Strategies for implementing emergency department pharmacy services: Results from the 2007 ASHP Patient Care Impact Program

Witsil, Joanne C.; Aazami, Roshanak; Murtaza, Umbreen; Hays, Daniel P.; Fairbanks, Rollin J.

doi:10.2146/ajhp080572

Cited by 10 publications

(7 citation statements)

References 14 publications

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“…Resistance of physicians to a greater role for clinical pharmacists in disease management has been reported in some studies [7,18]. It is important to note that the perceptions in the UAE in this regard are different from those in other Arab countries, such as in Kuwait, where physicians showed high resistance towards the involvement of clinical pharmacists in patient care [19].…”

Section: Disease Managementmentioning

confidence: 98%

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Health-care professionals' perceptions and expectations of pharmacists' role in the emergency department, United Arab Emirates

Fahmy

Rasool²,

Abdu³

2013

East Mediterr Health J

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The objective of this study was to assess health-care professionals' attitudes and perceptions towards the value of certain pharmacist functions in the emergency department (ED). The study was conducted among 396 physicians, nurses and other professionals in 4 government hospitals and 10 private hospitals in Dubai. While 83.6% of respondents reported that pharmacy services were available in the ED only 30.7% had a permanent clinical pharmacist working there. A majority (75.7%) agreed that the availability of clinical pharmacists in the ED would improve quality of care. On the role of clinical pharmacists in the medication review process, 45.0% of respondents favoured the review of only high-risk medication orders in the ED. The study found favourable views towards a role for clinical pharmacists in the ED for assuring appropriate medicine prescribing and administration, monitoring patient adherence, providing drug information consultation and monitoring patient responses and treatment outcome. 1Department of Pharmaceutics and Industrial Pharmacy, Faculty of Pharmacy, Helwan University, Cairo, Egypt (Correspondence to S.A. Fahmy: sahar33a@hotmail.com; sahar33a@lycos.com Perceptions et attentes des professionnels de santé vis-à-vis du rôle du pharmacien dans des services des urgences (Émirats arabes unis)RÉSUMÉ La présente étude visait à évaluer les attitudes et les perceptions des professionnels de santé vis-à-vis de certaines fonctions des pharmaciens dans des services des urgences. L'étude a été menée auprès de 396 médecins, infirmières et autres professionnels dans quatre hôpitaux publics et dix hôpitaux privés à Dubaï. Si 83,6 % des répondants ont déclaré que les services d'un pharmacien étaient disponibles aux urgences, seuls 30,7 % pouvaient compter sur un pharmacien clinicien en poste de manière permanente. La majorité (75,7 %) reconnaissait que la disponibilité de pharmaciens cliniciens dans les services des urgences serait un facteur d'amélioration de la qualité des soins. Concernant le rôle des pharmaciens cliniciens dans le processus de contrôle des médicaments, 45,0 % des répondants préféraient une vérification uniquement lorsque les commandes de médicaments portaient sur des produits à haut risque dans les services des urgences. L'étude a révélé que les perceptions vis-à-vis du rôle des pharmaciens cliniciens dans les services des urgences étaient positives, notamment pour la garantie de la prescription et de l'administration appropriées de médicaments, pour le suivi de l'observance du patient, pour la fourniture d'informations sur les produits proposés en consultation, pour la surveillance de la réponse du patient au traitement et du résultat thérapeutique.‫املتوسط‬ ‫لرشق‬ ‫الصحية‬ ‫املجلة‬ ‫عرش‬ ‫التاسع‬ ‫املجلد‬ ‫التاسع‬ ‫العدد‬ 795

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Section: Disease Managementmentioning

confidence: 98%

“…Nowadays clinical pharmacy is an established component of ED services in many developed countries [6,7]. In Eastern Mediterranean Region countries pharmacy education and pharmacy practice continues to evolve.…”

Section: Introductionmentioning

confidence: 99%

Health-care professionals' perceptions and expectations of pharmacists' role in the emergency department, United Arab Emirates

Fahmy

Rasool²,

Abdu³

2013

East Mediterr Health J

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“…Carrying a pager or cell phone permits the EPh to be reached for consultation at any time. The EPh also should have access to a computer in a highly visible area of the ED, so that the EPh can be readily available to serve as a resource to everyone involved with patient care 28 .…”

Section: Visibility Of Emergency Pharmacistmentioning

confidence: 99%

Emergency Pharmacist-A Safety Valve In Hospital Emergency

Shahid

Shafqat

2013

Bangladesh J Med Sci

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SummaryThe Emergency Department is a fast-paced work environment. The hectic nature of work in the department often leads to risk of medication error(s). Many factors are involved resulting in wide range of issues. One of the major factors implicated in this regard is verbal orders associated with high risk of dosing errors and therapeutic errors. Pharmacists are experts in the use of medications and bring a unique set of knowledge and skills to the medical team. Active participation of pharmacists in patient care in the hospital emergency department may result in safer and more effective use of medication. These pharmacists are typically involved in assuring appropriate administration of drugs, monitoring patient adherence to therapy, providing drug information to providers, monitoring patient responses and laboratory values, and providing patient education. Since service in the emergency department is getting more and more challenging inclusion of a pharmacist in the team may be an option to improve the situation and help ensure improved care.

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“…73 Formal proposals are a crucial step, which should involve ideas of potential services or projects that will be implemented including a set time frame for completion and assessment. Documentation of interventions and potential cost avoidance are often used to justify ED positions.…”

Section: Implementation Of Ed Pharmacy Servicesmentioning

confidence: 99%

“…Often cited barriers to initiation include lack of administrative and staff approval and support, lack of a consistent pharmacist presence, and challenges in defining and/or expanding ED pharmacist responsibilities. 73 Formal proposals are a crucial step, which should involve ideas of potential services or projects that will be implemented including a set time frame for completion and assessment. Documentation of interventions and potential cost avoidance are often used to justify ED positions.…”

Section: Implementation Of Ed Pharmacy Servicesmentioning

confidence: 99%

Emergency Medicine Pharmacy Practice

Rudis

Attwood

2011

Journal of Pharmacy Practice

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Emergency medicine (EM) pharmacy practice has existed for over 30 years. In recent years, however, the specialty has grown significantly. A large number of health care systems have either a dedicated EM pharmacist or other clinical pharmacist presence in the Emergency department (ED). Over the past decade, the role of the EM pharmacist as a critical member of the health care team has expanded significantly and many innovative practices have evolved throughout the country. There is also some heterogeneity between different EM pharmacy practice sites. This article reviews the history and general concepts of EM pharmacy practice as well as illustrate some of the established benefits of an EM pharmacist.

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Strategies for implementing emergency department pharmacy services: Results from the 2007 ASHP Patient Care Impact Program

Abstract: Despite the diversity in practice settings, participants of the program faced similar challenges in implementing ED pharmacy services at their institutions. Various strategies toward solutions to these challenges were shared among participants and mentors.

Cited by 10 publications

References 14 publications

Health-care professionals' perceptions and expectations of pharmacists' role in the emergency department, United Arab Emirates

Health-care professionals' perceptions and expectations of pharmacists' role in the emergency department, United Arab Emirates

Emergency Pharmacist-A Safety Valve In Hospital Emergency

Emergency Medicine Pharmacy Practice

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