Related Experiment Videos
Retrospective evaluation of an inpatient psychiatric pharmacist consultation service
Brandon T Suehs1, Lisa M Mican, Angela H Campbell
1College of Pharmacy, University of Texas at Austin, USA.
Objective:
To describe and evaluate clinical outcomes of pharmacist consult service recommendations in an inpatient psychiatric setting.
Design:
Retrospective study.
Setting:
Austin, TX, between September 1, 2005, and May 31, 2006.
Patients:
105 patients receiving a pharmacy consult while admitted to the Austin State Hospital.
Intervention:
Completion of consultation pursuant to provider referral.
Main Outcome Measures:
Clinical Global Impression (CGI)-Severity (CGI-S) and CGI-Improvement (CGI-I) scores were retrospectively determined by blinded psychiatric pharmacy specialists upon review of physician progress notes.
Results:
A total of 105 pharmacy consultations and associated physician progress notes were reviewed. Overall, 73% of the primary consultation recommendations were implemented. The most common reasons for referral to the psychopharmacology service were nonresponse to treatment and aggression. Patients with high implementation of consultation recommendations displayed more favorable endpoint CGI-S scores and displayed a greater CGI-I response rate compared with patients with low implementation of consult recommendations.
Conclusion:
Implementing clinical pharmacists' consult recommendations was associated with significantly greater improvement in overall severity of illness and global improvement. This study supports the positive role that pharmacists have in optimizing patient care and clinical outcomes.
Related Concept Videos
Nursing Evaluation
Section...
Pharmacovigilance
This process, termed pharmacovigilance, aims to detect, evaluate, and minimize harmful effects related to medication use. The data collection for pharmacovigilance depends on spontaneous reporting systems, where healthcare professionals or patients voluntarily report suspected ADRs.
In some cases, there...
Psychosis: Goals of Pharmacotherapy
Drug Dosing: Geriatric Patients
Pharmacokinetics in Geriatric Patients: Effect of Age on Drug Excretion
Dosage Regimens: Partial Pharmacokinetic Parameters