Evidence map›Paper›PMID 36660010›Full record

ArticleCritical care explorations2023

Implementation and Impact of Critical Care Pharmacist Addition to a Telecritical Care Network.

Rachel M Belcher, Anastasia Blair, Stephanie Chauv, Quang Hoang, Abby W Hickman, Melissa Peng, Margaret Baldwin, Logan Koch, Mark Nguyen, David Guidry and 1 more

Open access · goldAbstract read
In one paragraph

Article in Critical care explorations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.8field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Continuing excellence in critical care pharmacy practice, education, and advocacy.Journal of the American College of Clinical Pharmacy : JACCP · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 1 institution in 1 country.

Rachel M BelcherDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Anastasia BlairDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Stephanie ChauvDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Quang HoangDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Abby W HickmanDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Melissa PengDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Margaret BaldwinDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Logan KochDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Mark NguyenDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
David GuidryTeleHealth, TeleCritical Care, Intermountain Healthcare, Murray, UT.
Gabriel V FontaineDepartment of Pharmacy, Intermountain Healthcare, Murray, UT.
Intermountain Healthcare · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Critical care pharmacists when incorporated into the ICU team, have been shown to improve outcomes in critically ill patients by decreasing mortality, improving morbidity and reducing cost. As telehealth continues to evolve, the incorporation of a critical care pharmacist into a comprehensive telecritical care (TCC) service will allow increased comprehensive pharmacotherapeutic care for those in smaller, community or rural hospitals.

objectivesTo describe the implementation of a TCC pharmacist into an established TCC network, classify interventions performed, and quantify cost avoidance generated through pharmacist interventions.

designMulticenter, observational cohort study and retrospective return on investment, performed between December 2019 and December 2021. SETTING AND

participantsCritically ill adult patients, admitted to an ICU located in any of our eight community hospitals (50 ICU beds) within a large, 25-hospital integrated healthcare system (563 ICU beds total) in the United States. MAIN OUTCOMES AND MEASURES: The TCC pharmacist service was implemented in 8-hour shifts, initially available 5 days per week, then expanded to 7 days per week. Critical care pharmacist interventions were categorized by clinical type established utilizing American Society of Health-System Pharmacists benchmarking standards and the latest cost avoidance data.

resultsDuring the 2-year analysis period, TCC pharmacists documented 2,838 interventions generating $1,664,254 of gross cost avoidance and a return on investment of 4.5:1. CONCLUSIONS AND RELEVANCE: It is feasible to implement a TCC pharmacist within an established TCC network. Our experience showed enhanced comprehensive care of critically ill patients located in community hospitals within a large, integrated healthcare system, demonstrated significant cost avoidance, and has led to other initiatives, including a collaborative clinical/operational partnership with Life Flight.

Indexed as

cost avoidancecritical careintensive care unitpharmacytelecritical caretelehealthtelepharmacy

Identifiers

PMID36660010
PMCPMC9839229
OpenAlexW4317567102

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.