Implementation of a multidisciplinary inpatient drug desensitization program

Author:

Martino Janine G1,Cang William1,Jaskowiak Jaclyn1,Tavakoli Aran2,Clapp Christopher2,Marro Hannah3,Kim Alexander4

Affiliation:

1. Department of Pharmacy, Jacobs Medical Center, UC San Diego Health , La Jolla, CA , USA

2. Department of Nursing Education, Development and Research, UC San Diego Health , San Diego, CA , USA

3. Department of Nursing, Medical and Surgical ICU, UC San Diego Health , La Jolla, CA , USA

4. Department of Patient Flow/ Capacity Management, UC San Diego Health , La Jolla, CA , USA

Abstract

Abstract Purpose The purpose of this project was to analyze the process of adult inpatient drug desensitization and to create a multidisciplinary standardized procedure with the aim of improving patient safety, efficiency, length of stay, and patient satisfaction. Summary A team consisting of physicians, pharmacists, nurses, critical care specialists, and operational capacity managers was created. The electronic health system was queried to evaluate the frequency of desensitizations, level of care, implicated medications, and length of stay. An electronic desensitization request form was created along with a desensitization team and email listserver for notification of key stakeholders. Conclusion A standardized, safe, and efficient process for inpatient drug desensitization requires advance planning and participation from all disciplines involved. Operational and logistical aspects of desensitization are crucial components of rapid drug desensitization. A structured, multidisciplinary approach to inpatient desensitization is feasible.

Publisher

Oxford University Press (OUP)

Subject

Health Policy,Pharmacology

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