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A team approach to hospital formulary replacement
J Lee1, J A Carlson, M A Chamberlain
1Department of Pharmacy, Central Hospital, Seattle, WA 98112, USA.
Diagnostic Microbiology and Infectious Disease
|May 1, 1995
Summary
A multidisciplinary antibiotic review team (MART) improved patient care and cut drug costs by recommending antibiotic changes. This initiative saved over $74,000 annually, enhancing antimicrobial therapy effectiveness.
Area of Science:
- Pharmacoeconomics
- Infectious Diseases
- Clinical Pharmacy
Background:
- Antimicrobial expenditures represent a significant healthcare cost.
- Optimizing antibiotic use is crucial for patient outcomes and resource management.
- Multidisciplinary approaches can enhance antibiotic stewardship.
Purpose of the Study:
- To evaluate the impact of a Multidisciplinary Antibiotic Review Team (MART) on patient care and antimicrobial expenditures.
- To assess the effectiveness of pharmacist and infectious disease physician collaboration in optimizing antibiotic therapy.
Main Methods:
- Implementation of a MART comprising pharmacists and infectious disease physicians.
- Regular patient reviews (three times weekly) to assess antibiotic therapy.
- Recommendations included therapeutic equivalence, oral conversion, home infusion, and therapeutic interchanges.
Main Results:
- Achieved annualized savings of $74,371.
- 40% of recommendations led to improved antimicrobial therapy.
- Successful therapeutic interchanges were proposed to the Pharmacy and Therapeutics committee.
Conclusions:
- MART is an effective strategy for reducing antimicrobial expenditures while improving patient care.
- Collaborative review by pharmacists and ID physicians enhances antibiotic stewardship.
- The MART model demonstrates significant cost savings and therapeutic benefits.