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Updated: Jun 4, 2025
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A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
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Evaluation of Pharmacist Involvement in Emergency Response
Melissa A Jeghers1, Christine Ji1, Kelly Newman1
1Department of Pharmacy, Massachusetts General Hospital, Boston, MA, USA.
Journal of Pharmacy Practice
|December 22, 2024
Summary
Clinical pharmacists significantly impact emergency response teams, dedicating substantial time and intervening in nearly half of events. Their involvement ensures better adherence to critical care guidelines and medication management during acute patient decompensation.
Area of Science:
- Clinical Pharmacy
- Emergency Medicine
- Healthcare Quality Improvement
Background:
- Emergency response teams provide critical care to hospitalized patients with acute decompensation.
- Pharmacist integration into these teams improves adherence to Advanced Cardiac Life Support (ACLS) guidelines.
Purpose of the Study:
- To assess the impact of pharmacist involvement in emergency responses.
- To quantify the time clinical pharmacists dedicate to emergency response events.
Main Methods:
- A single-center, retrospective chart review of inpatient and ambulatory emergency responses (August 2021-January 2022).
- Analysis of intervention documentation in the electronic health record (EHR).
- Calculation of pharmacist time dedicated to emergency responses in full-time equivalents (FTE).
Main Results:
- Pharmacists dedicated 9480 minutes (158 hours) to emergency responses over six months, averaging 40.7 minutes per event.
- Over 70% of responses required 6-10 medications prepared by pharmacists.
- Pharmacists made interventions in 47% of assessed emergency responses.
Conclusions:
- Clinical pharmacist time at emergency responses equated to approximately 26% of an FTE over six months.
- Pharmacist interventions highlight their integral role in emergency response teams.
- Potential under-representation of pharmacist time due to documentation limitations.
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