Multidisciplinary research and review journal | Online ISSN 3064-9870
REVIEWS   (Open Access)

The Essential Role of Emergency Medicine Pharmacists in Enhancing Care and Patient Outcomes in Emergency Departments

Adil Mubarak Alotaibi 1*, Saadi Saad Alanazi 1, Ramzi Hasan Al Hamad 1, Abdullah Marzouq Alotaibai 1, ‏Tareq Salem Alsewar 1, Saadi Saad Alanazi 1, Badr Talhab Ayed Al-Anzi 1, Ahmed Ibrahim Alahmad 1

+ Author Affiliations

Journal of Primeasia 1.3(1) 1-8 https://doi.org/10.25163/primeasia.1110074

Submitted: 01 November 2019  Revised: 14 January 2020  Published: 15 January 2020 

Abstract

Background: The role of Emergency Medicine Pharmacists (EMPs) in emergency departments (EDs) is evolving to meet the increasing complexity of patient needs and the urgency of medical interventions in acute care settings. Traditionally, pharmacists have focused on medication management, but their role is expanding to include direct patient care responsibilities, which has significant implications for patient outcomes and safety. Methods: This systematic review evaluates the impact of EMPs on patient care in EDs, analyzing data from various studies that highlight their involvement in critical procedures, medication management, and treatment initiation. The review also examines EMP contributions to rapid sequence intubation (RSI), trauma, and acute myocardial infarction care, focusing on their effect on medication error reduction and treatment efficiency. Results: The review reveals that EMPs contribute to a significant reduction in time to analgesia and sedation during RSI, enhancing overall treatment efficiency. Additionally, their involvement is associated with a decrease in medication errors, thereby improving patient safety. The presence of EMPs also correlates with faster treatment initiation, particularly in critical cases such as trauma and acute myocardial infarction, demonstrating their crucial role in optimizing emergency care. Conclusion: The integration of EMPs into emergency medicine practice is essential for improving patient outcomes, enhancing safety, and reducing medication-related errors. The evolving responsibilities of EMPs should be formalized through practice guidelines, which include their engagement in direct patient care, resuscitation efforts, and antimicrobial stewardship. Future research should focus on longitudinal studies to assess the long-term benefits of EMP involvement and the development of standardized protocols to optimize their roles across diverse healthcare settings.

Keywords: Emergency Medicine Pharmacists, Patient Safety, Medication Management, Acute Care, Multidisciplinary Teams

References

Acquisto, N. M., Hays, D. P., Fairbanks, R. J., et al. (2012). The outcomes of emergency pharmacist participation during acute myocardial infarction. J Emerg Med, 42, 371-378.

Amini, A., Faucett, E. A., Watt, J. M., et al. (2013). Effect of a pharmacist on the timing of postintubation sedative and analgesic use in trauma resuscitations. Am J Health-Syst Pharm, 70, 1513-1517.

Amini, A., Faucett, E. A., Watt, J. M., et al. (2013). Effect of a pharmacist on the timing of postintubation sedative and analgesic use in trauma resuscitations. American Journal of Health-System Pharmacy, 70(18), 1513-1517.

Baker, S. N., Acquisto, N. M., Ashley, E. D., et al. (2012). Pharmacist-managed antimicrobial stewardship program for patients discharged from the emergency department. J Pharm Pract, 25, 190-194.

Bonomo, J. B., Butler, A. S., Lindsell, C. J., et al. (2008). Inadequate provision of postintubation anxiolysis and analgesia in the ED. American Journal of Emergency Medicine, 26(5), 469-472.

Brancaccio, A., Giuliano, C., McNorton, K., et al. (2014). Impact of a phenytoin loading dose program in the emergency department. Am J Health-Syst Pharm, 71, 1862-1869.

Brown, J. N., Barnes, C. L., Beasley, B., et al. (2008). Effect of pharmacists on medication errors in an emergency department. American Journal of Health-System Pharmacy, 65(3), 330-333.

Brown, J. N., Barnes, C. L., Beasley, B., et al. (2008). Effect of pharmacists on medication errors in an emergency department. American Journal of Health-System Pharmacy, 65(4), 330-333.

Cesarz, J. L., Steffenhagen, A. L., Svenson, J., et al. (2013). Emergency departments discharge prescription interventions by emergency medicine pharmacists. Annals of Emergency Medicine, 61(2), 209-214.

Chisholm, C. D., Collison, E. K., Nelson, D. R., et al. (2000). Emergency department workplace interruptions: Are emergency physicians "interrupt-driven" and "multitasking"? Academic Emergency Medicine, 7(12), 1239-1243.

Cohen, V., Jellinek, S. P., Hatch, A., et al. (2009). Effect of clinical pharmacists on care in the emergency department: A systematic review. American Journal of Health-System Pharmacy, 66(14), 1353-1361.

Crook, M., Ajdukovic, M., Angley, C., et al. (2007). Eliciting comprehensive medication histories in the emergency department: The role of the pharmacist. Pharmacy Practice, 5(2), 78-84.

Crook, M., Ajdukovic, M., Angley, C., et al. (2007). Eliciting comprehensive medication histories in the emergency department: The role of the pharmacist. Pharmacy Practice, 5(2), 78-84.

Davis, L. C., Covey, R. B., Weston, J. S., et al. (2016). Pharmacist-driven antimicrobial optimization in the emergency department. Am J Health-Syst Pharm, 73(suppl 1), S49-S56.

Davis, L. C., Covey, R. B., Weston, J. S., et al. (2016). Pharmacist-driven antimicrobial optimization in the emergency department. American Journal of Health-System Pharmacy, 73(3), S49-S56.

DeFrates, S. R., Weant, K. A., Seamon, J. P., et al. (2013). Impact of a pharmacist-driven intervention in healthcare-associated pneumonia. J Pharm Pract, 26, 537-543.

Dumkow, L. E., Weimer, M. W., Carver, K. D., et al. (2014). A pilot study of a pharmacist-led culture review intervention for patients discharged from the emergency department. Pharmacotherapy, 34, 1036-1042.

Eppert, H. D., & Reznek, A. J. (2011). ASHP guidelines on emergency medicine pharmacist services. American Journal of Health-System Pharmacy, 68(14), e81-e95.

Ernst, A. A., Sokol, C. S., & Simons, R. M. (2012). Pharmacist participation in trauma resuscitations improves medication safety. J Emerg Med, 43, 154-159.

Goff, D. A., Kullar, R., Goldstein, E. J., et al. (2017). A global call from five countries to collaborate in antibiotic stewardship: United we succeed, divided we might fail. Lancet Infectious Diseases, 17(1), e56-e63.

Gosser, S. M., Rubenstein, M. W., & Simpson, J. E. (2016). The impact of emergency pharmacy services on acute stroke management in the emergency department. Ann Pharmacother, 50, 967-972.

Hayes, B. D., Donovan, J. L., Smith, B. S., et al. (2007). Pharmacist conducted medication reconciliation in an emergency department. American Journal of Health-System Pharmacy, 64(15), 1720-1723.

May, L., Cosgrove, S., L’Archeveque, M., et al. (2013). A call to action for antimicrobial stewardship in the emergency department: Approaches and strategies. Annals of Emergency Medicine, 62(1), 69-77.

Merlin, T., Howes, J., & Donovan, M. (2009). Pharmacist involvement in trauma resuscitation: A review of the literature. J Trauma Nurs, 16, 75-80.

Moher, D., Liberati, A., Tetzlaff, J., et al. (2009). Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. PLoS Med, 6(7), e1000097.

Montgomery, C. R., Mace, S. E., & Ryan, C. A. (2015). Impact of a pharmacist in trauma resuscitations: A prospective, observational study. Am J Emerg Med, 33, 204-208.

Patanwala, A. E., Sanders, A. B., Thomas, M. C., et al. (2012). A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department. Annals of Emergency Medicine, 59(5), 369-373.

Ratz, Y., Shafir, I., Berkovitch, S., et al. (2010). The importance of the pharmacist in reporting adverse drug reactions in the emergency department. Journal of Clinical Pharmacology, 50(10), 1217-1221.

Robey-Gavin, S., & Abubakar, M. (2016). Impact of pharmacist involvement in trauma resuscitations. J Trauma Nurs, 23, 28-34.

Rothschild, J. M., Churchill, W., Erickson, A., et al. (2010). Medication errors recovered by emergency department pharmacists. Annals of Emergency Medicine, 55(5), 513-521.

Vasileff, G. A., Horn, M., & Sze, S. (2009). Improving medication safety with pharmacist involvement in medication reconciliation. J Emerg Nurs, 35, 486-492.

Weeks, M., Rook, L., & Klein, E. (2014). The role of pharmacists in improving medication history taking in emergency departments. Am J Health-Syst Pharm, 71, 1475-1480.

Full Text
Export Citation

View Dimensions


View Plumx



View Altmetric



0
Save
0
Citation
15
View
0
Share