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Acute care clinical pharmacy practice: unit- versus service-based models.

1, Curtis E Haas, Stephen Eckel

  • 1Department of Pharmacy, University of Rochester Medical Center, Rochester, New York, USA. curtis_haas@urmc.rochester.edu

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Summary
This summary is machine-generated.

The service-based clinical pharmacist model is preferred for optimal patient care. This model positions pharmacists as proactive members of the interprofessional team, enhancing pharmaceutical care delivery.

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Area of Science:

  • Pharmacy Practice
  • Clinical Pharmacy
  • Healthcare Management

Background:

  • The American College of Clinical Pharmacy (ACCP) established a Task Force in 2010 to evaluate acute care pharmacy practice models.
  • The evaluation focused on comparing "unit-based" and "service-based" clinical pharmacist orientations.
  • The goal was to determine the optimal model for facilitating patient-centered care and interprofessional collaboration.

Purpose of the Study:

  • To compare and contrast unit-based and service-based clinical pharmacist roles in acute care.
  • To provide an informed recommendation on the preferred pharmacy practice model.
  • To align practice models with the ACCP's vision and definition of clinical pharmacy.

Main Methods:

  • A commentary and comparative analysis of two distinct clinical pharmacy practice models.
  • Evaluation of the pharmacist's role within the interprofessional team.
  • Consideration of patient care responsibilities and decision-making involvement.

Main Results:

  • Unit-based pharmacists often react to orders and focus on tasks.
  • Service-based pharmacists actively participate in interprofessional teams and patient care planning.
  • The service-based model aligns with the ACCP's practice vision and definition of clinical pharmacy.

Conclusions:

  • The task force strongly recommends adopting a service-based pharmacy practice model.
  • This model optimizes the deployment of clinical pharmacists for improved patient outcomes.
  • Overcoming resource, technological, regulatory, and accreditation barriers is crucial for successful implementation.