Outcome Assessment of Critical Care Pharmacist Services

Bauer, Seth; Kane‐Gill, Sandra L.

doi:10.1310/hpj5107-507

Cited by 28 publications

(31 citation statements)

References 59 publications

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“…ACLS knowledge and skills were taught in a two‐part series, with the first part consisting of a 2‐hour didactic lecture taught by two faculty in the first half of the class and the second part consisting of a 2‐hour simulation experience facilitated by course coordinators at each site. The didactic lecture consisted of four primary sections: Overview of ACLS team and role of the pharmacist, Rhythm identification and algorithm review, Medication overview, and Targeted temperature management. This session was delivered simultaneously to all four campuses via distance connection.…”

Section: Methodsmentioning

confidence: 99%

“…Objectives of the two sessions included: Formulate a treatment plan for patients with cardiovascular emergencies utilizing the ACLS algorithms, Discuss the role of targeted temperature management in cardiac arrest, Identify the role of the pharmacist on an ACLS team, and Actively participate as a member of an ACLS team. Specific skills included identifying rhythms on the cardiac monitor, performing cardioversion and defibrillation appropriately, selecting, dosing, and preparing correct medications for both pulseless and non‐pulseless rhythms, communicating effectively with team members, and evaluating reversible causes of a given cardiac emergency scenario.…”

Section: Methodsmentioning

confidence: 99%

“…Pharmacy practice increasingly focuses on pharmacists that can provide patient care in an interprofessional environment. Pharmacist services in the emergency and critical care setting have been repeatedly shown to improve patient outcomes and be a core component of inter‐professional teams that reduce intensive care unit mortality . Furthermore, a position paper put forward by the Society of Critical Care Medicine and the American College of Clinical Pharmacy states that pharmacists are integral members of the critical care team highlighting participation of pharmacists in emergency response .…”

Section: Introductionmentioning

confidence: 99%

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Impact of multimodal methods to teach advanced cardiovascular life support principles in the core doctor of pharmacy curriculum

Newsome

Smith

Hawkins

et al. 2018

J Am Coll Clin Pharm

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Introduction The 2016 Accreditation Council for Pharmacy Education Accreditation Standards place clear expectations on the production of “practice ready” graduates. Advanced cardiovascular life support (ACLS) is an integrated, team‐based approach to optimizing patient outcomes in acute cardiovascular events. Foundational knowledge and skill with ACLS principles will support graduate pharmacists as essential members of the health care team. Objectives To assess the impact of didactic and simulation based advanced cardiovascular life support training on student perception, knowledge, and skills. Methods ACLS training was incorporated into the third year pharmacy curriculum through the addition of a 2‐hour pharmacy‐oriented didactic lecture on ACLS fundamentals and reinforced with a 2‐hour simulation experience of various cardiovascular events. Perception and knowledge were evaluated in a pre‐ and post‐assessment format with 10 questions evaluating knowledge and 19 questions evaluating perceptions. Results All students (n = 133) completed the pre‐ and post‐assessments. Knowledge of ACLS fundamentals improved by 35% from baseline (43.4% ± 16.7% to 79.2% ± 14.9%, P < 0.001). Perceptions also improved with self‐reported novice ranking decreasing from 46.4% ± 21.5% overall to 4.3% ± 2.1% (P < 0.001), and perceptions of proficient ranking increasing from 6.9% ± 5.5% to 32.5% ± 6.7% (P < 0.001). Skill‐based assessment demonstrated positive review of peers' simulation performance. Conclusions ACLS instruction using both didactic lecture and simulation experience enhanced student knowledge and confidence of ACLS fundamentals. Future implementation may include offering formal ACLS certification through an elective course.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Impact of multimodal methods to teach advanced cardiovascular life support principles in the core doctor of pharmacy curriculum

Newsome

Smith

Hawkins

et al. 2018

J Am Coll Clin Pharm

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“…Basic consideration pharmacists are perceived in the rules from the Society of Critical Care Medicine (SCCM) as fundamental colleagues for the conveyance of consideration for basically sick patients. Truth be told, the arrival on venture of an ICU pharmacist's pay drew closer in different investigations of basically sick patients with disease [30]. Counting basic consideration pharmacists in the multidisciplinary ICU group improved patient results including mortality, ICU length of remain in blended ICUs, and preventable/nonpreventable antagonistic drug occasions [31].…”

Section: Respected Sirmentioning

confidence: 99%

Pharmacist-led Antimicrobial Stewardship

2019

ARC Journal of Pharmaceutical Sciences

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“…Pharmacist improves the clinical outcomes of critically ill patients by reducing the occurrence of adverse events and medication errors. 2,3 Moreover, economic evaluations of clinical pharmacy services in the critical care unit consistently reveal the potential for considerable cost savings. 2,3 Pharmacist interventions include suggesting alternative therapies, identifying drug interactions, therapeutic drug monitoring, correcting orders and providing drug information.…”

Section: Introductionmentioning

confidence: 99%

The Clinical Outcomes of Pharmacist Interventions at Critical Care Services of Private Hospital in Riyadh City, Saudi Arabia

Alomi¹,

El-Bahnasawi²,

Kamran³

et al. 2019

PTB Reports

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Medical Group (HMG) of Hospitals is one of the largest private chains of hospitals in the Kingdom of Saudi Arabia. At HMG, the clinical pharmacy services were started in 2015 which provides services to the acute and chronic cases of neonates, pediatrics and adults. In this study, we aimed to explore the clinical and economic outcomes of providing clinical pharmacy services at critical care units at a private hospital in Riyadh City, Saudi Arabia. Methods: This was a 6-month cross-sectional study conducted from January to June 2016 at the critical care unit of HMG involving adult patients. The critical care unit has 30 beds dedicated to the treatment of trauma, medical, surgical and maternity patients. The clinical pharmacist monitors all patients through daily medical rounds and documents any intervention that needs to be provided to the patient. The pharmacist intervention system utilized an international study model, a measure of the level of activity, rational of clinical intervention, recommendation and patient outcome. Results: A total number of 1222 pharmacist interventions were provided to 1124 adult patients. The highest number of critical care interventions were found to be potentially significant (610 (49.9%)) followed by potentially serious (360 (29.5%)) and neutral (249 (20.4%)) cases. Anti-infective medications (185 (25.9%)) were the most category of intervention provided followed by cardiovascular medications (96 (13.5%)) and gastro-intestinal medications (73 (10.2%)). The documented rationale of clinical intervention activities was others (203 (28.7%)), inappropriate dose (122 (17.3%)) and therapeutic duplication ((99 (14%)). Most of the patient outcomes were unknown (539 (44.1%)) followed by patient condition improved (408 (33.4%)) and therapeutic endpoint reached (133 (10.9%)). Conclusion: The clinical pharmacy services at critical care units of a private hospital is a significant and essential component for patients care. The clinical pharmacist prevents the occurrence of drug-related problems in addition to saving additional economic burden on the healthcare system at HMG in the Kingdom of Saudi Arabia.

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Outcome Assessment of Critical Care Pharmacist Services

Cited by 28 publications

References 59 publications

Impact of multimodal methods to teach advanced cardiovascular life support principles in the core doctor of pharmacy curriculum

Impact of multimodal methods to teach advanced cardiovascular life support principles in the core doctor of pharmacy curriculum

Pharmacist-led Antimicrobial Stewardship

The Clinical Outcomes of Pharmacist Interventions at Critical Care Services of Private Hospital in Riyadh City, Saudi Arabia

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