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Clinical pharmacist perspectives for optimizing pharmacotherapy within Enhanced Recovery After Surgery (ERAS®)
Jenna K Lovely1, Sara Jordan Hyland2, April N Smith3
1Mayo Clinic, Rochester, MN, 55905, USA.
International Journal of Surgery (London, England)
|January 22, 2019
Summary
Enhanced Recovery After Surgery (ERAS) programs involve clinical pharmacists optimizing pharmacotherapy. This collaboration improves patient outcomes and identifies cost savings, highlighting the pharmacist
Area of Science:
- Clinical Pharmacy
- Perioperative Medicine
- Enhanced Recovery Programs
Background:
- Perioperative enhanced recovery programs, like those from the Enhanced Recovery After Surgery (ERAS) Society, focus on improving surgical patient care.
- Clinical pharmacists are integral to optimizing pharmacotherapy within these enhanced recovery pathways.
Purpose of the Study:
- To identify pharmacotherapy options within ERAS programs.
- To generate research questions for comparative pharmacotherapy analyses in ERAS.
- To propose collaborative practice models between pharmacists and stakeholders.
- To highlight pharmacist-led cost savings in ERAS implementation.
Main Methods:
- Expert opinion and consensus from the American College of Clinical Pharmacy (ACCP) Perioperative Care Practice and Research Network (PRN) and ERAS Society officials.
- Identification of therapeutic options and research gaps in pharmacotherapy-intensive areas of ERAS.
- Proposal of collaborative practice models and cost-saving examples.
Main Results:
- Defined therapeutic options and research questions for ERAS pharmacotherapy.
- Outlined collaborative opportunities for clinical pharmacists within perioperative care.
- Demonstrated pharmacist contributions to cost savings through ERAS implementation.
Conclusions:
- Clinical pharmacists optimize perioperative pharmacotherapy, leading to measurable outcome improvements.
- Collaboration between clinical pharmacists and inter-professional teams is crucial for advancing patient care in ERAS programs.
- Pharmacist involvement in ERAS contributes to both clinical and economic benefits.
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