지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Background : Patients admitted to an intensive care unit (ICU) present with diseases and conditions of high severity and are at high risk of adverse drug events (ADEs). In previous studies, pharmacist’s intervention has been shown to reduce the length of ICU day and enhance clinical effects. Since May 2015, a pharmacist has attended rounds in the medical ICU (MICU) at a severance hospital. Methods : From January 2014 to December 2014 and from January 2016 to December 2016, the intervention data were analyzed and clinical effects were estimated by reviewing the electronic medical records of patients admitted to the MICU. Results : During 2016, the number of interventions for MICU was 1202, which is significantly more than that for 2014, when 850 (70.7%) interventions were performed through individual review; also, the rate of acceptance in 1202 was higher than that in 2014. The most common intervention type was dose adjustment (589, 49%), followed by drug recommendation (250, 20.8%) and unnecessary prescription (124, 10.3%). The result of evaluating the clinical effects showed that the length of stay in the MICU tended to be shorter (9 days vs. 5 days, p 0.001) and the ICU mortality rate decreased (29.0% vs 22.1%, p=0.002). Conclusions : The applications of interventions through individual review have been more readily accepted by physicians than those through data processing. Participation of the pharmacist in the ICU team was associated with appropriate drug use and clinical efficacy of patients.
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참고문헌 (14)
참고문헌 신청
Klopotowska JE / 2010 / On-ward participation of a hospital pharmacist in a Dutch intensive care unit reduces prescribing errors and related patient harm: an intervention study / Critical Care 14(5):R174
Kopp BJ / 2007 / Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist / American Journal of Health- System Pharmacy 64(23)
MacLaren R / 2008 / Clinical and economic outcomes of involving pharmacists in the direct care of critically ill patients with infections / Critical care medicine 36(12):3184~3189
Mutnick AH / 1997 / Cost savings and avoidance from clinical interventions / American Journal of Health- System Pharmacy 54(4):392~396
Zaidi STR / 2003 / Impact of pharmacist recommendations on the cost of drug therapy in ICU patients at a Malaysian hospital / Pharmacy World and Science 25(6):299~302
Kopp BJ / 2007 / Cost implications of and potential adverse events prevented by interventions of a critical care pharmacist / American Journal of Health- System Pharmacy 64(23)
MacLaren R / 2008 / Clinical and economic outcomes of involving pharmacists in the direct care of critically ill patients with infections / Critical care medicine 36(12):3184~3189
Mutnick AH / 1997 / Cost savings and avoidance from clinical interventions / American Journal of Health- System Pharmacy 54(4):392~396
Zaidi STR / 2003 / Impact of pharmacist recommendations on the cost of drug therapy in ICU patients at a Malaysian hospital / Pharmacy World and Science 25(6):299~302
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