Stepwise Development and Yearlong Assessment of a Pharmacist-Driven Molecular Rapid Diagnostic Test Result Service for Bloodstream Infections
| Autor: | Katie Hensley, Kyle Piscitello, John Canepa, Annette Drobac, Jim Davis, Andrew Ticcioni, Matthew Bjornstad |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
health care facilities
manpower and services education Pharmacist Pharmacy sepsis Molecular rapid diagnostic test Pharmacy and materia medica Documentation clinical pharmacy service health services administration Antimicrobial stewardship Medicine bacteremia Stepwise development health care economics and organizations Original Research Service (business) Rapid diagnostic test business.industry Pharmacy Practice & Practice-Based Research Molecular rapid diagnostic test bacteremia antimicrobial stewardship sepsis clinical pharmacy service medicine.disease RS1-441 antimicrobial stewardship Workflow Medical emergency business |
| Zdroj: | Innovations in Pharmacy INNOVATIONS in Pharmacy, Vol 12, Iss 2 (2021) |
| ISSN: | 2155-0417 |
| DOI: | 10.24926/iip.v12i2.3720 |
| Popis: | Purpose: Provide a stepwise approach to the design and implementation of a service that integrates all staff pharmacists into the communication and interpretation of molecular rapid diagnostic tests (mRDT) for bloodstream infections and summarize outcomes from a 12-month post-implementation assessment. Physician and pharmacist impressions of the service are also described. Summary: mRDT have proven clinical benefit in the treatment of bacteremia. Pharmacy leadership can collaborate with other health system leaders to develop policies and a workflow that route result calls to pharmacists to maximize the impact of this technology. Pharmacist education, development of clinical resources and documentation templates allow all pharmacists to perform this antimicrobial stewardship service consistently and confidently. Physicians overwhelmingly recognize the value of this service and often accept the pharmacist’s recommendations. Antibiotic de-escalation was the most frequent outcome when changes to the antibiotic regimen were made. Conclusion: Pharmacists are well positioned to utilize results from mRDT to improve antibiotic selection. Through the use of competencies and internally-derived resources, all pharmacists, rather than just infectious diseases pharmacy specialists, can perform this important antibiotic stewardship activity and positively influence patient outcomes. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|