Intensive Care Units (ICU): The clinical pharmacist role to improve clinical outcomes and reduce mortality rate- An undeniable function

Luisetto, M

doi:10.29328/journal.jcicm.1001010

Cited by 2 publications

(1 citation statement)

References 25 publications

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“…Several studies demonstrated a significant role of a clinical pharmacist (CP) as a full member of a multidisciplinary team in the intensive care unit (ICU) [1][2][3][4][5]. Full membership of a CP in the ICU team includes the presence at the daily rounds in the ICU, cooperation, and availability for consultations throughout the day [6].…”

Section: Introductionmentioning

confidence: 99%

Interventions of a clinical pharmacist in a medical intensive care unit – a retrospective analysis

Cvikl

Sinkovič

2020

Bosn J of Basic Med Sci

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Several studies demonstrated a significant decrease in prescription errors, adverse drug events, treatment costs and improved patient outcomes, when a clinical pharmacist (CP) was a full member of a multidisciplinary team in the intensive care unit (ICU). Our aim was to evaluate the activities of a CP, included in a 12-bed medical ICU team of a university hospital in the course of several months. We conducted a retrospective analysis of all the CP' s interventions from March 2017 to November 2017, carried out and documented after reviewing and discussing patients' medical data with the treating ICU physicians. We identified four main categories of CP' s interventions: pharmacotherapy adjustments to kidney function (PAKF category), drug-drug interactions (DDIs category), therapeutic monitoring of drugs with narrow therapeutic index (TDM category), and drug administration by the nasogastric tube (NGT category). During the study period, 533 patients were admitted to the medical ICU. The CP reviewed the medical data of 321 patients and suggested 307 interventions in 95 patients. There were 147 interventions of the PAKF category, 57 interventions of the TDM category, 30 interventions of the NGT category, and 22 interventions of the DDIs category. Fifty-one interventions were unspecified. The majority of all interventions (203/307) were related to antimicrobial drugs. ICU physicians completely accepted 80.2% of the CP' s suggestions.We observed that regular participation of the CP in the medical ICU team contributed to more individualized and improved pharmacological treatment of patients. Therefore, ICU teams should be encouraged to include CPs as regular team members.

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Section: Introductionmentioning

confidence: 99%

Interventions of a clinical pharmacist in a medical intensive care unit – a retrospective analysis

Cvikl

Sinkovič

2020

Bosn J of Basic Med Sci

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Optimizing Heart Failure Management: A Review of the Clinical Pharmacist Integration to the Multidisciplinary Health Care Team

Zavaleta-Monestel,

Arguedas-Chacón,

Quirós-Romero

et al. 2024

Int J Heart Fail

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Intensive Care Units (ICU): The clinical pharmacist role to improve clinical outcomes and reduce mortality rate- An undeniable function

Abstract: Observing relevant biomedical literature we have see that clinical pharmacist play a crucial role in ICU settings with reducing in mortality rate and improving some clinical outcomes.

Cited by 2 publications

References 25 publications

Interventions of a clinical pharmacist in a medical intensive care unit – a retrospective analysis

Interventions of a clinical pharmacist in a medical intensive care unit – a retrospective analysis

Optimizing Heart Failure Management: A Review of the Clinical Pharmacist Integration to the Multidisciplinary Health Care Team

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