Pharmacist Avoidance or Reductions in Medical Costs in Critically and Emergently Ill Pediatrics: PHARM-PEDS Study
| Autor: | Amy L. Kiskaddon, PharmD, MBA, Michelle M. Smith, MD, Frankie Gilliland, DNP, CPNP, AC/PC, Megan A. Rech, PharmD, MS, FCCM, Pharmacist Avoidance or Reductions in Medical Costs in Critically and Emergently Ill Pediatrics (PHARM-PEDS) Investigators |
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| Jazyk: | angličtina |
| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Critical Care Explorations, Vol 5, Iss 10, p e0980 (2023) |
| Druh dokumentu: | article |
| ISSN: | 2639-8028 00000000 |
| DOI: | 10.1097/CCE.0000000000000980 |
| Popis: | OBJECTIVES:. To comprehensively classify interventions performed by pediatric critical care clinical pharmacists and quantify cost avoidance (CA) generated through their accepted interventions. DESIGN:. A multicenter, prospective, observational study performed between August 2018 and January 2019. SETTING:. Academic and community hospitals in the United States with pediatric critical care units. SUBJECTS:. Pediatric clinical pharmacists. INTERVENTIONS:. Pharmacist recommendations were classified into one of 38 total intervention categories associated with CA. MEASUREMENTS AND MAIN RESULTS:. Nineteen pediatric pharmacists at five centers documented 1,458 accepted interventions during 112 shifts on 861 critically ill pediatric patients. This calculated to an associated CA of $450,590. The accepted interventions and associated CA in the six established categories included as follows: adverse drug event prevention (155 interventions, $118,901 CA), resource utilization (267 interventions; $59,020), individualization of patient care (898 interventions, $217,949 CA), prophylaxis (8 interventions, $453 CA), hands-on care (30 interventions, $35,509 CA), and administrative/supportive tasks (108 interventions, $18,758 CA). The average associated CA was $309 per accepted intervention, $523 per patient day, and $4,023.13 per pediatric clinical pharmacist shift. The calculated potential annualized CA of accepted interventions from a pediatric pharmacist was $965,550, resulting in a potential monetary-associated CA-to-pharmacist salary ratio between $1.5:1 and $5.2:1. CONCLUSIONS:. There is potential for significant avoidance of healthcare costs when pediatric pharmacists are involved in the care of critically and emergently ill pediatric patients, with a monetary potential CA-to-pediatric pharmacist salary ratio to be between $1.5:1 and $5.2:1. |
| Databáze: | Directory of Open Access Journals |
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