Clinical pharmacy services in the emergency department

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...

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Bibliographic Details
Published in:The American journal of emergency medicine 2018-10, Vol.36 (10), p.1727-1732
Main Authors: Morgan, Sofie Rahman, Acquisto, Nicole M., Coralic, Zlatan, Basalyga, Vicki, Campbell, Matthew, Kelly, John J., Langkiet, Kevin, Pearson, Claire, Sokn, Erick, Phelan, Michael
Format: Article
Language:English
Subjects:
Antibiotics
Clinical
Critical care
Drug dosages
Drug formularies
Drug stores
Drug therapy
Emergency medical care
Emergency medical services
Emergency medicine
Immunization
Interdisciplinary aspects
Intubation
Medical errors
Medical personnel
Medication safety
Medicine
Nurses
Patient outcomes
Patients
Pharmacists
Physicians
Responsibilities
Risk groups
Toxicology
Working conditions
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Summary: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.
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2018.01.056