Thread by @AndreaSikora

Increasing pharmacist workload was associated with increased ICU length of stay, reduced quantity of interventions, and reduced intensity of interventions.

pubmed.ncbi.nlm.nih.gov/35678204/

@CritCareMed @SCCM @SCCM_CPP
#TwitteRx #PharmICU

Increasing MRC-ICU score was associated with
1. Higher mortality
2. Longer LOS
3. More medication interventions
4. Increased intensity of medication interventions

^A compelling argument for DEDICATED pharmacotherapeutic expertise on the multiprofessional rounding team.

The @SCCM @ASHP_Official @ACCP Joint Position Statement (pubmed.ncbi.nlm.nih.gov/32826496/) calls pharmacists “essential members of the multiprofessional critical care team,” but we have no standards for pharmacist workload ratios.

This is in contrast to intensivists (pubmed.ncbi.nlm.nih.gov/23263586/) and has been an echoed call to assess workload: pubmed.ncbi.nlm.nih.gov/32796183/

Key Take Aways:

1. MRC-ICU may serve as a meaningful metric to predict pharmacist workload.

2. The results of this study lay the foundation for studies evaluating how optimizing pharmacist workload can improve patient-centered outcomes.

MORE importantly, this study is the result of @SCCM members from 28 centers coming together as a team to collect much needed practice-based data.

These are the kinds of collaborations that we need more of and are not possible with everyone’s selfless contributions.

Thank you to all the members of @SCCM_CPP for their contributions data collecting, manuscript peer-review, etc. This paper is truly a product of this group.

@MeganARech @Tribidibidy @AmyDzierba @AFlanneryPharmD @LifeWithoutDiet @AFlanneryPharmD @HeavnerPharmD @davidmurphymd @gretchensacha @ZRSmith16 @MICUPharmD

@uncrx_critcare @CForehand84 @ahhyun_pharm @ellenhuangpharm @AaronChaseRx @ugac3 @SESmithPharmD @AU_UGAPharmRes

(This lends credence to increasing resources to reduce cross-covering and also enable time for vital non-direct patient care activities.) #TwitteRx #PharmICU

The supplemental digital content contains a summary of MRC-ICU development & validation: links.lww.com/CCM/H141
@CritCareMed #PharmICU #TwitteRx