Pharmacist involvement in trauma resuscitation across the United States: A 10-year follow-up survey

Author:

Porter Blake A1,Zaeem Maryam1,Hewes Philip D2,Hale LaDonna S3,Jones Courtney M C4,Gestring Mark L2,Acquisto Nicole M5

Affiliation:

1. Department of Pharmacy, University of Rochester Medical Center, Rochester, NY

2. Department of Surgery, University of Rochester Medical Center, Rochester, NY

3. Department of Physician Assistant, Wichita State University, Wichita, KS

4. Department of Emergency Medicine, University of Rochester Medical Center, Rochester, NY

5. Department of Pharmacy, Department of Emergency Medicine, University of Rochester Medical Center, NY

Abstract

Abstract Purpose A national survey performed in 2007 found that only 23% of American College of Surgeons (ACS) trauma centers involved pharmacists in trauma resuscitation. This study describes interval change in use, perceptions, and responsibilities from 2007 to 2017. Methods Of the 419 trauma centers identified from the ACS website, contact information was available for 335. In March 2017, a survey assessing hospital demographics, pharmacist coverage and services, and perception of pharmacist value and use was emailed to the identified trauma representatives. Data were analyzed using descriptive statistics and chi-square analysis, as appropriate. Results The response rate was 33% (110/335). Pharmacist involvement with trauma resuscitation increased significantly from 23% in 2007 to 70% (p < 0.001) and in 71% of trauma centers was provided by pharmacists practicing within the emergency department. Pharmacist involvement was greatest in the Midwest (p < 0.01), but with similar distribution with regards to ACS designation, institution type, and patient volume. Common bedside responsibilities include calculating dosages (96%), preparing medications (89%), and providing medication information (79%), while trauma program/administrative responsibilities (45%) include trauma team education, pharmacy operations, medication safety, quality improvement data collection, research, review of quality assurance cases, ACS accreditation preparation, and others. The primary reason for not considering pharmacist involvement was unfamiliarity with these roles/benefits. Conclusion Pharmacists are an increasingly important component of the trauma team, as evidenced by growth over the last decade. In addition to clinical benefit at the bedside, pharmacists can support the regular activities of a trauma program in many meaningful ways.

Publisher

Oxford University Press (OUP)

Subject

Health Policy,Pharmacology

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