[EngO6-1] Evaluation of clinical pharmacist intervention in surgical intensive care unit
The ICU is committed to providing clinical treatment by continuously monitoring patients with severe diseases. It is committed to improving the clinical condition of the ICU by utilizing medications, special facilities, medical equipment, and specialist resources. As a member of multidisciplinary team activities for patient safety and medical quality improvement, we analyze the status of prescribing arbitration activities of clinical pharmacists and seek directions for future development.
From January 2017 to December 2017, the multidisciplinary team rounding was regularly done 3 times per week, we analyzed pharmaceutical questionnaires from physicians and interventions made by clinical pharmacists for patients over 18 years old in surgical intensive care unit (SICU).
During our studying period, the average patients in SICU was 13 patients in a day and readmitted patients in SICU was 3.6 patients in a day.
609 of medication interventions were made by clinical pharmacist and total of 347 patients were benefited.
The clinical pharmacists made direct medication-related interventions for 289 patients and of these 273 (94.5%) interventions were accepted by the multidisciplinary team. Through this multidisciplinary team activity, 443 medication interventions were made. 194 cases of proper medications were recommended with the proper indications, 82 cases of proper medication dosages and intervals were recommended, and 63 cases of unnecessary prescriptions were deleted to reduce the burden of poly-pharmacy. The clinical interventions were done in following categories: 130 antibiotic agents, 79 gastrointestinal agents, and 48 central nervous system agents.
Our study demonstrated the acceptance rate of prescription interventions made by clinical pharmacists was very high (94.5%). Therefore we can expect the promising contribution of improving quality and safe of SICU by clinical pharmacists’ educational activities and protocol revision.
From January 2017 to December 2017, the multidisciplinary team rounding was regularly done 3 times per week, we analyzed pharmaceutical questionnaires from physicians and interventions made by clinical pharmacists for patients over 18 years old in surgical intensive care unit (SICU).
During our studying period, the average patients in SICU was 13 patients in a day and readmitted patients in SICU was 3.6 patients in a day.
609 of medication interventions were made by clinical pharmacist and total of 347 patients were benefited.
The clinical pharmacists made direct medication-related interventions for 289 patients and of these 273 (94.5%) interventions were accepted by the multidisciplinary team. Through this multidisciplinary team activity, 443 medication interventions were made. 194 cases of proper medications were recommended with the proper indications, 82 cases of proper medication dosages and intervals were recommended, and 63 cases of unnecessary prescriptions were deleted to reduce the burden of poly-pharmacy. The clinical interventions were done in following categories: 130 antibiotic agents, 79 gastrointestinal agents, and 48 central nervous system agents.
Our study demonstrated the acceptance rate of prescription interventions made by clinical pharmacists was very high (94.5%). Therefore we can expect the promising contribution of improving quality and safe of SICU by clinical pharmacists’ educational activities and protocol revision.