Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model
Background: Critically ill patients treated in the intensive care unit (ICU) are at risk of drug-related problems (DRPs), clinical pharmacists are specifically trained in pharmacotherapy evaluations with the abilities to identify and manage drug-related complications. This study aims to identify ar...
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| Format: | Article |
| Language: | English |
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Research Center for Rational Use of Drugs (RCRUD)
2023-09-01
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| Series: | Journal of Pharmaceutical Care |
| Subjects: | |
| Online Access: | https://jpc.tums.ac.ir/index.php/jpc/article/view/595 |
| _version_ | 1827792707949428736 |
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| author | Kamyab Andarzbakhsh Niayesh Mohebbi Amir Rezazadeh Kheirollah Gholami Ramin Abrishami |
| author_facet | Kamyab Andarzbakhsh Niayesh Mohebbi Amir Rezazadeh Kheirollah Gholami Ramin Abrishami |
| author_sort | Kamyab Andarzbakhsh |
| collection | DOAJ |
| description |
Background: Critically ill patients treated in the intensive care unit (ICU) are at risk of drug-related problems (DRPs), clinical pharmacists are specifically trained in pharmacotherapy evaluations with the abilities to identify and manage drug-related complications. This study aims to identify areas where clinical pharmacists can be effective in the ICU. The primary outcomes of this study were determining the clinical aspect of clinical pharmacists in the ICU, type, and number of clinical pharmacist interventions. Methods: This was a prospective, interventional study in a teaching hospital in Iran. A clinical pharmacist was dedicated to implement comprehensive medication management (CMM); All Pharmacotherapy Problems were categorized. Results: During the monitoring of 162 patients by the clinical pharmacist, 1524 interventions were conducted. The most frequent pharmacotherapy-related problems identified were drug selection (33.3%), dose adjustment (17.3%), and fluid and electrolyte management (12.9%). Conclusion: Clinical pharmacists’ interventions could reduce the rate of DRPs by pharmacotherapy evaluation and may have important role in many aspects of patient’s management.
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| first_indexed | 2024-03-11T18:05:57Z |
| format | Article |
| id | doaj.art-42ad176a4d0848b180566dd7dade6fe7 |
| institution | Directory Open Access Journal |
| issn | 2322-4630 2322-4509 |
| language | English |
| last_indexed | 2024-03-11T18:05:57Z |
| publishDate | 2023-09-01 |
| publisher | Research Center for Rational Use of Drugs (RCRUD) |
| record_format | Article |
| series | Journal of Pharmaceutical Care |
| spelling | doaj.art-42ad176a4d0848b180566dd7dade6fe72023-10-17T05:30:38ZengResearch Center for Rational Use of Drugs (RCRUD)Journal of Pharmaceutical Care2322-46302322-45092023-09-01113Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management ModelKamyab Andarzbakhsh0Niayesh Mohebbi1Amir Rezazadeh2Kheirollah Gholami3Ramin Abrishami4Department of Clinical Pharmacy, School of Pharmacy, Tehran Medical sciences, Islamic Azad University, Tehran, Iran.Department of Clinical Pharmacy, School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran AND Research Center for Rational Use of Drugs, Tehran University of Medical Sciences, Tehran, Iran.Department of Clinical Pharmacy, School of Pharmacy, Iran University of Medical Sciences, Tehran, Iran.Department of Clinical Pharmacy, School of Pharmacy, Tehran Medical sciences, Islamic Azad University, Tehran, Iran.Department of Clinical Pharmacy, School of Pharmacy, Tehran Medical sciences, Islamic Azad University, Tehran, Iran. Background: Critically ill patients treated in the intensive care unit (ICU) are at risk of drug-related problems (DRPs), clinical pharmacists are specifically trained in pharmacotherapy evaluations with the abilities to identify and manage drug-related complications. This study aims to identify areas where clinical pharmacists can be effective in the ICU. The primary outcomes of this study were determining the clinical aspect of clinical pharmacists in the ICU, type, and number of clinical pharmacist interventions. Methods: This was a prospective, interventional study in a teaching hospital in Iran. A clinical pharmacist was dedicated to implement comprehensive medication management (CMM); All Pharmacotherapy Problems were categorized. Results: During the monitoring of 162 patients by the clinical pharmacist, 1524 interventions were conducted. The most frequent pharmacotherapy-related problems identified were drug selection (33.3%), dose adjustment (17.3%), and fluid and electrolyte management (12.9%). Conclusion: Clinical pharmacists’ interventions could reduce the rate of DRPs by pharmacotherapy evaluation and may have important role in many aspects of patient’s management. https://jpc.tums.ac.ir/index.php/jpc/article/view/595Clinical Pharmacy; Intensive Care Unit; Drug Related Problems |
| spellingShingle | Kamyab Andarzbakhsh Niayesh Mohebbi Amir Rezazadeh Kheirollah Gholami Ramin Abrishami Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model Journal of Pharmaceutical Care Clinical Pharmacy; Intensive Care Unit; Drug Related Problems |
| title | Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model |
| title_full | Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model |
| title_fullStr | Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model |
| title_full_unstemmed | Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model |
| title_short | Clinical Pharmacy Services in a Neurosurgical Intensive Care Unit in Iran: A Focus on a Comprehensive Medication Management Model |
| title_sort | clinical pharmacy services in a neurosurgical intensive care unit in iran a focus on a comprehensive medication management model |
| topic | Clinical Pharmacy; Intensive Care Unit; Drug Related Problems |
| url | https://jpc.tums.ac.ir/index.php/jpc/article/view/595 |
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