Pharmacist Participation on Physician Rounds and Adverse Drug Events in the Intensive Care Unit

Article Abstract:

Pharmacists participating in medical grand rounds may substantially reduce adverse drug reactions in intensive care unit (ICU) patients. Researchers compared the rate of drug reactions in 75 patients before pharmacists began participating in medical rounds, 75 patients for whom medication orders were reviewed by a pharmacist, and 75 patients in an ICU not affected by the experiment. The rate of drug reactions fell 66% in the ICU after pharmacists began participating in drug prescribing decisions. The rate of adverse drug effects remained unchanged in the unit that did not participate in the study. Pharmacists made 366 recommendations to physicians, who accepted 99% of the suggestions.

United States, Statistical Data Included, Services, Adverse drug reactions, Pharmacists

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Adverse drug events in ambulatory care

Article Abstract:

Many patients have an adverse reaction to a drug their primary care doctor prescribed, according to a survey of 661 patients seen at four primary care offices in Boston, MA. One-fourth of the patients reported an adverse reaction to a drug and 40% of the reactions were either preventable or treatable. SSRIs were the most common cause of an adverse reaction, followed by beta blockers, ACE inhibitors, and non-steroidal anti-inflammatory drugs (NSAIDs).

Drugs & Pharmaceuticals, Pharmaceutical and Medicine Manufacturing, Pharmaceutical Preparation Manufacturing, Pharmaceutical preparations, Drugs, Metabolic Agents NEC, Metabolic Agents, Health aspects, Ambulatory medical care, Ambulatory care

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Guided medication dosing for inpatients with renal insufficiency. (Original Contribution)

Article Abstract:

Computer-based decision support systems can be used to change the dosage of a drug prescribed for a hospital patient if the patient has kidney disease. Kidney disease can affect the metabolism of drugs in the body so doctors must change the dose so the patient won't experience an adverse effect from the drug.

Care and treatment, Dosage and administration, Chronic kidney failure, Drug administration and dosage

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