Clinical pharmacy services in the emergency department

The American Journal of Emergency Medicine
Sofie Rahman MorganMichael Phelan

Abstract

The emergency department (ED) is a fast-paced, high-risk, and often overburdened work environment. Formal policy statements from several notable organizations, including the American College of Emergency Physicians (ACEP) and the American Society of Health-System Pharmacists (ASHP), have recognized the importance of clinical pharmacists in the emergency medicine (EM) setting. EM clinical pharmacists work alongside emergency physicians and nurses at the bedside to optimize pharmacotherapy, improve patient safety, increase efficiency and cost-effectiveness of care, facilitate antibiotic stewardship, educate patients and clinicians, and contribute to scholarly efforts. This paper examines the history of EM clinical pharmacists and associated training programs, the diverse responsibilities and roles of EM clinical pharmacists, their impact on clinical and financial outcomes, and proposes a conceptual model for EM clinical pharmacist integration into ED patient care. Finally, barriers to implementing EM clinical pharmacy programs and limitations are considered.

Citations

Aug 2, 2019·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Blake A PorterNicole M Acquisto
Jun 14, 2020·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Jonathan H SinMaria S Ribisi
Jul 9, 2020·Journal of Medical Toxicology : Official Journal of the American College of Medical Toxicology·Joanne C RoutsoliasMichele Zell-Kanter
Jul 2, 2019·Therapeutic Advances in Drug Safety·Abubakar Ibrahim JatauAhmed Awaisu
Jan 23, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Melinda J OrtmannDavid E Zimmerman
Oct 31, 2020·International Journal of Clinical Pharmacy·Jesse CastilloSeth Podolsky
Feb 21, 2021·American Journal of Clinical Pathology·Aaron D ShmooklerPeter L Perrotta
Apr 10, 2021·European Journal of Hospital Pharmacy. Science and Practice·Laurence SchumacherNicolas Widmer
Apr 15, 2021·International Journal of Clinical Pharmacy·Kevin EnrightColin V E Powell
Apr 18, 2021·Emergency Medicine Clinics of North America·Ashley N Martinelli
Apr 27, 2021·Health Information Science and Systems·Alexandra K MullinsHelen Skouteris
May 24, 2021·The American Journal of Emergency Medicine·Emily LineberryAndrew M North

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