Pharmacist integration into cardiac arrest response teams

Hashemipour, Zahra; Delgado, George; Dehoorne-Smith, Michelle; Edwin, Stephanie B.

doi:10.2146/ajhp120496

Cited by 12 publications

(14 citation statements)

References 4 publications

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“…The results of a pilot study showed increased compliance with ACLS guidelines after initiation of the program, as well as increased pharmacist comfort. 12 Inconsistent coverage was also identified as a barrier in the current survey. This situation is not unique to Canadian institutions.…”

Section: Discussionmentioning

confidence: 91%

“…[4][5][6][11][12][13][14] Previous studies have reported activities such as calculating drug dosages, making drug therapy recommendations, and screening for drug interactions or allergies. 5,6,12,13 Although those activities were not specifically assessed in the current study, they may be considered as belonging within the category of provision of drug information.…”

Section: Discussionmentioning

confidence: 99%

“…12 Among the centres that did have pharmacist participation in CPR, training varied, with the majority of respondents reporting either formal ACLS certification or in-house training of pharmacists. Appropriate training is important to give pharmacists the competence and confidence necessary to be a valuable member of the CPR team.…”

Section: Discussionmentioning

confidence: 99%

“…Appropriate training is important to give pharmacists the competence and confidence necessary to be a valuable member of the CPR team. 12 Training may also improve the perception of the pharmacist's role on CPR teams. Programs available for training include basic life support (BLS), ACLS, and pediatric advanced life support.…”

Section: Discussionmentioning

confidence: 99%

“…4,12,13 In the United States, some institutions require all pharmacists to have ACLS and/or BLS certification, regardless of whether the pharmacists will participate in CPR, whereas other institutions offer such training as an option. 4,12,13 One centre in Michigan developed a modified training program that accommodated its pharmacy department's needs, including more pharmacotherapeutic education, in addition to the required ACLS and BLS training. The results of a pilot study showed increased compliance with ACLS guidelines after initiation of the program, as well as increased pharmacist comfort.…”

Section: Discussionmentioning

confidence: 99%

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A Canadian Survey of Pharmacist Participation during Cardiopulmonary Resuscitation

Bolt

Semchuk

Loewen

et al. 2015

CJHP

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Background:The participation of pharmacists on cardiopulmonary resuscitation (CPR) teams has been associated with improvements in patient outcomes secondary to lower rates of adverse drug events and higher rates of compliance with guidelines for advanced cardiac life support (ACLS). The degree to which Canadian pharmacists participate on CPR teams and the services they provide have not previously been assessed. Objectives: To measure the frequency of pharmacists' involvement on CPR teams in Canadian health care delivery organizations, to characterize the services provided by these pharmacists, to identify positive predictors of participation, and, for health care delivery organizations without pharmacists on CPR teams, to determine the reasons for the lack of involvement. Methods: An electronic survey was distributed to key informants in Canadian health care delivery organizations. The survey consisted of questions about characteristics of the health care delivery organizations, pharmacists' participation and role on the CPR team, training, and barriers to implementation. The primary outcome was the percentage of health care delivery organizations with pharmacists participating on CPR teams in at least one centre within the organization. The secondary outcomes were pharmacists' activities, training, and reasons for not participating on CPR teams. Results: Forty-three of 99 key informants responded to the survey. Twenty-nine respondents (67%) indicated that their organization had a CPR team, and 10 (23%) indicated participation by pharmacists on a CPR team. Roles reported to be performed by pharmacists during CPR events were provision of drug information, preparation and administration of medications, record-keeping, and chest compressions. Training for these pharmacists was variable: ACLS training for 4 (40%) of the 10 organizations with pharmacist participation, in-house training for 3 (30%), and no training for 2 (20%); one respondent (10%) did not report the level of training. Reasons for not having pharmacists on CPR teams included inconsistent coverage, lack of training, and staff shortages. Conclusions: This study characterized current pharmacist participation on CPR teams in Canadian health care delivery organizations. As evidence arises showing the impact of this practice on patient outcomes, pharmacist participation on CPR teams may become more common.

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Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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A Canadian Survey of Pharmacist Participation during Cardiopulmonary Resuscitation

Bolt

Semchuk

Loewen

et al. 2015

CJHP

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Survey of national practices for postgraduate year two critical care and emergency medicine pharmacy residency emergency response training

Philips

Cycz

Liu

et al. 2023

J Am Coll Clin Pharm

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IntroductionMedical emergency response within the hospital involves an interdisciplinary team, including pharmacists. Pharmacist involvement in these teams has increased over time due to published benefits of their involvement. Development of emergency response skills may start during pharmacy residency, although limited data suggest how this is best implemented.ObjectivesLimited data evaluate post‐graduate year 2 (PGY2) pharmacy resident training for emergency response, as well as PGY2 program values for this in screening/ranking candidates, which may help post‐graduate year one (PGY1) pharmacy residents identify residency programs that are a good fit for their career goals.MethodsA list of PGY2 critical care (CC) and emergency medicine (EM) programs were identified. The questionnaire included program demographics, characteristics of PGY2 emergency response training, and PGY2 residency program values of PGY1 emergency response exposure for screening and ranking applicants for their programs. A Fisher's exact test was used to compare differences between CC and EM programs for these outcomes.ResultsA total of 85 complete responses were analyzed (response rate by all identified programs: CC = 36.4%; EM = 32.1%). Emergency response training was often with both core and longitudinal experiences (72.9%), although differed by type of program (p < 0.001). Both CC and EM programs considered PGY1 pharmacy resident exposure to emergency response in screening candidates (33.9% and 57.7%, respectively), as well as ranking candidates (22% and 38.5%, respectively). For CC programs, both Advanced Cardiovascular Life Support certification and quantity of PGY1 emergency response ranked as the most important characteristics, while EM programs ranked quantity as the most important.ConclusionThe results of this survey indicate heterogeneity in PGY2 CC and EM emergency response training. PGY1 applicants for these programs should consider their experience with emergency response as a potential factor in identifying an appropriate program for their training.

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Experience with integrating pharmacist documenters on cardiac arrest teams to improve quality

Heavner¹,

Rouse²,

Lemieux³

et al. 2018

Journal of the American Pharmacists Association

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Pharmacist integration into cardiac arrest response teams

Cited by 12 publications

References 4 publications

A Canadian Survey of Pharmacist Participation during Cardiopulmonary Resuscitation

A Canadian Survey of Pharmacist Participation during Cardiopulmonary Resuscitation

Survey of national practices for postgraduate year two critical care and emergency medicine pharmacy residency emergency response training

Experience with integrating pharmacist documenters on cardiac arrest teams to improve quality

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