Abstract

The Emergency Department is a fast-paced work environment. The hectic nature of work in the department often leads to risk of medication error(s). Many factors are involved resulting in wide range of issues. One of the major factors implicated in this regard is verbal orders associated with high risk of dosing errors and therapeutic errors. Pharmacists are experts in the use of medications and bring a unique set of knowledge and skills to the medical team. Active participation of pharmacists in patient care in the hospital emergency department may result in safer and more effective use of medication. These pharmacists are typically involved in assuring appropriate administration of drugs, monitoring patient adherence to therapy, providing drug information to providers, monitoring patient responses and laboratory values, and providing patient education. Since service in the emergency department is getting more and more challenging inclusion of a pharmacist in the team may be an option to improve the situation and help ensure improved care. DOI: http://dx.doi.org/10.3329/bjms.v12i1.13348 Bangladesh Journal of Medical Science Vol. 12 No. 01 January’13 pp.10-16

Highlights

  • Emergency department (ED) is known to be a highrisk environment with frequent medication errors

  • The Emergency Department in a hospital is a unique environment and many safety mechanisms used in other hospital settings cannot be applied in the ED

  • Because medications in the ED must be accessed immediately and are often one-time doses, the use of central pharmacy services would introduce an unacceptable delay to the administration of medication

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Summary

Introduction

Emergency pharmacist’s role in drug therapy recommendations In addition, other healthcare facilities that have used pharmacists in their EDs have shown improvements in many aspects of medication use, such as reducing medication order turnaround time, making medications more readily available and improving compliance with clinical indicators. In such facilities, pharmacists have assisted ED staff with drug selection, drug administration, and patient monitoring, as well as with emergency and trauma-related codes. Pharmacists have a great opportunity to share their drug expertise and can take a leading role in disaster planning committees and hospital disaster Drills[32]

Conclusions
USP patient safety CAPS Link
18. Medication Errors in the Emergency Department
23. Medication Errors in the Emergency Department
Findings
27. Medication Errors in the Emergency Department

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