Impact of a pediatric clinical pharmacist in the pediatric intensive care unit.

Abstract:

OBJECTIVE:To study the impact of a clinical pharmacist in a pediatric intensive care unit. The goals of the study were to determine the type and quantity of patient care interventions recommended by a clinical pharmacist and to specifically examine cost savings (or loss) that resulted from clinical pharmacist recommendations. DESIGN:A prospective case series. SETTING:Ten-bed pediatric intensive care unit in a university-affiliated children's hospital. PATIENTS:All patients admitted to the pediatric intensive care unit during the study period. INTERVENTIONS:None. MEASUREMENTS AND MAIN RESULTS:During the 24-wk study period, the pediatric clinical pharmacist documented all interventions that occurred during her shift. She rounded with the pediatric intensive care unit team approximately two times a week and reviewed medication lists daily. Drug acquisition costs were used to calculate drug cost savings. Demographic information was collected on all the patients in the pediatric intensive care unit during the study period. There were 35 recommendations per 100 patient days. The most common interventions were dosage changes (28%), drug information (26%), and miscellaneous information (22%). The average time spent per day by the clinical pharmacist in the pediatric intensive care unit was 0.73 hrs or 0.02 full-time equivalent. The total cost direct savings for the study period was $1,977. Extrapolated to direct cost savings per year, the total amount saved was $9,135/year or 0.15 full-time equivalent. Indirect savings from educational activities, avoidance of medication errors, and optimization of medical therapies represent an additional nonquantifiable amount. CONCLUSION:We conclude that a clinical pharmacist is an important and cost-effective member of the pediatric intensive care unit team.

journal_name

Crit Care Med

journal_title

Critical care medicine

authors

Krupicka MI,Bratton SL,Sonnenthal K,Goldstein B

doi

10.1097/00003246-200204000-00035

subject

Has Abstract

pub_date

2002-04-01 00:00:00

pages

919-21

issue

4

eissn

0090-3493

issn

1530-0293

journal_volume

30

pub_type

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