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Impact of pharmacist recommendations on the cost of drug therapy in ICU patients at a Malaysian hospital


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 Statement

Copyright 2003 Springer

DOI: doi:10.1023/B:PHAR.0000006524.52076.2f


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 Details

Item Type:Refereed Article
Keywords:Cost, pharmacist, ICU, intervention
Research Division:Biomedical and Clinical Sciences
Research Group:Pharmacology and pharmaceutical sciences
Research Field:Clinical pharmacy and pharmacy practice
Objective Division:Health
Objective Group:Provision of health and support services
Objective Field:Allied health therapies (excl. mental health services)
UTAS Author:Zaidi, ST (Dr Tabish Razi Zaidi)
ID Code:96280
Year Published:2003
Web of Science® Times Cited:15
Deposited By:Pharmacy
Deposited On:2014-10-29
Last Modified:2014-11-10

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