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- W4313271954 abstract "Introduction: Documenting pharmacological interventions in electronic medical record on daily basis can be very time consuming. However, such documentation is extremely important for both quality improvement and cost saving. Methods: A surgical ICU (SICU) clinical pharmacist rounded with the ICU team on the daily basis and documented her pharmacological interventions using Epic ® iVents from January 2021 to June 2022. The SICU had 23 beds, shared by CTICU and Surgical/Trauma ICU. The SICU team included an attending physician (usually a critical care trained trauma surgeon); clinical pharmacist; pharmacy resident; surgical residents; surgical physician assistants; nurses; respiratory therapists; dietitians; and medical school students. Results: The pharmacist documented a total of 3711 ivents in the 18 months. The types of ivents included dosing recommendation (n=1033); initiation of new therapy (n=623); discontinuation of therapy (n= 543); admission medication reconciliation (n=172); recommend lab/test (n=161); therapeutic drug monitoring/kinetics (n=158); iv to po medication switch (n=127); develop medication weaning plans (n=104); duration of therapy (n=81); renew expired medication (n=76); order clarification (n=68); route or formulation change (n=62); restart medication (n=53); antimicrobial de-escalation (n=47); hold medication (n=44); adverse drug event (n=37); high cost drug medication review (n=32); antimicrobial escalation (n=30); restart home medication (n=26); medication rate change (n=22); vancomycin AUC calculation (n=22); clinical drug information (n=17); non-formulation to formulation medication (n=17); VTE prophylaxis initiation (n=17); height and weight verification (n=10); stress ulcer prophylaxis initiation (n=17); drug interaction (n=10); administration time change (n=17); antimicrobial drug-bug mismatch (n=16); restricted medication approval (n=27); and others. Conclusions: The surgical ICU clinical pharmacist was able to document an average of 206 medication interventions in Epic ® per month (ranges: 138 to 296). The highest number of ivents documented occurred in July when new medical house staff started the training. Documenting pharmacist interventions is critical for quality improvement; patient care outcome; and justification for more pharmacist personnel." @default.
- W4313271954 created "2023-01-06" @default.
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- W4313271954 date "2022-12-15" @default.
- W4313271954 modified "2023-10-18" @default.
- W4313271954 title "1028: PHARMACOLOGIC INTERVENTIONS ON A SURGICAL INTENSIVE CARE UNIT BY A CLINICAL PHARMACIST" @default.
- W4313271954 doi "https://doi.org/10.1097/01.ccm.0000909840.90663.97" @default.
- W4313271954 hasPublicationYear "2022" @default.
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