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Introduction: Intensive care unit (ICU) survivors are vulnerable to further health deterioration and medication-related problems (MRPs) with a high rate of potentially preventable hospital readmissions and late death. Therefore, it is critical to identify MRPs of ICU survivors post-hospitalization. ICU-recovery clinics (ICU-RCs) have been proposed as a potential mechanism to address the unmet needs of ICU survivors, and pharmacists should be key members of ICU-RCs. Objectives:The objective of this study was to evaluate the impact of a pharmacist in an interprofessional ICU-RC on MRPs.Methods: A retrospective cohort study was conducted in adult ICU survivors with sepsis/septic shock and/or respiratory failure. This study compared MRPs within 6 months of post-hospital discharge between intervention and control groups. The intervention group included patients who were seen by a pharmacist in an ICU-RC.MRPs and interventions between initial and 6-month follow-up visits in the intervention group were also evaluated.Results: Data were collected for 52 control and 52 intervention patients. There were no significant differences in baseline demographics and hospital characteristics between groups. Eighty-four MRPs were identified in the control vs 110 in the intervention group (P = .37). Half of patients in control and intervention groups had at least one MRP identified (P = .69). There was a significant decrease in mean number of MRPs at the 6-month follow-up visit (3.5 ± 1.7 with initial vs 2.4 ± 1.3 with follow-up visit; P = .025) in the intervention group. Almost all patients in initial and follow-up visits had at least one MRP.Conclusions: Dedicated ICU-RC pharmacists in an interprofessional ICU-RC can assist with addressing and intervening on MRPs which could further impact clinical outcomes in ICU survivors.

Introduction:The COVID-19 pandemic overwhelmed hospital systems. Frontline workers, including physical therapists, experienced multiple challenges impacting job satisfaction. The Professional Quality of Life (ProQOL) measures constructs related to workplace quality of life. Purpose: To describe levels of compassion satisfaction and compassion fatigue (consisting of burnout and secondary trauma) among a similar cohort of acute care physical therapy staff prior to and approximately 1 year into the pandemic. Methods: Cross-sectional online survey methodology using the ProQOL was completed. A convenience sample of acute care physical therapy professionals employed at a large Midwestern academic medical center was surveyed at separate time points in 2018 (prepandemic) and 2021 (pandemic). Results: A total of 54 (2018) and 53 (2021) acute care physical therapy professionals completed the survey. Overall, respondents reported moderate to high levels of compassion satisfaction with low to moderate levels of burnout and secondary trauma at both periods, consistent with other previously reported health care professionals. However, the respondents exhibited a shift toward worsening compassion fatigue, with increasing levels of burnout and secondary traumatic stress, and a decreased level of compassion satisfaction. Conclusions: Describing the professional quality of life in a cohort of acute care physical therapy professionals before and during the pandemic provides a foundation of further understanding burnout and secondary traumatic stress. Future studies could be completed longitudinally to track changes in acute care physical therapy staff and explore effective support strategies.

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