Impact of pharmacist recommendations on the cost of drug therapy in ICU patients at a Malaysian hospital
Impact of pharmacist recommendations on the cost of drug therapy in ICU patients at a Malaysian hospital
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DOI：
10.1023/b:phar.0000006524.52076.2f
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发表时间：
2003-12-01
影响因子：
--
通讯作者：
Ng, SH
中科院分区：
文献类型：
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作者：
Zaidi, STR;Hassan, Y;Ng, SH
目的：分析临床药师在槟城总医院（槟城，马来西亚）ICU的干预措施，并评估这些interventions.Methods的药物经济影响：临床药师审查药物处方在一个月内。药物相关问题记录在预先准备的表格上，包括处方变更建议。这些建议已提交给护理/医务人员。是否接受建议完全由医务人员决定。所有的建议进行了分析，就潜在的药物经济学的影响：节省成本，避免成本或cost addition.Results：ICU药剂师提出了57项建议，其中医务人员拒绝只有5%。大多数发现的药物相关问题涉及不必要的药物治疗（37%）。通过建议，净节省费用15，227马币（4，007美元）。这对应RM 634每例患者干预的药剂师。结论：药剂师干预措施在ICU的马来西亚医院导致显着的成本节约方面的药物费用，因此可以建议作为一个常规的做法，在我们的医院。
Objectives: To analyse clinical pharmacists interventions in the ICU of the Penang General Hospital (Penang, Malaysia) and to assess the pharmaco-economic impact of these interventions.Methods: A clinical pharmacist reviewed drug prescriptions during one month. Drug-related problems were documented on a preprepared form including a suggestion for a change in prescribing. Such recommendations were submitted to the nursing/medical staff. Acceptance of the recommendation was entirely at the discretion of the medical staff. All recommendations were analysed with respect to potential pharmaco-economic impact: cost savings, cost avoidance or cost addition.Results: The ICU pharmacist made 57 recommendations, of which the medical staff rejected only 5%. The majority of detected drug-related problems referred to unnecessary drug therapy (37%). Recommendations resulted in net cost savings of RM 15,227 (USD 4,007). This corresponded with RM 634 per patient intervened by the pharmacist.Conclusion: Pharmacists interventions in the ICU of a Malaysian hospital resulted in significant cost savings in terms of drug expenses and can therefore be suggested as a routine practice in our hospital.