Incorporating pharmacists with an expanded scope into the community or hospital emergency departments (ED) could significantly reduce ED crowdedness, according to a new study.

Researchers from the University of Waterloo found that almost one-third of non-urgent ED visits in Ontario were for conditions that could potentially be managed by pharmacists with an expanded scope of practice—available in other jurisdictions in Canada.

"Overcrowding in EDs is a concern most Canadians can relate to, and we know that it can lead to increased mortality and a higher rate of patients who leave without receiving treatment," said Wasem Alsabbagh, a professor at the Waterloo School of Pharmacy. "Our findings support that we need to see more pharmacists working with expanded scope in community practice or based in the ED. This may reduce crowdedness and free more resources in EDs to care for more acute patients."

As about one in five patients who seek emergency care have non-urgent health concerns, the study examined what proportion of non-urgent or unnecessary visits could be potentially managed by a pharmacist. The researchers analyzed data from 2010 to 2017, examining all Ontario hospital ED cases. They qualified cases based on standard scales that measure the severity of patient concerns and used statistics to assess which ones could be managed by pharmacists working with an expanded scope.