Monday, April 15, 2013

Strategy for managing acid suppression in the ICU

http://www.pharmacypracticenews.com//ViewArticle.aspx?ses=ogst&d=Operations+%26+Management&d_id=53&i=ISSUE%3a+April+2013&i_id=950&a_id=22973

Every evening during a two-month verification phase, tele-ICU nurses assessed the risk for GI bleeding for each patient in the 38-bed ICU at one of the system’s hospitals. The three-week intervention phase that followed involved all adult ICU beds. On-site nurses and pharmacists recommended 102 conversions from IV to oral PPIs; 86 (84.3%) were accepted. Discontinuation of SUP was recommended 173 times; prescribers accepted 91 (52.6%) of the recommendations. The cost of SUP treatment decreased from $1.06 per adjusted patient-day to 77 cents and the projected annual cost savings from decreased SUP amounted to $78,052.

from Pharmacy Practice News 2013

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