ArticleBMJ open quality2019
Impact of a pharmacist intervention at an intensive care rehabilitation clinic.
Article in BMJ open quality, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Medication-related problems in critical care survivors: a systematic review.European journal of hospital pharmacy : science and practice · 2023Pooled it
- Analysis of clinical pharmacists' interventions in a rehabilitation setting.Journal of pharmaceutical policy and practice · 2025Article
- Effect of Inpatient Pharmacist-Led Medication Reconciliations on Medication-Related Interventions in Intensive Care Unit Recovery Centers.Hospital pharmacy · 2024Article
- Qualitative Insights Into Patients' and Family Members' Experiences of In-Hospital Medication Management After a Critical Care Episode.CHEST critical care · 2024Article
- Post-intensive care syndrome follow-up system after hospital discharge: a narrative review.Journal of intensive care · 2024Review
- Development of an innovative clinical pharmacy service in a urology surgical unit: a new initiative from Qatar.Journal of pharmaceutical policy and practice · 2024Article
- Clinical frailty and polypharmacy in older emergency critical care patients: a single-centre retrospective case series.European journal of hospital pharmacy : science and practice · 2023Article
- COVID-19: Moving beyond the pandemic.Journal of advanced nursing · 2020Article
- Medication-related Problems in Intensive Care Unit Survivors: Learning from a Multicenter Program.Annals of the American Thoracic Society · 2020Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveWhile disruptions in medications are common among patients who survive critical illness, there is limited information about specific medication-related problems among survivors of critical care. This study sought to determine the prevalence of specific medication-related problems detected in patients, seen after critical care discharge.
designConsecutive patients attending an intensive care unit (ICU) follow-up programme were included in this single-centre service evaluation.
settingTertiary care regional centre in Scotland (UK).
participants47 patients reviewed after critical care discharge at an ICU follow-up programme.
interventionsPharmacists conducted a full medication review, including: medicines reconciliation, assessing the appropriateness of each prescribed medication, identification of any medication-related problems and checking adherence. MEASUREMENTS: Medication-related problems in patients following critical care discharge. Interventions and medication-related problems were systematically graded and risk factors were identified using an adapted version of the National Patient Safety Agency Risk Matrix. MAIN
results69 medication-related problems were identified in 38 (81%) of the 47 patients. The most common documented problem was drug omission (29%). 64% of the medication-related problems identified were classified as either moderate or major. The number of pain medications prescribed at discharge from intensive care was predictive of medication-related problems (OR 2.02, 95% CI 1.14 to 4.26, p=0.03).
conclusionsMedication problems are common following critical care. Better communication of medication changes both to patients and their ongoing care providers may be beneficial following a critical care admission. In the absence of highly effective communication, a pharmacy intervention may contribute substantially to an intensive care rehabilitation or recovery programme.
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