This website provides the resources and results associated with the
research program aimed at increasing the use of clinical pharmacists in
emergency medicine. The project goals include providing a body of evidence
to demonstrate the value of using emergency pharmacists in the emergency
The American Society of
Health-System Pharmacists has provided several years of a
Patient-Care Impact Program (PCIP) focused on emergency pharmacist programs, a 6-month,
practice-based mentorship program for new or current emergency pharmacists or those
(administrators or pharmacists) starting new clinical pharmacy programs in an emergency department. Over 80 Emergency Pharmacist
programs have been initiated through the PCIP mentorship program. Click
to download a paper describes the first program.
Fairbanks is now Director of the National Center for
Human Factors in Healthcare, in Washington, DC. The Center, part
of the MedStar Institute for
Innovation, focuses on applying system safety engineering methods to
healthcare. More information is available at
www.MedicalHumanFactors.net and www.sitel.org.
A paper describing the first
year of the PCIP Emergency Pharmacist program is available in the American Journal of Health System Pharmacy.
[link to article] (access required) or
to request reprint.
Dr. Hays co-authored a paper published in the Advanced
Emergency Nursing Journal illustrating the benefits of a pharmacist in the
[link to article]
See the Publicity Page for new relevant journal articles and news items regarding emergency pharmacist programs in the news.
Members of the research team, lead by Nicole Acquisto, PharmD, were
recently awarded a "Hospital Pharmacist-Emergency Physician
Collaboration Grant from the
to study The Value of MRSA Nares Carriage Status for Treatment of Skin
and Soft Infections in the Emergency Department. This Emergency
Dr. Fairbanks was featured in an ASHP TV network interview during the
ASHP Midear Meeting. To see the interview, click on "Human Factors
Engineering and Medication Safety" in the Wednesday group:
[link to interview]
Members of the
research team, lead by Nicole Acquisto, PharmD, were awarded the
2008 ASHP Best Practices Award for their work demonstrating the
impact of the Emergency Pharmacist on acute coronary syndrome patients
in the emergency department. The paper is available for download here:
[link to PDF]
appears in the January 2009 issue and describes Dr. Acquisto's work as
well as successes at other programs.
programs and our research were featured in the May/June 2008 edition of
American Journal of Medical Quality, in an
article written by Carolyn
Clancy, MD, Director of AHRQ. See the
Publicity Page for links
to the article.
News January 2008 edition provides an excellent overview of the
ASHP December presentation summarizing the results of the study. See the
Publicity Page for links
to the article.
Our program was featured on AHRQ's podcast program
"Healthcare 411." See the Publicity Page for links
to the program.
A sampling of items available on the Resources and Toolkit page:
Our paper describing
the penetration of clinical pharmacy services in academic emergency
departments was published in the March 2009 edition of the American
Journal of Health-System Pharmacy. See link to article in the Resources and Toolkit page
A comprehensive list
of Emergency Pharmacist related references from Australia has been
posted. See bottom of the Resources and Toolkit page
in the "relevant references" section.
Study finds that emergency physicians and nurses
highly value the role of an Emergency Pharmacist and feel they improve
medication safety and quality of care. A manuscript describing ED staff perceptions of
the Emergency Pharmacist role has been published in in the Emergency Medicine Journal.
link to abstract
us for a
[related quotes from staff
Powerpoint slides available to
assist hospitals, pharmacists, and emergency departments in their efforts to
describe, justify, and implement new Emergency Pharmacist programs. These
tools are a direct result of efforts funded by the Agency for Healthcare
Research and Quality. Please refer to the Resources and Toolkit page.
Download audience response
results from the San Francisco the ASHP
Summer Meeting session on Emergency Pharmacists, held Monday, June 25th,
See the Resources and Toolkit page.
Involvement of clinical pharmacists in patient care in the inpatient hospital
setting has been shown to result in safer and more effective medication
use. These pharmacists are involved in assuring appropriate prescribing
and administration, monitoring patient adherence to therapy, providing drug
information consultation to providers, monitoring patient responses and
laboratory values, and providing patient education.
Emergency department (ED)- based clinical pharmacy services are relatively
rare. This is likely due to the unique and complex nature of the ED. The
paucity of ED-based clinical pharmacy services is perplexing given that
the 1999 Institute of Medicine report To Err is Human found that the ED
had the highest rate of preventable adverse events among clinical environments
studied, with a potential of 3.8 million events thought to be preventable
Adverse drug events that occur in the ED are a significant public health
problem in the US, particularly for the older adult patient population.
Published reports have asserted that ED-based pharmacists have the potential
to increase quality of care in the ED. But although this concept appears
logical, no scientific study has been undertaken to demonstrate that these
programs reduce preventable adverse drug events and improve quality of care
in the ED.
This project borrows ideals from the human factors engineering/safety science
“systems approach” by allowing specialization of services and
adding layers of redundancy to help prevent medication errors from effecting