Assessment of Clinical Pharmacy Interventions in the Intensive Care Unit

Ho, Claudia; Mabasa, Vincent H; Leung, Vivian; Malyuk, Douglas L; Perrott, Jerrold

doi:10.4212/cjhp.v66i4.1267

Cited by 17 publications

(11 citation statements)

References 12 publications

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“…Documentation of pharmacy activities is an important component of clinical pharmacy services. The documentation of clinical pharmacy activities and the ability to identify pharmacists’ interventions are essential for assessing their impact on patient outcomes [ 22 ]. The fact that only 44 % of the surveyed hospitals documented the clinical pharmacy service they had provided strongly indicates that a system needs to be designed where services rendered could be documented and evaluated when the need arises.…”

Section: Discussionmentioning

confidence: 99%

Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: A post-deployment survey

Bilal

Tilahun

Beedemariam

et al. 2016

J of Pharm Policy and Pract

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BackgroundClinical pharmacy service has evolved steadily over the past few decades and is contributing to the ‘patient care journey’ at all stages. The service improves safety and effectiveness of medicines, thereby avoiding medication errors. As part of this global shift in pharmacy education and practice, Ethiopian Universities revamped the undergraduate pharmacy curriculum and the first graduates came out in July 2013. These graduates were immediately deployed in public hospital settings, with the ultimate aim of providing clinical pharmacy services. As such an initiative is new to the Ethiopian pharmacy sector, there is a need to do assessment of the health care providers’ perception and satisfaction towards the service.MethodsA cross-sectional survey using self-administered questionnaire was conducted in six regions and one-city administration of the country. Physicians, Health officers and Nurses working along with the new pharmacy graduates formed the study population. A total of 650 healthcare professionals participated in the study. Data were entered, cleaned and analyzed using appropriate statistical tools.ResultsMajority of the health care providers agreed that clinical pharmacy service could have a significant contribution to the patient care. A large proportion of them (70–90 %) had a positive attitude, although there appeared to be some differences across professions. About 50 % of the professionals were of the opinion that patient care should be left to the health care providers and pharmacists should concentrate on drug products. In addition, the same proportion of respondents said that the setup in their respective hospital was appropriate for provision of clinical pharmacy service. Multivariable analysis indicated that attitude of the health care providers was significantly associated with year of experience.ConclusionsA large proportion of the health care providers had positive attitude towards the service, although the extent of the service was below their expectation. Hence, efforts should be in place to organize continuous professional training for pharmacists and awareness creation forums for other healthcare professionals.

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Section: Discussionmentioning

confidence: 99%

Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: A post-deployment survey

Bilal

Tilahun

Beedemariam

et al. 2016

J of Pharm Policy and Pract

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“…The role of clinical pharmacists in reducing medication errors has been widely discussed in the literature. Interventions by clinical pharmacists have been shown to improve patient safety, satisfaction and compliance rates as well as decreasing adverse drug events and the length of hospital stay (Leape et al, 1999 ; Moffett et al, 2008 ; Makowsky et al, 2009 ; Klopotowska et al, 2010 ; Cunningham, 2012 ; Kelishadi and Mousavinasab, 2012 ; Zhang et al, 2012 ; Ho et al, 2013 ; Jiang et al, 2014 ; Zhai et al, 2015 ). Some studies have shown considerable cost savings (Krupicka et al, 2002 ; Larochelle et al, 2012 ; Lucca et al, 2012 ; Michalets et al, 2015 ).…”

Section: Discussionmentioning

confidence: 99%

Pharmacist Remote Review of Medication Prescriptions for Appropriateness in Pediatric Intensive Care Unit

et al. 2016

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Background: One aspect of ordering and prescribing medication is the requirement for a trained professional to review medication orders or prescriptions for appropriateness. In practice, this review process is usually performed by a clinical pharmacist. However, in many medical centers there is a shortage of staff and a pharmacist is not always available.Objective: To determine whether remote review of medication orders by a pharmacist is a plausible method in a pediatric intensive care unit (PICU).Methods: A pharmacist from the pharmacy department reviewed medication orders of patients admitted to our PICU over a 7-month period for appropriateness. A special form for medical orders was filled in and sent to the physician in the PICU, who replied informing whether the recommendation had been accepted. The time spent by the pharmacist for this activity was recorded.Results: The review time for one medical record was 8.9 (95% CI, 6.9–10.9) min. Every additional drug prescribed increased the total review time by 0.8 (95% CI, 0.45–1.11) min. The pharmacist filled in 186 forms on 117 admissions for 109 children. The median review time was 15 (12.8–18.8) and 12 (9–15) min, respectively, for patients with psychiatric-neurologic disorders compared to those without (p = 0.032). Usually, a daily workload of 240 min was needed for the pharmacist accompanying the round in contrast to 108 min per day needed to review all the medical records in 95% of the cases. The physician accepted 51.2%, rejected 11.9%, and made no comment on 36.9% of the recommendations.Conclusion: Hospitals facing budget shortages can carry out focused remote reviews of prescriptions by the pharmacist.

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“…Due to severity of illness and major changes in organ function, critically ill patients have complex and changing pharmacokinetics and pharmacodynamics, requiring careful evaluation and drug therapy management. Considerable evidence supports the value of having clinical pharmacists (CPs) in ICUs during multidisciplinary critical care 2‐9 . In addition, numerous pharmaceutical economics studies have shown that pharmaceutical intervention can lead to cost savings 10‐18 …”

Section: What Is Known and Objectivementioning

confidence: 99%

Clinical pharmacy interventions in intensive care unit patients

2020

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Assessment of Clinical Pharmacy Interventions in the Intensive Care Unit

Abstract: Documenting clinical pharmacy activities is essential for assessing pharmacists' impact on patient outcomes. These data suggest that ICU pharmacists prioritize clinical activities to care for the sickest patients.

Cited by 17 publications

References 12 publications

Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: A post-deployment survey

Attitude and satisfaction of health care providers towards clinical pharmacy services in Ethiopia: A post-deployment survey

Pharmacist Remote Review of Medication Prescriptions for Appropriateness in Pediatric Intensive Care Unit

Clinical pharmacy interventions in intensive care unit patients

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