Zaidi, ST and Hassan, Y and Postma, MJ and Ng, SH, Impact of pharmacist recommendations on the cost of drug therapy in ICU patients at a Malaysian hospital, Pharmacy World and Science, 25, (6) pp. 299-302. ISSN 0928-1231 (2003) [Refereed Article]
Copyright 2003 Springer
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 prepared from 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.
|Item Type:||Refereed Article|
|Keywords:||Cost, pharmacist, ICU, intervention|
|Research Division:||Medical and Health Sciences|
|Research Group:||Pharmacology and Pharmaceutical Sciences|
|Research Field:||Clinical Pharmacy and Pharmacy Practice|
|Objective Group:||Health and Support Services|
|Objective Field:||Allied Health Therapies (excl. Mental Health Services)|
|Author:||Zaidi, ST (Dr Tabish Razi Zaidi)|
|Web of Science® Times Cited:||13|
Repository Staff Only: item control page