Purpose. Results of a systematic literature review to identify roles for emergency medicine (EM) pharmacists beyond traditionally reported activities and to quantify the benefits of these roles in terms of patient outcomes are reported. Summary. Emergency department (ED)-based clinical pharmacy is a rapidly growing practice area that has gained support in a number of countries globally, particularly over the last 5-10 years. A systematic literature search covering the period 1995-2016 was conducted to characterize emerging EM pharmacist roles and the impact on patient outcomes. Six databases were searched for research publications on pharmacist participation in patient care in a general ED or trauma center that documented interventions by ED-based pharmacists; 15 results satisfied the inclusion criteria. Six reported studies evaluated EM pharmacist involvement in the care of critically ill patients, 5 studies evaluated antimicrobial stewardship (AMS) activities via pharmacist review of positive cultures, 2 studies assessed pharmacist involvement in generating orders for nurse-administered home medications and 2 reviewed publications focused on EM pharmacist involvement in management of healthcare-associated pneumonia and dosing of phenytoin. A diverse range of positive patient outcomes was identified. The included studies were assessed to be of low quality. Conclusion. A systematic review of the literature revealed 3 key emerging areas of practice for the EM pharmacist that are associated with positive patient outcomes. These included involvement in management of critically ill patients, AMS roles, and ordering of home medications in the ED.
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Ratz, Yael
;
Shafir, Irene
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机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Shafir, Irene
;
Berkovitch, Sofia
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Berkovitch, Sofia
;
Sharristh, Moshe
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Sharristh, Moshe
;
Jacoby, Moshe
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Jacoby, Moshe
;
Kozer, Eran
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Kozer, Eran
;
Golik, Ahuva
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Internal Med Dept A, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Golik, Ahuva
;
Berkovitch, Matitiahu
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Clin Pharmacol & Toxicol Unit, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Berkovitch, Matitiahu
;
Bar-Haim, Shmuel
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
机构:
Mercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USAMercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USA
Robey-Gavin, Erin
;
Abuakar, Lamies
论文数: 0引用数: 0
h-index: 0
机构:
Mercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USAMercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USA
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Rothschild, Jeffrey M.
;
Churchill, William
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Pharm, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Churchill, William
;
Erickson, Abbe
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Pharm, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Erickson, Abbe
;
Munz, Kristin
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Pharm, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Munz, Kristin
;
Schuur, Jeremiah D.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Sch Med, Boston, MA USA
Brigham & Womens Hosp, Dept Emergency Med, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Schuur, Jeremiah D.
;
Salzberg, Claudia A.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Salzberg, Claudia A.
;
Lewinski, Daniel
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Lewinski, Daniel
;
Shane, Rita
论文数: 0引用数: 0
h-index: 0
机构:
Cedars Sinai Med Ctr, Dept Pharm, Los Angeles, CA 90048 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Shane, Rita
;
Aazami, Roshanak
论文数: 0引用数: 0
h-index: 0
机构:
Cedars Sinai Med Ctr, Dept Pharm, Los Angeles, CA 90048 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Aazami, Roshanak
;
Patka, John
论文数: 0引用数: 0
h-index: 0
机构:
Grady Hlth Syst, Dept Pharm, Atlanta, GA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Patka, John
;
Jaggers, Rondell
论文数: 0引用数: 0
h-index: 0
机构:
Grady Hlth Syst, Dept Pharm, Atlanta, GA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Jaggers, Rondell
;
Steffenhagen, Aaron
论文数: 0引用数: 0
h-index: 0
机构:
Univ Wisconsin Hosp & Clin, Dept Pharm, Madison, WI 53792 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Steffenhagen, Aaron
;
Rough, Steve
论文数: 0引用数: 0
h-index: 0
机构:
Univ Wisconsin Hosp & Clin, Dept Pharm, Madison, WI 53792 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Rough, Steve
;
Bates, David W.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Ratz, Yael
;
Shafir, Irene
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Shafir, Irene
;
Berkovitch, Sofia
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Berkovitch, Sofia
;
Sharristh, Moshe
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Sharristh, Moshe
;
Jacoby, Moshe
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Jacoby, Moshe
;
Kozer, Eran
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Kozer, Eran
;
Golik, Ahuva
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Internal Med Dept A, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Golik, Ahuva
;
Berkovitch, Matitiahu
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Clin Pharmacol & Toxicol Unit, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
Berkovitch, Matitiahu
;
Bar-Haim, Shmuel
论文数: 0引用数: 0
h-index: 0
机构:
Tel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Emergency Med, IL-69978 Tel Aviv, IsraelTel Aviv Univ, Sackler Sch Med, Assaf Harofeh Med Ctr, Dept Pharm, IL-69978 Tel Aviv, Israel
机构:
Mercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USAMercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USA
Robey-Gavin, Erin
;
Abuakar, Lamies
论文数: 0引用数: 0
h-index: 0
机构:
Mercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USAMercy Hosp & Med Ctr, Dept Pharm, 2525 S Michigan Ave, Chicago, IL 60616 USA
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Rothschild, Jeffrey M.
;
Churchill, William
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Pharm, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Churchill, William
;
Erickson, Abbe
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Pharm, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Erickson, Abbe
;
Munz, Kristin
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Dept Pharm, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Munz, Kristin
;
Schuur, Jeremiah D.
论文数: 0引用数: 0
h-index: 0
机构:
Harvard Univ, Sch Med, Boston, MA USA
Brigham & Womens Hosp, Dept Emergency Med, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Schuur, Jeremiah D.
;
Salzberg, Claudia A.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Salzberg, Claudia A.
;
Lewinski, Daniel
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Lewinski, Daniel
;
Shane, Rita
论文数: 0引用数: 0
h-index: 0
机构:
Cedars Sinai Med Ctr, Dept Pharm, Los Angeles, CA 90048 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Shane, Rita
;
Aazami, Roshanak
论文数: 0引用数: 0
h-index: 0
机构:
Cedars Sinai Med Ctr, Dept Pharm, Los Angeles, CA 90048 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Aazami, Roshanak
;
Patka, John
论文数: 0引用数: 0
h-index: 0
机构:
Grady Hlth Syst, Dept Pharm, Atlanta, GA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Patka, John
;
Jaggers, Rondell
论文数: 0引用数: 0
h-index: 0
机构:
Grady Hlth Syst, Dept Pharm, Atlanta, GA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Jaggers, Rondell
;
Steffenhagen, Aaron
论文数: 0引用数: 0
h-index: 0
机构:
Univ Wisconsin Hosp & Clin, Dept Pharm, Madison, WI 53792 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Steffenhagen, Aaron
;
Rough, Steve
论文数: 0引用数: 0
h-index: 0
机构:
Univ Wisconsin Hosp & Clin, Dept Pharm, Madison, WI 53792 USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Rough, Steve
;
Bates, David W.
论文数: 0引用数: 0
h-index: 0
机构:
Brigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA
Harvard Univ, Sch Med, Boston, MA USABrigham & Womens Hosp, Div Gen Med, Boston, MA 02120 USA