Streamlining antimicrobial therapy through pharmacists' review of order sheets.

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dc.contributor.authorBriceland, Laurie L
dc.contributor.authorLesar, T S
dc.contributor.authorLomaestro, Ben
dc.contributor.authorLombardi, T P
dc.contributor.authorGailey, R A
dc.contributor.authorKowalsky, S F
dc.contributor.orcidhttps://orcid.org/0000-0001-7013-7318
dc.date.accessioned2023-11-03T19:00:02Z
dc.date.available2023-11-03T19:00:02Z
dc.date.issued1989-07
dc.descriptionClick on the Resource Link to access the article (may not be free).
dc.description.abstractThe impact of a pharmacy-conducted intervention program designed to contain costs by "streamlining" antimicrobial therapy is described. Streamlining of antimicrobial therapy may involve simplifying routes of administration, decreasing the dose or frequency of antimicrobial administration, or converting from multiple-agent therapy to single-agent therapy. Beginning on December 1, 1987, pharmacists at this university-affiliated teaching hospital used the antimicrobial order sheet (AOS) filled out by all prescribers of anti-infective agents to identify orders that were potential candidates for streamlining. Interventions involved a discussion between the pharmacist and prescriber in which the pharmacist specified the reasoning behind the recommended change. For each recommendation that was accepted by the prescriber, the cost savings per day was determined by subtracting the daily cost of the recommended streamlined therapy from the daily cost of the original "problem" therapy. Data collection continued until May 1, 1988. During that five-month period, 162 out of 173 pharmacist-initiated streamlining recommendations were accepted by prescribers, resulting in a total cost savings of $19,864. The average cost savings per intervention was $122.62. The most frequent intervention involved decreasing the frequency of i.v. administration, decreasing the dose, or both. The intervention that resulted in the greatest average cost savings involved simplifying the route of administration or discontinuing antimicrobial therapy entirely. The projected annual cost savings of this program is $47,700. By using information from AOSs to identify problem antimicrobial orders, pharmacists were able to recommend streamlining of antimicrobial therapies that resulted in an average cost savings of about $122 per intervention.
dc.description.urihttps://doi.org/10.1093/ajhp/46.7.1376
dc.identifier.citationBriceland LL, Lesar TS, Lomaestro BM, Lombardi TP, Gailey RA, Kowalsky SF. Streamlining antimicrobial therapy through pharmacists' review of order sheets. Am J Hosp Pharm. 1989 Jul;46(7):1376-80. PMID: 2757043.
dc.identifier.issn0002-9289
dc.identifier.other2757043
dc.identifier.urihttps://hdl.handle.net/20.500.14303/253
dc.language.isoen
dc.publisherAmerican Society Of Hospital Pharmacists
dc.relation.ispartofAmerican Journal of Health-System Pharmacy : AJHP
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dc.subjectAnti-Infective Agents / therapeutic use
dc.subjectPharmacy Service, Hospital / organization & administration
dc.titleStreamlining antimicrobial therapy through pharmacists' review of order sheets.
dc.typeArticle
local.departmentprogramDepartment of Pharmacy Practice
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