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Research ArticleOriginal Article
Open Access

The impact of clinical pharmacist in a cardiac-surgery intensive care unit

Abdulrazaq S. Al-Jazairi, Amal A. Al-Agil, Yousif A. Asiri, Tariq A. Al-Kholi, Nathem S. Akhras and Bashar K. Horanieh
Saudi Medical Journal February 2008, 29 (2) 277-281;
Abdulrazaq S. Al-Jazairi
Department of Pharmacy Services, King Faisal Specialist Hospital & Research Center, PO Box 3354, MBC-11, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (1) 4427603. Fax. +966 (1) 4427608. E-mail: [email protected]
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Amal A. Al-Agil
Department of Pharmacy Services, King Faisal Specialist Hospital & Research Center, PO Box 3354, MBC-11, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (1) 4427603. Fax. +966 (1) 4427608. E-mail: [email protected]
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Yousif A. Asiri
Department of Pharmacy Services, King Faisal Specialist Hospital & Research Center, PO Box 3354, MBC-11, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (1) 4427603. Fax. +966 (1) 4427608. E-mail: [email protected]
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Tariq A. Al-Kholi
Department of Pharmacy Services, King Faisal Specialist Hospital & Research Center, PO Box 3354, MBC-11, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (1) 4427603. Fax. +966 (1) 4427608. E-mail: [email protected]
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Nathem S. Akhras
Department of Pharmacy Services, King Faisal Specialist Hospital & Research Center, PO Box 3354, MBC-11, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (1) 4427603. Fax. +966 (1) 4427608. E-mail: [email protected]
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Bashar K. Horanieh
Department of Pharmacy Services, King Faisal Specialist Hospital & Research Center, PO Box 3354, MBC-11, Riyadh 11211, Kingdom of Saudi Arabia. Tel. +966 (1) 4427603. Fax. +966 (1) 4427608. E-mail: [email protected]
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Abstract

OBJECTIVE: To evaluate the clinical pharmacists' interventions in an intensive care unit (ICU) setting with regard to their acceptance by the medical team, frequency, clinical significance, and targeted patient's outcomes.

METHODS: This is a prospective, non-comparative, observational study evaluating the clinical pharmacist interventions in an ICU setting from December 2002 to May 2003. The study was conducted in a 19-bed Cardiac-Surgery ICU at King Faisal Specialist Hospital & Research Center, a tertiary-care hospital in Riyadh, Saudi Arabia. The clinical pharmacist performed daily multi-disciplinary team rounds, with documentation of all his interventions. On the same day, a physician, who is a part of the team, verified all interventions for validity and clinical significance. The institutional Office of Research Affairs approved the study.

RESULTS: The clinical pharmacist intervened 394 times on the 600 patients [0.66 intervention-per-patient]. The medical team accepted almost all interventions (94.3%). The main drug-related problems were the following: no drug prescribed for medical condition (33.2%), inappropriate dosing regimen (28.9%), and no indication for drug use (14.3%). Approximately 55.7% of the interventions targeted enhancing therapeutic outcomes, whilst 21.8% of interventions resulted in the prevention of an adverse drug reaction. The interventions that may have resulted in decreasing mortality, preventing, or reducing organ damage, or decreasing hospitalization, represented 8.1% of all interventions.

CONCLUSION: Participation of a clinical pharmacist in the daily multidisciplinary team rounds in an ICU setting significantly reduces unfavorable morbidities and enhances therapeutic outcomes.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 29 (2)
Saudi Medical Journal
Vol. 29, Issue 2
1 Feb 2008
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The impact of clinical pharmacist in a cardiac-surgery intensive care unit
Abdulrazaq S. Al-Jazairi, Amal A. Al-Agil, Yousif A. Asiri, Tariq A. Al-Kholi, Nathem S. Akhras, Bashar K. Horanieh
Saudi Medical Journal Feb 2008, 29 (2) 277-281;

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The impact of clinical pharmacist in a cardiac-surgery intensive care unit
Abdulrazaq S. Al-Jazairi, Amal A. Al-Agil, Yousif A. Asiri, Tariq A. Al-Kholi, Nathem S. Akhras, Bashar K. Horanieh
Saudi Medical Journal Feb 2008, 29 (2) 277-281;
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© 2025 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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