnam
Email: havothipharma@gmail.com