Effect of Clinical Pharmacist Interventions on Prevention of Adverse Drug Events in Surgical Intensive Care Unit

Kang, Myung‐Hee; Kim, Ahjeong; Cho, Yoonsook; Kim, Hyangsook; Lee, Hyesook; Yu, Yongjae; Lee, Hannah; Park, Kyu-Joo; Park, Hee Pyoung

doi:10.4266/kjccm.2013.28.1.17

Cited by 4 publications

(4 citation statements)

References 36 publications

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“…was similar to what has been reported previously. [2,6,15] The acceptance rate was more than 80%, indicating that pharmacist interventions were well accepted by physicians.…”

Section: Discussionmentioning

confidence: 96%

“…[5] Previously, studies of pharmacist interventions in surgical intensive care units (SICUs) were performed in Korea. [6] Kang et al reported the prevalence, cause of adverse drug events, and types of pharmacist participation in a SICU. [6] Another study demonstrated the prevalence of adverse events and the current status of pharmacist interventions in a pediatric ICU.…”

Section: Introductionmentioning

confidence: 99%

“…[8] Although, few data directly compare pharmacist interventions in MICUs and SICUs, patients in MICUs need a higher rate of drug information services and total parenteral nutrition consultation than patients in SICUs. [5,6,9,10] These differences influence clinical outcomes of MICU patients.…”

Section: Introductionmentioning

confidence: 99%

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Pharmacotherapeutic Problems and Pharmacist Interventions in a Medical Intensive Care Unit

Park

Lee

Kim

et al. 2015

Korean J Crit Care Med

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Background: Interest in pharmacist participation in the multidisciplinary intensive care team is increasing. However, studies examining pharmacist interventions in the medical intensive care unit (MICU) are limited in Korea. The aim of this study was to describe the current status of pharmacist interventions and to identify common pharmacologic problems requiring pharmacist intervention in the MICU. Methods: Between September 2013 and August 2014, a retrospective, observational study was conducted in the 22-bed MICU at a university hospital. Data were obtained from two trained pharmacists who participated in MICU rounds three times a week. In addition to patient characteristics, data on the cause, type, related drug, and acceptance rate of interventions were collected. Results: In 340 patients, a total of 1211 pharmacologic interventions were performed. The majority of pharmacologic interventions were suggested by pharmacists at multidisciplinary rounds in the MICU. The most common pharmacologic interventions were adjustment of dosage and administration (n = 328, 26.0%), followed by parenteral/enteral nutritional support (n = 228, 18.1%), the provision of drug information (n = 228, 18.1%), and advice regarding pharmacokinetics (n = 118, 9.3%). Antimicrobial agents (n = 516, 42.6%) were the most frequent type of drug associated with pharmacist interventions. The acceptance rate of interventions was 84.1% with most accepted by physicians within 24 hours (n = 602, 92.8%). Conclusions: Medication and nutritional problems are frequently encountered pharmacotherapeutic problems in the MICU. Pharmacist interventions play an important role in the management of these problems.

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“…was similar to what has been reported previously. [2,6,15] The acceptance rate was more than 80%, indicating that pharmacist interventions were well accepted by physicians.…”

Section: Discussionmentioning

confidence: 96%

Section: Introductionmentioning

confidence: 99%

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Pharmacotherapeutic Problems and Pharmacist Interventions in a Medical Intensive Care Unit

Park

Lee

Kim

et al. 2015

Korean J Crit Care Med

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“…, 약물 평가 16,22,23) , 복약상담 [27][28][29][30][31][32][33][35][36][37][38][39][40][41][42][43] , 프로토콜이나 프로그램 개발 17,32,34,43,44) , 약물부작용 모니터링 50) , 임상약동학 업무 33,49) 등이 있다. 약 (3) 병원약사의 중재활동에 대한 경제적 성과 병원약사의 중재활동에 대하여 경제적 성과를 분석한 문헌 은 모두 9편으로 15,16,22,24,33,40,43,49,58) 비용편익분석(Costbenefit ratio) 모델, 15,16,49) Changing the time of administration .…”

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A Systematic Review of Outcomes Research in the Hospital Pharmacists’ Interventions in South Korea

Lee

Cho

2019

Korean J Clin Pharm

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Background and Objective: Since the introduction of hospital pharmacy residency programs in 1983, hospital pharmacists in South Korea have been expected to expand their roles. However, their services and the outcomes have not been fully understood. In this study, we conducted a systematic review of Korean hospital pharmacist-provided interventions with regard to intervention type, intervention consequences, and target patient groups. Methods: A literature search of the following databases was performed: Embase, PubMed, Medline, KoreaMed, RISS, KMbase, KISS, NDSL, and KISTI. The search words were "hospital pharmacist", "clinical pharmacist", and "Korea". Articles reporting clinical or economic outcome measures that resulted from hospital pharmacist interventions were considered. Numeric measures for the acceptance rate of pharmacist recommendations were subjected to meta-analysis. Results: Of the 1,683 articles searched, 44 met the inclusion selection criteria. Most articles were published after 2000 (81.8%) and focused on clinical outcomes. Economic outcomes had been published since 2011. The interventions were classified as patient education, multidisciplinary team work, medication assessment, and guideline development. The outcome measures were physicians' prescription changes, clinical outcomes, patient adherence, economic outcomes, and quality of life. The acceptance rate was 80.5% (p < 0.005). Conclusion: Studies on pharmacist interventions have increased and showed increased patient health benefits and reduced medical costs at Korean hospital sites. Because pharmacists' professional competency would be recognized if the economic outcomes of their work were confirmed and justified, studies on their clinical performance should also include their economic impact.

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What is impacting clinical pharmacists’ participation in an interprofessional ward round: a thematic analysis of a national survey

Babu,

Marotti,

Rowett

et al. 2023

Journal of Interprofessional Care

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Effect of Clinical Pharmacist Interventions on Prevention of Adverse Drug Events in Surgical Intensive Care Unit

Cited by 4 publications

References 36 publications

Pharmacotherapeutic Problems and Pharmacist Interventions in a Medical Intensive Care Unit

Pharmacotherapeutic Problems and Pharmacist Interventions in a Medical Intensive Care Unit

A Systematic Review of Outcomes Research in the Hospital Pharmacists’ Interventions in South Korea

What is impacting clinical pharmacists’ participation in an interprofessional ward round: a thematic analysis of a national survey

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