Effect of clinical pharmacists on care in the emergency department: a systematic review.

PURPOSE: A systematic literature review was conducted to ascertain the scope of involvement of clinical pharmacists in the emergency department (ED); summarize economic, humanistic, and clinical outcomes data; describe current limitations of these data; and identify areas for future research. METHOD...

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Publicado en:American Journal of Health-System Pharmacy Vol. 66; no. 15; pp. 1353 - 1362
Autores principales: Cohen V, Jellinek SP, Hatch A, Motov S
Formato: research systematic review tables/charts Journal Article
Publicado: Oxford University Press / USA 8/1/2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 8/1/2009
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      pub: Oxford University Press / USA
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        atl: Effect of clinical pharmacists on care in the emergency department: a systematic review.
      aug:
        au:
          Cohen V
          Jellinek SP
          Hatch A
          Motov S
        affil: Assistant Professor of Pharmacy Practice, Arnold & Marie Schwartz College of Pharmacy and Health Sciences, Brooklyn, NY
      sug:
        subj:
          Emergency Care
          Emergency Service
          Pharmacists
          Professional Role
          Adverse Drug Event Prevention and Control
          CINAHL Database
          Cochrane Library
          Cost Savings
          Medline
          Systematic Review
          Treatment Outcomes
          Human
      ab: PURPOSE: A systematic literature review was conducted to ascertain the scope of involvement of clinical pharmacists in the emergency department (ED); summarize economic, humanistic, and clinical outcomes data; describe current limitations of these data; and identify areas for future research. METHODS: A search of MEDLINE, The Cochrane Library, International Pharmaceutical Abstracts, and CINAHL Plus databases was conducted. Articles were included in this review if the title and abstract indicated that the article's content addressed the scope of involvement of pharmacists in the ED or pharmacist interventions in the ED and their associated outcomes, such as humanistic outcomes, cost avoidance, or improved quality. Qualitative analyses were conducted to characterize pharmacists' activities and effects in the ED. RESULTS: Of the 533 returned citations, only 17 met the inclusion criteria. Each provided a description of clinical pharmacy services at 12 different institutions. Descriptions of these institutions and job responsibilities of the ED pharmacists are described. Six studies reported information about pharmacist interventions, including the number and types of interventions, time spent per intervention, and acceptance rate of interventions. Four studies reported cost-related outcomes data. CONCLUSION: A review of the literature revealed that pharmacists have been involved in the ED for decades. Services provided by pharmacists in the ED included traditional clinical pharmacy services, responding to medical emergencies, providing consultations on medication issues, identifying and reducing medication errors, and conducting medication histories at hospital admission. Some services were shown to be cost saving or cost avoiding.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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