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Pharmacist in Intensive
Care: Review of the
Evidence
Adnan Hajjiah
The profession of pharmacy has evolved over the past 50 years from
focusing solely on pharmaceutical products into a discipline that is more
patient-centered with special attention to optimal delivery of
pharmaceutical care
In 2000, the SCCM along with ACCP developed a position paper that
stratified clinical pharmacy services into three levels; namely
fundamental, desired and optimal services
Drug-use evaluation
In-service education
Pharmacokinetic consultations
Other activities
The evidence
Duration of both ICU and hospital stays were also significantly reduced
in the post-intervention group
A senior pharmacist made rounds with the ICU team in the morning and was
available on call throughout the day
Within 9 months, the rate of preventable ADEs decreased by 66% from 10.4
per 1000 patient-days before the intervention to 3.5 following the intervention
Intervention study
Preventable ADEs were reduced from 4.0 per 1000 monitored patient-days
during baseline period to 1.0 per 1000 monitored patients-days during the
intervention period (p = 0.25)
10 months period
Intervention study
Surgical ICU
Interventions made
Recommendations
Summary