Integrating Pharmaceutical Care into the Interdisciplinary Model of Care in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/162891
Type:
Presentation
Title:
Integrating Pharmaceutical Care into the Interdisciplinary Model of Care in the Emergency Department
Abstract:
Integrating Pharmaceutical Care into the Interdisciplinary Model of Care in the Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Taylor, Jean, RN
Contact Telephone:401/736-4288
Co-Authors:Kathleen Bergeron, RN, CEN; Alicia ZuWallack, RPh, PharmD; Rany Cover, RPh, PharmD; and Trudy Charboneau, BSRN
Purpose: Adverse drug events are a dangerous and costly reality in health care today. Has adding a pharmacist to the emergency department (ED) Interdisciplinary team reduced adverse drug events and been cost effective? Design: A prospective review of admission orders and documented interventions by pharmacists. A retrospective review of qualitative and observational data, utilizing chart review and occurrence screens. Setting: An ED with an annual volume of 60,000 patients within a 359-bed community hospital in central Rhode Island. Sample: Those presented to the ED who are admitted to the hospital between 10am and 6pm. This is between 12-15 charts per day. Methods: Data was collected by prospective review of all patient charts and admission orders. Interventions are recorded in the pharmacy computer system. Default dollar value is assessed. Occurrence screens for adverse drug events reviewed retrospectively within patient safety/quality priorities identified.
Results: Data collection analysis is ongoing; however for the first three months of fiscal 2003 the results were supportive as follows: (1) Number of missed medications on admission that orders was obtained for: 43; (2) Code blues attended/assisted: 11; (3) Patients counseling and medication histories obtained by pharmacist: 382; (4) Significant drug interactions intercepted: 4; (5) Doses of frequencies of drugs questioned: 43; (6) Diseases state contraindications/recommendations: 8; (7) Significant medication errors averted: 6; (8) Non-formulary or non-stocked drugs changed: 37; (9) Orders clarified: 27; and (10) Allergic reactions avoided: 8. Total estimated cost savings/avoidance for this time period: $13,807. Conclusion: To date, we have observed significant numbers of interventions and cost-savings that would not be likely to occur during the standard medication review process without a pharmacist in the ED. We anticipate nurse and physician satisfaction surveys to support the continuation of this novel program. [Research Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIntegrating Pharmaceutical Care into the Interdisciplinary Model of Care in the Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162891-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Integrating Pharmaceutical Care into the Interdisciplinary Model of Care in the Emergency Department</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Taylor, Jean, RN</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">401/736-4288</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">RNTaylor@cox.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Kathleen Bergeron, RN, CEN; Alicia ZuWallack, RPh, PharmD; Rany Cover, RPh, PharmD; and Trudy Charboneau, BSRN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Adverse drug events are a dangerous and costly reality in health care today. Has adding a pharmacist to the emergency department (ED) Interdisciplinary team reduced adverse drug events and been cost effective? Design: A prospective review of admission orders and documented interventions by pharmacists. A retrospective review of qualitative and observational data, utilizing chart review and occurrence screens. Setting: An ED with an annual volume of 60,000 patients within a 359-bed community hospital in central Rhode Island. Sample: Those presented to the ED who are admitted to the hospital between 10am and 6pm. This is between 12-15 charts per day. Methods: Data was collected by prospective review of all patient charts and admission orders. Interventions are recorded in the pharmacy computer system. Default dollar value is assessed. Occurrence screens for adverse drug events reviewed retrospectively within patient safety/quality priorities identified. <br/>Results: Data collection analysis is ongoing; however for the first three months of fiscal 2003 the results were supportive as follows: (1) Number of missed medications on admission that orders was obtained for: 43; (2) Code blues attended/assisted: 11; (3) Patients counseling and medication histories obtained by pharmacist: 382; (4) Significant drug interactions intercepted: 4; (5) Doses of frequencies of drugs questioned: 43; (6) Diseases state contraindications/recommendations: 8; (7) Significant medication errors averted: 6; (8) Non-formulary or non-stocked drugs changed: 37; (9) Orders clarified: 27; and (10) Allergic reactions avoided: 8. Total estimated cost savings/avoidance for this time period: $13,807. Conclusion: To date, we have observed significant numbers of interventions and cost-savings that would not be likely to occur during the standard medication review process without a pharmacist in the ED. We anticipate nurse and physician satisfaction surveys to support the continuation of this novel program. [Research Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:55Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:55Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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