4CPS-218 Assessment of clinical pharmacist interventions in an intensive care unit
BackgroundTraditionally, the functions of the clinical pharmacist in the intensive care unit (ICU) of our hospital were based on pharmaceutical interventions (PIs) concerning parenteral nutrition (PN), the preparation of these formulas and checking that the composition was adapted to the nutritional...
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Veröffentlicht in: | European journal of hospital pharmacy. Science and practice 2019-03, Vol.26 (Suppl 1), p.A171-A171 |
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creator | Valera Rubio, M Gómez Delgado, M Puerto Morlán, A Estaun, C Moya-Carmona, I Fernández Ovies, JM |
description | BackgroundTraditionally, the functions of the clinical pharmacist in the intensive care unit (ICU) of our hospital were based on pharmaceutical interventions (PIs) concerning parenteral nutrition (PN), the preparation of these formulas and checking that the composition was adapted to the nutritional requirements and the clinical situation of the patient. Nevertheless, the same pharmacist can also collaborate with the ICU staff (physicians or nurses) in the optimisation of the pharmacological treatment of critically ill patients.PurposeTo describe the number and type of PIs upon medical prescriptions of critical care patients and to assess the impact of these PIs according to the degree of acceptance by the ICU staff.Material and methodsWe carried out a prospective study between 1 April and 31 May 2018 in an ICU of 18 beds of a tertiary teaching hospital. Inclusion criteria: ICU patients who received PN during the stay. Variables included: type of PI (made after daily review of the nutrition and drugs prescriptions that were communicated verbally to the ICU staff), demographics and acceptance by the ICU staff.ResultsDuring the study period, 232 patients were admitted to the ICU, 30 (12.9%) of whom received PN (mean age 62, range 13–93; 32% females; mean length of stay 3 days: range 1–36). A total of 134 PIs were recorded: 56.7% were related to PN prescriptions (27.6% of this kind of PI were modifications of insulin, 14.5% were modifications of electrolytes); 16.4% enteral nutrition PIs; 7.5% administration of drugs via the nasogastric tube; 7.5% giving information about drugs administration; 4.5% stability of intravenous mixtures; 3% conciliation of medication; 3% suggestions for changing one drug for another (due to inefficiency); and 1.5% concerning maximum dose alerts. Eighty-three per cent of PIs were accepted by the ICU staff.ConclusionMore than four PIs were performed per patient and the percentage of rejected PIs was very low. Although the main task of our clinical pharmacist was focused on clinical nutrition, this study demonstrates the role and importance of this professional incorporated into the ICU multidisciplinary team, since PIs contribute to prevent medication errors and to improve the effectiveness and safety of the total pharmacological treatment in critically ill patients.References and/or acknowledgementsNo conflict of interest. |
doi_str_mv | 10.1136/ejhpharm-2019-eahpconf.367 |
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Nevertheless, the same pharmacist can also collaborate with the ICU staff (physicians or nurses) in the optimisation of the pharmacological treatment of critically ill patients.PurposeTo describe the number and type of PIs upon medical prescriptions of critical care patients and to assess the impact of these PIs according to the degree of acceptance by the ICU staff.Material and methodsWe carried out a prospective study between 1 April and 31 May 2018 in an ICU of 18 beds of a tertiary teaching hospital. Inclusion criteria: ICU patients who received PN during the stay. Variables included: type of PI (made after daily review of the nutrition and drugs prescriptions that were communicated verbally to the ICU staff), demographics and acceptance by the ICU staff.ResultsDuring the study period, 232 patients were admitted to the ICU, 30 (12.9%) of whom received PN (mean age 62, range 13–93; 32% females; mean length of stay 3 days: range 1–36). A total of 134 PIs were recorded: 56.7% were related to PN prescriptions (27.6% of this kind of PI were modifications of insulin, 14.5% were modifications of electrolytes); 16.4% enteral nutrition PIs; 7.5% administration of drugs via the nasogastric tube; 7.5% giving information about drugs administration; 4.5% stability of intravenous mixtures; 3% conciliation of medication; 3% suggestions for changing one drug for another (due to inefficiency); and 1.5% concerning maximum dose alerts. Eighty-three per cent of PIs were accepted by the ICU staff.ConclusionMore than four PIs were performed per patient and the percentage of rejected PIs was very low. Although the main task of our clinical pharmacist was focused on clinical nutrition, this study demonstrates the role and importance of this professional incorporated into the ICU multidisciplinary team, since PIs contribute to prevent medication errors and to improve the effectiveness and safety of the total pharmacological treatment in critically ill patients.References and/or acknowledgementsNo conflict of interest.</description><identifier>ISSN: 2047-9956</identifier><identifier>EISSN: 2047-9964</identifier><identifier>DOI: 10.1136/ejhpharm-2019-eahpconf.367</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Intensive care ; Nutrition ; Parenteral nutrition ; Patients ; Pharmacists</subject><ispartof>European journal of hospital pharmacy. Science and practice, 2019-03, Vol.26 (Suppl 1), p.A171-A171</ispartof><rights>2019, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2019 2019, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Valera Rubio, M</creatorcontrib><creatorcontrib>Gómez Delgado, M</creatorcontrib><creatorcontrib>Puerto Morlán, A</creatorcontrib><creatorcontrib>Estaun, C</creatorcontrib><creatorcontrib>Moya-Carmona, I</creatorcontrib><creatorcontrib>Fernández Ovies, JM</creatorcontrib><title>4CPS-218 Assessment of clinical pharmacist interventions in an intensive care unit</title><title>European journal of hospital pharmacy. Science and practice</title><description>BackgroundTraditionally, the functions of the clinical pharmacist in the intensive care unit (ICU) of our hospital were based on pharmaceutical interventions (PIs) concerning parenteral nutrition (PN), the preparation of these formulas and checking that the composition was adapted to the nutritional requirements and the clinical situation of the patient. Nevertheless, the same pharmacist can also collaborate with the ICU staff (physicians or nurses) in the optimisation of the pharmacological treatment of critically ill patients.PurposeTo describe the number and type of PIs upon medical prescriptions of critical care patients and to assess the impact of these PIs according to the degree of acceptance by the ICU staff.Material and methodsWe carried out a prospective study between 1 April and 31 May 2018 in an ICU of 18 beds of a tertiary teaching hospital. Inclusion criteria: ICU patients who received PN during the stay. Variables included: type of PI (made after daily review of the nutrition and drugs prescriptions that were communicated verbally to the ICU staff), demographics and acceptance by the ICU staff.ResultsDuring the study period, 232 patients were admitted to the ICU, 30 (12.9%) of whom received PN (mean age 62, range 13–93; 32% females; mean length of stay 3 days: range 1–36). A total of 134 PIs were recorded: 56.7% were related to PN prescriptions (27.6% of this kind of PI were modifications of insulin, 14.5% were modifications of electrolytes); 16.4% enteral nutrition PIs; 7.5% administration of drugs via the nasogastric tube; 7.5% giving information about drugs administration; 4.5% stability of intravenous mixtures; 3% conciliation of medication; 3% suggestions for changing one drug for another (due to inefficiency); and 1.5% concerning maximum dose alerts. Eighty-three per cent of PIs were accepted by the ICU staff.ConclusionMore than four PIs were performed per patient and the percentage of rejected PIs was very low. Although the main task of our clinical pharmacist was focused on clinical nutrition, this study demonstrates the role and importance of this professional incorporated into the ICU multidisciplinary team, since PIs contribute to prevent medication errors and to improve the effectiveness and safety of the total pharmacological treatment in critically ill patients.References and/or acknowledgementsNo conflict of interest.</description><subject>Intensive care</subject><subject>Nutrition</subject><subject>Parenteral nutrition</subject><subject>Patients</subject><subject>Pharmacists</subject><issn>2047-9956</issn><issn>2047-9964</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNo9kMtKAzEUhoMoWGrfYdD11CQnl8myFG9QULCuQyYmNKWTGZNpwZ0bX9QncdpaV-fCx_kPH0LXBE8JAXHr1qtuZVJTUkxU6cyqs230UxDyDI0oZrJUSrDz_56LSzTJOdSYA1SKgRqhJZu_vJaUVD9f37OcXc6Ni33R-sJuQgzWbIpDhrEh90WIvUu7AQhtzMNUmHjYxRx2rrAmuWIbQ3-FLrzZZDf5q2P0dn-3nD-Wi-eHp_lsUdaECllaYxgDV9XcSAbgMVgPrOIgneXDj9aKigrBlKi9NwC1ouSdG2akVJR6D2N0c7zbpfZj63Kv1-02xSFSU6IwJgCKDBQ_UnWz1l0KjUmfmmC9d6hPDvXeoT451IND-AVyvmqm</recordid><startdate>201903</startdate><enddate>201903</enddate><creator>Valera Rubio, M</creator><creator>Gómez Delgado, M</creator><creator>Puerto Morlán, A</creator><creator>Estaun, C</creator><creator>Moya-Carmona, I</creator><creator>Fernández Ovies, JM</creator><general>BMJ Publishing Group LTD</general><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>201903</creationdate><title>4CPS-218 Assessment of clinical pharmacist interventions in an intensive care unit</title><author>Valera Rubio, M ; Gómez Delgado, M ; Puerto Morlán, A ; Estaun, C ; Moya-Carmona, I ; Fernández Ovies, JM</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b1267-caa443e8b5a7433f03cf348537ec5053cc68266496bffa33b921d5a4a77922ff3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Intensive care</topic><topic>Nutrition</topic><topic>Parenteral nutrition</topic><topic>Patients</topic><topic>Pharmacists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Valera Rubio, M</creatorcontrib><creatorcontrib>Gómez Delgado, M</creatorcontrib><creatorcontrib>Puerto Morlán, A</creatorcontrib><creatorcontrib>Estaun, C</creatorcontrib><creatorcontrib>Moya-Carmona, I</creatorcontrib><creatorcontrib>Fernández Ovies, JM</creatorcontrib><collection>ProQuest Central (Corporate)</collection><collection>ProQuest_Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><jtitle>European journal of hospital pharmacy. Science and practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Valera Rubio, M</au><au>Gómez Delgado, M</au><au>Puerto Morlán, A</au><au>Estaun, C</au><au>Moya-Carmona, I</au><au>Fernández Ovies, JM</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>4CPS-218 Assessment of clinical pharmacist interventions in an intensive care unit</atitle><jtitle>European journal of hospital pharmacy. Science and practice</jtitle><date>2019-03</date><risdate>2019</risdate><volume>26</volume><issue>Suppl 1</issue><spage>A171</spage><epage>A171</epage><pages>A171-A171</pages><issn>2047-9956</issn><eissn>2047-9964</eissn><abstract>BackgroundTraditionally, the functions of the clinical pharmacist in the intensive care unit (ICU) of our hospital were based on pharmaceutical interventions (PIs) concerning parenteral nutrition (PN), the preparation of these formulas and checking that the composition was adapted to the nutritional requirements and the clinical situation of the patient. Nevertheless, the same pharmacist can also collaborate with the ICU staff (physicians or nurses) in the optimisation of the pharmacological treatment of critically ill patients.PurposeTo describe the number and type of PIs upon medical prescriptions of critical care patients and to assess the impact of these PIs according to the degree of acceptance by the ICU staff.Material and methodsWe carried out a prospective study between 1 April and 31 May 2018 in an ICU of 18 beds of a tertiary teaching hospital. Inclusion criteria: ICU patients who received PN during the stay. Variables included: type of PI (made after daily review of the nutrition and drugs prescriptions that were communicated verbally to the ICU staff), demographics and acceptance by the ICU staff.ResultsDuring the study period, 232 patients were admitted to the ICU, 30 (12.9%) of whom received PN (mean age 62, range 13–93; 32% females; mean length of stay 3 days: range 1–36). A total of 134 PIs were recorded: 56.7% were related to PN prescriptions (27.6% of this kind of PI were modifications of insulin, 14.5% were modifications of electrolytes); 16.4% enteral nutrition PIs; 7.5% administration of drugs via the nasogastric tube; 7.5% giving information about drugs administration; 4.5% stability of intravenous mixtures; 3% conciliation of medication; 3% suggestions for changing one drug for another (due to inefficiency); and 1.5% concerning maximum dose alerts. Eighty-three per cent of PIs were accepted by the ICU staff.ConclusionMore than four PIs were performed per patient and the percentage of rejected PIs was very low. Although the main task of our clinical pharmacist was focused on clinical nutrition, this study demonstrates the role and importance of this professional incorporated into the ICU multidisciplinary team, since PIs contribute to prevent medication errors and to improve the effectiveness and safety of the total pharmacological treatment in critically ill patients.References and/or acknowledgementsNo conflict of interest.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/ejhpharm-2019-eahpconf.367</doi><oa>free_for_read</oa></addata></record> |
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title | 4CPS-218 Assessment of clinical pharmacist interventions in an intensive care unit |
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