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Pharmacy World and Science

, Volume 25, Issue 6, pp 299–302 | Cite as

Impact of pharmacist recommendations on the cost of drug therapy in icu patients at a Malaysian hospital

  • S.T.R. Zaidi
  • Y. Hassan
  • M.J. Postma
  • Ng Seiw Hain
Article

Abstract

Objectives: To analyse clinical pharmacists interventions in the ICU of the Penang General Hospital (Penang, Malaysia) and to assess the pharmaco-economic impact of these interventions.Methods: A clinical pharmacist reviewed drug prescriptions during one month. Drug-related problems were documented on a preprepared form including a suggestion for a change in prescribing. Such recommendations were submitted to the nursing/medical staff. Acceptance of the recommendation was entirely at the discretion of the medical staff. All recommendations were analysed with respect to potential pharmaco-economic impact: cost savings, cost avoidance or cost addition.Results: The ICU pharmacist made 57 recommendations, of which the medical staff rejected only 5%. The majority of detected drug-related problems referred to unnecessary drug therapy (37%). Recommendations resulted in net cost savings of RM 15,227 (USD 4,007). This corresponded with RM 634 per patient intervened by the pharmacist. Conclusion: Pharmacists interventions in the ICU of a Malaysian hospital resulted in significant cost savings in terms of drug expenses and can therefore be suggested as a routine practice in our hospital.

Cost saving Drug‐related problems Drug therapy Intensive care unit Interventions Malaysia Pharmacist Pharmacist recommendations 

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Copyright information

© Kluwer Academic Publishers 2003

Authors and Affiliations

  • S.T.R. Zaidi
    • 1
  • Y. Hassan
    • 2
  • M.J. Postma
    • 3
  • Ng Seiw Hain
    • 4
  1. 1.Department of Pharmaceutical CareKing Abdul Aziz Hospital, National Guards Health Affairs-Eastern RegionAl AhsaKingdom of Saudi Arabia E‐mail
  2. 2.School of Pharmaceutical SciencesUniversity Sains MalaysiaPenangMalaysia
  3. 3.Groningen University Institute for Drug Exploration / University of Groningen Research Institute of Pharmacy (GUIDE/GRIP)GroningenThe Netherlands
  4. 4.Department of Anesthesia and Intensive CareIpoh General HospitalIpohMalaysia

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