Description of a Comprehensive Medication Management service in an adult intensive care unit

Objective: To describe the results of a Comprehensive Medication Management (CMM) service offered to patients of an adult intensive care unit. Methods: A descriptive cross-sectional study of the results of the CMM service (April 2017 to November 2018). All the patients followed up in the CMM servic...

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Autores principales:	Igor G. SOUZA, Mariana G. NASCIMENTO, Djenane RAMALHO DE OLIVEIRA, Marcia E. ARCHONDO
Formato:	article
Lenguaje:	EN PT
Publicado:	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde 2020
Materias:	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
Acceso en línea:	https://doaj.org/article/41af10a2063d4e7390544e670d27b97b
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spelling	oai:doaj.org-article:41af10a2063d4e7390544e670d27b97b2021-11-28T02:44:59ZDescription of a Comprehensive Medication Management service in an adult intensive care unit10.30968/rbfhss.2020.112.04002179-59242316-7750https://doaj.org/article/41af10a2063d4e7390544e670d27b97b2020-07-01T00:00:00Zhttps://www.rbfhss.org.br/sbrafh/article/view/400https://doaj.org/toc/2179-5924https://doaj.org/toc/2316-7750 Objective: To describe the results of a Comprehensive Medication Management (CMM) service offered to patients of an adult intensive care unit. Methods: A descriptive cross-sectional study of the results of the CMM service (April 2017 to November 2018). All the patients followed up in the CMM service were included in the sample of this study. The service was integrally based on the Pharmaceutical Care Practice and, therefore, used the Pharmacotherapy Workup (PW) method. the drug therapy Problems (DTP) were quantified and classified according to the PW method. The main medications involved in the DTP were also described, as well as the acceptance of the interventions by the multidisciplinary care team members and patients. Results: 146 patients were followed up during the study period, and 512 DTP were identified. Of these DTP, most were related to medication safety (37.7%) and to indication (37.5%). The main causes were high dose (23.0%, with emphasis on dose adjustments in cases of kidney injury), need for additional medication (18.9%, inclusion of medication for electrolytic, glycemic, and prophylactic control), and unnecessary medication (18.6%, emphasis on de-prescription of antibiotics that were not indicated). Most of the problems (23.6%) were related to the therapeutic class of systemic anti-infective agent. Of the total DTP detected, 81.6% were resolved. A total of 451 interventions were implemented, of which 92.9% (n=419) were with physicians. The majority of the interventions with physicians were accepted (n=344, 82.1%). Conclusion: A high number of drug therapy problems have been detected and resolved by the CMM pharmacist, with emphasis on safety problems. The high acceptability of the interventions reinforces the need for the service applied to the critical patient. Igor G. SOUZAMariana G. NASCIMENTODjenane RAMALHO DE OLIVEIRAMarcia E. ARCHONDOSociedade Brasileira de Farmácia Hospitalar e Serviços de SaúdearticlePublic aspects of medicineRA1-1270Pharmacy and materia medicaRS1-441Therapeutics. PharmacologyRM1-950ENPTRevista Brasileira de Farmácia Hospitalar e Serviços de Saúde, Vol 11, Iss 2 (2020)
institution	DOAJ
collection	DOAJ
language	EN PT
topic	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950
spellingShingle	Public aspects of medicine RA1-1270 Pharmacy and materia medica RS1-441 Therapeutics. Pharmacology RM1-950 Igor G. SOUZA Mariana G. NASCIMENTO Djenane RAMALHO DE OLIVEIRA Marcia E. ARCHONDO Description of a Comprehensive Medication Management service in an adult intensive care unit
description	Objective: To describe the results of a Comprehensive Medication Management (CMM) service offered to patients of an adult intensive care unit. Methods: A descriptive cross-sectional study of the results of the CMM service (April 2017 to November 2018). All the patients followed up in the CMM service were included in the sample of this study. The service was integrally based on the Pharmaceutical Care Practice and, therefore, used the Pharmacotherapy Workup (PW) method. the drug therapy Problems (DTP) were quantified and classified according to the PW method. The main medications involved in the DTP were also described, as well as the acceptance of the interventions by the multidisciplinary care team members and patients. Results: 146 patients were followed up during the study period, and 512 DTP were identified. Of these DTP, most were related to medication safety (37.7%) and to indication (37.5%). The main causes were high dose (23.0%, with emphasis on dose adjustments in cases of kidney injury), need for additional medication (18.9%, inclusion of medication for electrolytic, glycemic, and prophylactic control), and unnecessary medication (18.6%, emphasis on de-prescription of antibiotics that were not indicated). Most of the problems (23.6%) were related to the therapeutic class of systemic anti-infective agent. Of the total DTP detected, 81.6% were resolved. A total of 451 interventions were implemented, of which 92.9% (n=419) were with physicians. The majority of the interventions with physicians were accepted (n=344, 82.1%). Conclusion: A high number of drug therapy problems have been detected and resolved by the CMM pharmacist, with emphasis on safety problems. The high acceptability of the interventions reinforces the need for the service applied to the critical patient.
format	article
author	Igor G. SOUZA Mariana G. NASCIMENTO Djenane RAMALHO DE OLIVEIRA Marcia E. ARCHONDO
author_facet	Igor G. SOUZA Mariana G. NASCIMENTO Djenane RAMALHO DE OLIVEIRA Marcia E. ARCHONDO
author_sort	Igor G. SOUZA
title	Description of a Comprehensive Medication Management service in an adult intensive care unit
title_short	Description of a Comprehensive Medication Management service in an adult intensive care unit
title_full	Description of a Comprehensive Medication Management service in an adult intensive care unit
title_fullStr	Description of a Comprehensive Medication Management service in an adult intensive care unit
title_full_unstemmed	Description of a Comprehensive Medication Management service in an adult intensive care unit
title_sort	description of a comprehensive medication management service in an adult intensive care unit
publisher	Sociedade Brasileira de Farmácia Hospitalar e Serviços de Saúde
publishDate	2020
url	https://doaj.org/article/41af10a2063d4e7390544e670d27b97b
work_keys_str_mv	AT igorgsouza descriptionofacomprehensivemedicationmanagementserviceinanadultintensivecareunit AT marianagnascimento descriptionofacomprehensivemedicationmanagementserviceinanadultintensivecareunit AT djenaneramalhodeoliveira descriptionofacomprehensivemedicationmanagementserviceinanadultintensivecareunit AT marciaearchondo descriptionofacomprehensivemedicationmanagementserviceinanadultintensivecareunit
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Description of a Comprehensive Medication Management service in an adult intensive care unit

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