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Related Experiment Video

Updated: Jun 19, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Implementing a comprehensive, 24-hour emergency department pharmacy program.

Victoria E Aldridge1, Helen K Park, Mark Bounthavong

  • 1Veterans Affairs San Diego Healthcare System, San Diego, CA, USA. victoria.aldridge@va.gov

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|October 24, 2009
PubMed
Summary

Implementing a 24-hour emergency department pharmacy program (EDPP) improved patient care and safety. This initiative led to significant cost savings and enhanced medication management within the emergency department.

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Area of Science:

  • Pharmacy Practice
  • Health Services Research

Background:

  • The Veterans Affairs San Diego Healthcare System identified deficiencies in emergency department (ED) medication management.
  • These deficiencies included issues with medication tracking, dose administration documentation, and formulary control.

Purpose of the Study:

  • To describe the implementation of a comprehensive, 24-hour emergency department pharmacy program (EDPP).
  • To evaluate the impact of the EDPP on patient care quality, safety, and cost-effectiveness.

Main Methods:

  • Established a 24-hour EDPP with dedicated pharmacists.
  • Utilized a documentation system including computerized spreadsheets and cards to track pharmacist activities.
  • Collected data on pharmacist interventions and conducted a staff satisfaction survey.

Main Results:

  • Recorded 9,568 interventions during the initial six-month implementation.
  • Demonstrated improvements in patient care quality, reduced medication errors, and decreased patient wait times.
  • Projected first-year cost savings of $1,691,185 for the medical center.

Conclusions:

  • Successful implementation of a 24-hour comprehensive ED pharmacy service enhances patient care efficiency and safety.
  • The EDPP significantly improved medication reconciliation, formulary management, and prospective medication order review.
  • The program resulted in substantial cost avoidance and positive staff feedback regarding workflow and provider collaboration.