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Profiling a Multidisciplinary Team in Making a Change in Pharmaceutical Practice: Lessons Learned
Renee Rassilyer-Bomers1, Diem Pham, Adam Corson
1Author Affiliations: Chief Nursing Officer (Dr Rassilyer-Bomers); Pharmacist Lead, Analytics and Education (Dr Pham); and Hospitalist and Chair of P&T Committee (Dr Corson), Providence Swedish, North Division; and Nurse Scientist (Dr Gallegos), Providence North Division, Seattle, Washington.
A multidisciplinary team reduced unnecessary intravenous acetaminophen (APAP IV) use. This ensures appropriate medication administration, reserving IV formulations for patients who truly need them.
Area of Science:
- Pharmacology
- Health Systems Management
- Patient Safety
Background:
- Intravenous acetaminophen (APAP IV) is effective but can be overused.
- Oral acetaminophen is suitable for many patients, reducing unnecessary IV administration.
- Optimizing APAP formulation use enhances patient safety and resource allocation.
Purpose of the Study:
- To describe a systems-based initiative to decrease non-essential intravenous acetaminophen (APAP IV) use.
- To ensure APAP IV availability for patients with appropriate indications.
- To promote the use of oral acetaminophen when clinically suitable.
Main Methods:
- Implementation of a multidisciplinary team approach.
- Development of criteria for appropriate APAP IV utilization.
- Education and feedback to healthcare providers regarding APAP prescribing practices.
Main Results:
- Significant reduction in the overall use of APAP IV.
- Increased appropriate utilization of APAP IV for indicated patients.
- Maintenance of oral acetaminophen accessibility and appropriate use.
Conclusions:
- Multidisciplinary collaboration can effectively optimize the use of intravenous medications like acetaminophen.
- Systems-level interventions are crucial for ensuring appropriate drug administration and patient safety.
- Targeted strategies can limit unnecessary IV medication exposure while preserving access for critical needs.
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