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The use of electronic health record embedded MRC-ICU as a metric for critical care pharmacist workload.
Webb, Andrew J; Carver, Bayleigh; Rowe, Sandra; Sikora, Andrea.
Afiliación
  • Webb AJ; Department of Pharmacy, Oregon Health and Science University, Portland, OR 97239, United States.
  • Carver B; Department of Pharmacy, Massachusetts General Hospital, Boston, MA 02114, United States.
  • Rowe S; Department of Clinical and Administrative Pharmacy, University of Georgia College of Pharmacy, Augusta, GA 30912, United States.
  • Sikora A; Department of Pharmacy, Massachusetts General Hospital, Boston, MA 02114, United States.
JAMIA Open ; 6(4): ooad101, 2023 Dec.
Article en En | MEDLINE | ID: mdl-38058680
ABSTRACT

Objectives:

A lack of pharmacist-specific risk-stratification scores in the electronic health record (EHR) may limit resource optimization. The medication regimen complexity-intensive care unit (MRC-ICU) score was implemented into our center's EHR for use by clinical pharmacists. The purpose of this evaluation was to evaluate MRC-ICU as a predictor of pharmacist workload and to assess its potential as an additional dimension to traditional workload measures. Materials and

methods:

Data were abstracted from the EHR on adult ICU patients, including MRC-ICU scores and 2 traditional measures of pharmacist workload numbers of medication orders verified and interventions logged. This was a single-center study of an EHR-integrated MRC-ICU tool. The primary outcome was the association of MRC-ICU with institutional metrics of pharmacist workload. Associations were assessed using the initial 24-h maximum MRC-ICU score's Pearson's correlation with overall admission workload and the day-to-day association using generalized linear mixed-effects modeling.

Results:

A total of 1205 patients over 5083 patient-days were evaluated. Baseline MRC-ICU was correlated with both cumulative order volume (Spearman's rho 0.41, P < .001) and cumulative interventions placed (Spearman's rho 0.27, P < .001). A 1-point increase in maximum daily MRC-ICU was associated with a 31% increase in order volume (95% CI, 24%-38%) and 4% increase in interventions (95% CI, 2%-5%). Discussion and

conclusion:

The MRC-ICU is a validated score that has been previously correlated with important patient-centered outcomes. Here, MRC-ICU was modestly associated with 2 traditional objective measures of pharmacist workload, including orders verified and interventions placed, which is an important step for its use as a tool for resource utilization needs.
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_sistemas_informacao_saude Idioma: En Revista: JAMIA Open Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_sistemas_informacao_saude Idioma: En Revista: JAMIA Open Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos
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