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Pharmacist involvement on a rapid response team.

Joel Feih1, William J Peppard2, Michael Katz3

  • 1Cardiovascular Intensive Care Unit, Froedtert & the Medical College of Wisconsin, Milwaukee, WI joel.feih@froedtert.com.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
|February 19, 2017
PubMed
Summary
This summary is machine-generated.

Pharmacist involvement in rapid response teams (RRTs) significantly reduced medication administration times. This enhances medication accessibility and optimizes selection and dosing for critical care patients.

Keywords:
code teamcritical caremedical emergency teampharmacistpharmacy servicerapid response

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Area of Science:

  • Clinical Pharmacy
  • Critical Care Medicine
  • Health Services Research

Background:

  • Rapid response teams (RRTs) are crucial for managing acute medical emergencies.
  • The role of pharmacists in optimizing medication management within RRTs is an area of ongoing investigation.

Purpose of the Study:

  • To investigate the impact of pharmacist integration into a rapid response team.
  • To evaluate the effect on medication administration timeliness and other critical care outcomes.

Main Methods:

  • A comparative study assessed patients before and after pharmacist inclusion on an RRT.
  • Key outcomes included time to medication administration, ICU readmissions, and survival rates.
  • Pharmacist interventions were documented in the post-intervention phase.

Main Results:

  • Median time to medication administration decreased from 64.5 to 32.0 minutes post-pharmacist integration (p=0.004).
  • No significant differences were observed in ICU admission rates or survival to discharge.
  • Pharmacist interventions, such as dosing assistance, were documented in 20% of cases.

Conclusions:

  • Integrating pharmacists into RRTs effectively reduces medication administration time.
  • Pharmacist involvement improves medication accessibility and optimizes medication selection and dosing.
  • This role enhances the efficiency of critical care response.