| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Articles |
Pharmacist recommendations and their clinical and economic outcomes in a Veterans Affairs (VA) medical center were studied. The first 600 pharmacist recommendations that met study criteria were evaluated for type and frequency, rate of acceptance by physicians, potential benefit or harm, and economic consequences. The study site included inpatient and outpatient settings and a skilled-nursing facility. The most frequent types of pharmacist recommendations involved adjusting the dosage or frequency of administration and discontinuing a drug that was not indicated for the patient's medical problem. The rate of acceptance of the recommendations was 92%. The recommendations led to improved clinical outcomes in over 30% of cases in each setting and no change in over 40% of cases in each setting. Evaluators determined that patient harm was avoided by the recommendations in 90% of cases; patient harm was caused in less than 1% of cases. The overall mean cost avoidance per recommendation was $700, and the mean total cost avoidance for all 600 recommendations was $420,155. Pharmacist recommendations improved clinical outcomes and saved money at a VA medical center.
This article has been cited by other articles:
|
|
 |
|
  T. M. Meidl, T. W. Woller, A. M. Iglar, and D. G. Brierton Implementation of pharmacy services in a telemedicine intensive care unit Am. J. Health Syst. Pharm., August 1, 2008; 65(15): 1464 - 1469. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. De Rijdt, L. Willems, and S. Simoens Economic effects of clinical pharmacy interventions: A literature review Am. J. Health Syst. Pharm., June 15, 2008; 65(12): 1161 - 1172. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. N. Brown, C. L. Barnes, B. Beasley, R. Cisneros, M. Pound, and C. Herring Effect of pharmacists on medication errors in an emergency department Am. J. Health Syst. Pharm., February 15, 2008; 65(4): 330 - 333. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Heelon, D. Skiest, G. Tereso, L. Meade, J. Weeks, P. Pekow, and M. B. Rothberg Effect of a clinical pharmacist's interventions on duration of antiretroviral-related errors in hospitalized patients Am. J. Health Syst. Pharm., October 1, 2007; 64(19): 2064 - 2068. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
B. I. Fox, B. G. Felkey, B. A. Berger, K. P. Krueger, and R. K. Rainer Jr. Use of personal digital assistants for documentation of pharmacists' interventions: A literature review Am. J. Health Syst. Pharm., July 15, 2007; 64(14): 1516 - 1525. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Lada and G. Delgado Jr. Documentation of pharmacists' interventions in an emergency department and associated cost avoidance Am. J. Health Syst. Pharm., January 1, 2007; 64(1): 63 - 68. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
W. N. Kelly and T. D. Rucker Compelling features of a safe medication-use system. Am. J. Health Syst. Pharm., August 1, 2006; 63(15): 1461 - 1468. [Full Text] [PDF]
|
|
|
|
 |
|
 D. J. Weschules, T. Maxwell, J. Reifsnyder, and C. H. Knowlton Are newer, more expensive pharmacotherapy options associated with superior symptom control compared to less costly agents used in a collaborative practice setting? American Journal of Hospice and Palliative Medicine, March 1, 2006; 23(2): 135 - 149. [Abstract] [PDF]
|
|
|
|
|
|
J. M. Ling, L. A. Mike, J. Rubin, P. Abraham, A. Howe, J. Patka, and D. Vigliotti Documentation of pharmacist interventions in the emergency department Am. J. Health Syst. Pharm., September 1, 2005; 62(17): 1793 - 1797. [Full Text] [PDF]
|
|
|
|
|
|
K. K. Knapp, M. P. Okamoto, and B. L. Black ASHP survey of ambulatory care pharmacy practice in health systems--2004 Am. J. Health Syst. Pharm., February 1, 2005; 62(3): 274 - 284. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
