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May 6, 2021Journal of Pharmaceutical Health Services Research

Clinical and economic impact of comprehensive medication management implementation by clinical pharmacists in an intensive care unit: a cost–benefit analysis

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Why the study?

Critically ill patients are at risk of drug-related problems and healthcare costs, and the clinical and economic impact of clinical pharmacists required evaluation by cost-benefit analysis in the ICU.

Does comprehensive medication management by a clinical pharmacist improve clinical and economic outcomes in neurosurgery ICU patients?

Population

162 patients in a neurosurgery ICU of a university hospital

Comparison

Comprehensive medication management by a clinical pharmacist

Design

Prospective interventional study

Follow-up

6 months

Authors

ARAmir RezazadehIran University of Medical SciencesSHSeyed Hossein HajimiriAmerican Pharmacists AssociationAKAbbas KebriaeezadehInstitute of Pharmacology

Discussion

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Member takes

Overview

Pharmacist interventions may cut ICU costs and DRPs; leaves open need for RCTs to confirm impact.

Structured PICO

Does comprehensive medication management by a clinical pharmacist improve clinical and economic outcomes in neurosurgery ICU patients?

P
Population
162 critically ill patients in a neurosurgery intensive care unit (ICU) of a university hospital
I
Intervention
Comprehensive medication management implemented by a dedicated clinical pharmacist
O
Outcome
Clinical and economic impact of clinical pharmacist interventions, including cost-benefit ratio and net benefit

Implementation of comprehensive medication management by a clinical pharmacist in a neurosurgery ICU yields a high benefit-cost ratio and substantial net economic benefit.

Cite This Study

Rezazadeh et al. (2021) studied this question.

synapsesocial.com/papers/6a8729dc9749833e6e155229https://doi.org/10.1093/jphsr/rmab026
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States2018 · 69 citations
  2. 2Economic contributions of pharmaceutical interventions by pharmacists: a retrospective report in Japan2016 · 18 citations
  3. 3Collaborative Drug Therapy Management and Comprehensive Medication Management―20152015 · 185 citations
  4. 4Cost-outcome description of clinical pharmacist interventions in a university teaching hospital2014 · 96 citations